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Medicaid Eligibility Unit Manager

2 months ago


New York, New York, United States City of New York Full time
Job Summary

We are seeking a highly skilled and experienced Medicaid Unit Supervisor to join our team at the City of New York. As a key member of our Medicaid Eligibility Unit, you will be responsible for overseeing the productivity of case processing, supervising staff, and ensuring compliance with Medicaid policies and procedures.

Key Responsibilities
  • Oversee the productivity of case processing to maintain error rates and meet mandated levels
  • Directly supervise staff within the Medicaid Eligibility Unit to ensure the required support is available to Medicaid units
  • Interpret Medicaid policies and procedures for assigned staff to improve or maintain continuity
  • Clarify Medicaid policy and procedures for Provider Agencies and serve as a liaison between HCSP offices and Provider Agencies
  • Respond to requests from the Community and Vendors for advice on Medicaid initiatives and guidelines
  • Participate in meetings and act as liaison with MAP staff involved in developing Medicaid procedures
  • Oversee the review and response to new/revised Medicaid procedures
  • Establish a system and process to implement a clearing house for the exchange of case information for Medicaid specialty units
  • Maintain liaison relationships with Voluntary and City hospital, WMS and other Community Organizations
  • Initiate and/or participate in the training designed to clarify Medicaid guidelines for staff
  • Coordinate training for Medicaid Eligibility Staff to ensure they are proficient in new/revised procedures for WMS and Medicaid eligibility
Requirements
  • A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty
  • Or an associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described above
  • Or a four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described above
Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic.