Medicaid Unit Supervisor

City of New York•Brooklyn, NY

10h

About The Position

The Department of Social Services (DSS), comprising the New York City Human Resources Administration and Department of Homeless Services, is recruiting a Principal Administrative Associate III to serve as a Medicaid Unit Supervisor in the Home Care Services Program (HCSP). Applicants must be permanent in the Principal Administrative Associate civil service title. HCSP provides Medicaid-funded long-term care to medically fragile and vulnerable individuals through programs including the Community Alternative Systems Agency, Managed Long Term Care, Assisted Living, Care at Home, and Homebound Medicaid. The Medicaid Eligibility Unit reviews and processes initial applications, changes, and renewals for Medicaid-funded long-term care programs and handles eligibility processing for consumers served through HCSP programs. The supervisor oversees productivity and directly supervises staff in the Medicaid Eligibility Unit, supports accurate and timely case processing, interprets and communicates Medicaid policies and procedures, coordinates training, and liaises with HCSP offices, provider agencies, hospitals, vendors, and community organizations. The role also supports the implementation and distribution of revised Medicaid procedures and the development of a case-information clearinghouse for Medicaid specialty units. The listed schedule is 9:00 a.m. to 5:00 p.m. (flex).

Requirements

Applicants must be permanent in the Principal Administrative Associate civil service title.
Qualify through one of the stated education and experience pathways: a bachelor's degree and two years of satisfactory, full-time, progressively responsible clerical/administrative experience, including one year in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty; an associate degree or 60 semester credits and three years of such experience, including one year of the specified administrative supervisory experience; a high school diploma or equivalent and four years of such experience, including one year of the specified administrative supervisory experience; or equivalent education and/or experience.
All candidates must have one year of the specified administrative or supervisory experience.
Education above high school may substitute for general clerical/administrative experience, but not for the required year of administrative or supervisory experience, at 30 semester credits for six months of experience, up to a maximum of three years.

Responsibilities

Oversee case-processing productivity, monitor WMS error rates against mandated levels, identify problems or trends, and initiate or participate in corrective action plans.
Directly supervise HCSP Medicaid Eligibility Unit staff and ensure the required support is available to maintain or improve Medicaid case processing under established mandates.
Interpret Medicaid policies and procedures for assigned staff to promote continuity.
Clarify Medicaid policies and procedures for provider agencies and serve as a liaison between HCSP offices and provider agencies to resolve issues affecting client eligibility.
Respond to community and vendor requests for advice about Medicaid initiatives and guidelines.
Participate in meetings and liaise with MAP staff developing Medicaid procedures in response to new or revised guidelines, representing HCSP operational concerns.
Oversee review and response to new or revised Medicaid procedures and distribute procedures to HCSP offices.
Establish a system and process for a clearinghouse to exchange case information among Medicaid specialty units, including Tape Match, Disability Review, Institutional Services, Hospital Eligibility, Month to Month Surplus, Quality Control, and Resources.
Maintain liaison relationships with voluntary and city hospitals, WMS, and other community organizations.
Initiate or participate in training to clarify Medicaid guidelines for staff and coordinate training so eligibility staff can apply new or revised WMS and Medicaid eligibility procedures.
Interpret and train staff on new Medicaid initiatives, including Transfer of Assets, Spousal Refusal, and Spousal Enrichment, to ensure adherence to State mandates.