Medicaid Policy Specialist
15 hours ago
As a Medicaid Consultant with the City of New York, you will play a critical role in ensuring the efficient processing of Medicaid cases and providing high-quality services to vulnerable individuals.
Key Responsibilities:
- Interpret and apply Medicaid policies and procedures to ensure compliance with Federal, State, and City guidelines.
- Supervise and distribute work schedules/assignments to the Central Intake Team, ensuring timely completion of tasks and adequate coverage during operating hours.
- Provide second-level sign-off approval for adverse case actions, ensuring proper documentation and adherence to processing protocols.
- Conduct random reviews of completed cases to verify accuracy and quality of decision-making.
- Collaborate with the Central Intake Team to identify and resolve problems, providing written reports and recommendations for corrective training.
- Develop and deliver training sessions to Central Intake Team Supervisors and Clerical Associates, focusing on quality control and error reduction.
- Assist Central Intake Team Supervisors and Clerical Associates in resolving high-priority cases, including Immediate Needs, Fair Hearings, and Quality Assurance issues.
Requirements:
- A baccalaureate degree from an accredited college and three years of progressively responsible clerical/administrative experience, including one year in an administrative capacity or supervising staff.
- Or an associate degree or 60 semester credits from an accredited college and four years of progressively responsible clerical/administrative experience, including one year of administrative supervisory experience.
- Or a four-year high school diploma or its equivalent and five years of progressively responsible clerical/administrative experience, including one year of administrative supervisory experience.
About the City of New York:
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce. We provide a work environment that is free from discrimination and harassment based on any protected status or characteristic.
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