MEDICAID UNIT SUPERVISOR

City of New York•New York, NY

1d•$68,209 - $78,440

About The Position

The Home Care Services Program (HCSP), part of the New York City Department of Social Services, is recruiting a Principal Administrative Associate III to serve as a Medicaid Unit Supervisor. HCSP provides Medicaid-funded long-term care to medically fragile and vulnerable individuals through programs including CASA, Managed Long Term Care, Assisted Living, Care at Home, and Homebound Medicaid. The Medicaid Eligibility Unit reviews and processes initial applications, change actions, and renewals for consumers receiving services through HCSP programs. The supervisor oversees Medicaid eligibility case-processing work, directly supervises staff, interprets Medicaid policies and procedures, and coordinates with HCSP offices, provider agencies, hospitals, vendors, community organizations, and other stakeholders. The role also supports implementation and training for new or revised Medicaid procedures and initiatives. Applicants must be permanent in the Principal Administrative Associate civil service title. The scheduled hours are 9:00 AM to 5:00 PM, with a flexible schedule.

Requirements

Applicants must be permanent in the Principal Administrative Associate civil service title.
Meet one of the stated qualification 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; or an associate degree or 60 semester credits and three years of such experience, including one year of the specified administrative supervisory experience; or 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 experience, with the required one year of administrative or supervisory experience.
Education above the high school level may substitute for general clerical/administrative experience at 30 semester credits for six months of experience, up to a maximum of three years; it cannot substitute for the required year of administrative or supervisory experience.

Responsibilities

Oversee case-processing productivity, monitor WMS error rates and mandated levels, identify problems or trends, and initiate or participate in corrective action plans.
Directly supervise staff in HCSP’s Medicaid Eligibility Unit and support timely processing of Medicaid cases according to established mandates.
Interpret Medicaid policies and procedures for assigned staff to promote continuity.
Clarify Medicaid policy and procedures for provider agencies and serve as a liaison between HCSP offices and provider agencies to resolve issues that may affect client eligibility.
Respond to community and vendor requests for advice about Medicaid initiatives and guidelines.
Participate in meetings and act as liaison with MAP staff developing Medicaid procedures in response to new or revised guidelines, ensuring HCSP operational concerns are represented.
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 staff training to clarify Medicaid guidelines and coordinate training so Medicaid Eligibility staff are proficient in new or revised WMS and eligibility procedures.
Interpret and train staff on initiatives such as Transfer of Assets, Spousal Refusal, and Spousal Enrichment to ensure compliance with state mandates.