Medicaid Eligibility Examiner 1 / Trainee (NY HELPS) - Multi

NY HELP Yes

Agency Health, Department of

Title Medicaid Eligibility Examiner 1 / Trainee (NY HELPS) - Multi

Occupational Category Other Professional Careers

Salary Grade 09

Bargaining Unit ASU - Administrative Services Unit (CSEA)

Salary Range From $36232 to $52413 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address Office of Health Insurance Programs/ Division of Eligibility and Marketplace Integration/Bureau of Consumer Relations and Local District Support

99 Washington Avenue

City Albany

State NY

Zip Code 12206

Duties Description The Medicaid Eligibility Examiner 1 (MEE 1) within the State Disability Review Unit’s Medical Evidence Gathering Group is responsible for the comprehensive collection and coordination of medical documentation required for Medicaid disability determinations. The incumbent manages a high-volume caseload, acting as a professional liaison between the department and external stakeholders, including applicants, physicians' offices, and hospital systems-to procure essential clinical records and diagnostic reports. Key duties include utilizing the Medicaid Disability Determinations System (MDDS) to track evidence-gathering progress, auditing incoming documentation for completeness and legibility, and ensuring all activities remain in strict compliance with state deadlines and HIPAA privacy standards. By efficiently bridging the gap between healthcare providers and the unit’s clinical staff, the MEE 1 ensures that the necessary evidence is available for nurses and medical consultants to conduct timely and accurate eligibility reviews.

Minimum Qualifications Permanent Transfer: Current NYS Department of Health employee with permanent or contingent-permanent, competitive status as a Medicaid Eligibility Examiner (G9) OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a position at or above a grade 6 and eligible for transfer under Section 70.1 of the Civil Service Law. A list of transferrable titles can be found at to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if the candidate meets the below NY HELPS minimum qualifications.Non-Competitive via HELPS:Medicaid Eligibility Examiner 1: Two years of experience determining or reviewing financial eligibility for healthcare or consumer-assisted programs to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations or performing quality assurance activities to ensure compliance with laws, rules, regulations, and policies in a health care delivery system including health care facilities; federal, State, or local health care agencies; hospitals; Medicaid programs; and/or other public or private health insurance programs.30 semester credit hours can substitute for one year of experience.Medicaid Eligibility Examiner Trainee 1: There are no minimum education or experience requirements. If you are appointed to a Trainee title, upon successful completion of a 12-month traineeship, you will automatically advance to the full journey level of the title, Grade 9.Preferred Qualifications: Preferred candidates will have professional experience in public health insurance programs, including New York’s Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple priorities in order to meet deadlines; and experience using electronic data systems, such as eMedNY and NYSOH Back Office. Supervisory experience is a plus.

Additional Comments This position is part of the NYS HELPS program. No examination is required. We offer a work-life balance and a generous benefits package, worth 65% of salary, including:• Holiday & Paid Time Off• Public Service Loan Forgiveness (PSLF)• Pension from New York State Employees’ Retirement System • Shift & Geographic pay differentials • Affordable Health Care options• Family dental and vision benefits at no additional cost • NYS Deferred Compensation plan• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds• And many more...The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone View phone number on click.appcast.io or email View email address on click.appcast.io to make a request.NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.

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Name Human Resources Management Group

Telephone View phone number on click.appcast.io

Fax View phone number on click.appcast.io

Email Address View email address on click.appcast.io

Address

Street Corning Tower, Empire State Plaza, Room 2217

City Albany

State NY

Zip Code 12237

Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to View email address on click.appcast.io, with Reference EM/MEE1/MULTI included in the subject line or by mail to Human Resources Management Group, EM/MEE1/MULTI, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to View phone number on click.appcast.io. Failure to include the required information may result in your resume not being considered for this position.