Medicaid Eligibility Examiner 3 - Grade 17

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Positions

This title exists in Health, Department of and has approximately 95 positions.

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*The number of positions is approximate and represents the number of positions established (both filled and vacant); it is not an indication or reference to position type or duration, or intent to be filled.

Career Ladder

A listing of titles that are most commonly used as steps for upward mobility for this title series.

Salary Information for Medicaid Eligibility Examiner Trainee
Title Grade Hiring Rate/yr Job Rate/yr
Medicaid Eligibility Examiner Trainee 06 $35,177 $43,521
Medicaid Eligibility Examiner 1 09 $41,399 $50,884
Medicaid Eligibility Examiner 2 14 $54,860 $66,634
Medicaid Eligibility Examiner 3 17 $61,516 $78,307
Medicaid Eligibility Examiner 4 21 $75,850 $96,173

All salary grades for trainees titles are non-statutory (NS) equated to the salary grade identified. These grade equations apply to the starting salaries in their respective salary schedule for the traineeship levels.

This title may exist in more than one negotiating unit. This salary schedule represents the most typical salary for this title. Click here to view additional salary information regarding the various bargaining units.

An individual's final salary is determined by the Office of the State Comptroller. This salary schedule does not reflect any Special Salary Treatments

Job Duties

As a Medicaid Eligibility Examiner 3, you would serve as a working, second level supervisor of a group of paraprofessional and/or support staff that perform a variety of duties related to determining eligibility for and processing applications for Medicaid and/or public health insurance. You would interact with consumers and advocates as issues arise surrounding various public health insurance programs, and make eligibility determinations and process applications for public health insurance in difficult and/or special cases.

View the classification standard for this title which illustrates the nature, extent and scope of duties and responsibilities of the classes they describe.

Summary of Minimum Qualifications

Please note: qualifications for this position may be subject to change. If substitutions for education and/or experience are allowed, this information would be available on the announcement.

You must take and pass a Civil Service examination in order to be considered for this position.

On or before the date of the examination, the candidate must have five years of full time experience, one year of which must have included supervision of staff, performing at least one of the six activities listed below in any of the following programs that: provides reimbursements for health care services; works with social services program areas; determines eligibility for a consumer assisted program in a hospital or other health care facility; provides health care regulatory oversight; or performs quality assurance and interpretation/application of standards of health care.

Activities:

1. determining eligibility for a health care or consumer assisted program in which financial eligibility criteria must be met;

OR

2. performing utilization review, including pre-payment or post-payment review of requested health care services, prior approval or authorization activities, adjudication or pricing of claims for payment; or analysis of patterns of health care;

OR

3. determining reimbursement and financing of health care services, including rate-setting or approval, establishing capitation reimbursement methodologies, assessing fee schedules, coding constructs for medical goods and services, or applying/processing of reimbursement methodologies;

OR

4. performing quality assurance activities such as ensuring compliance with laws, rules, regulations, and policies;

OR

5. inspecting, assessing, or monitoring health care programs or facilities for certification, licensure or adherence to laws, rules, regulations, and policies;

OR

6. planning, designing, developing, researching, or evaluating proposals to establish or refine programs, with ongoing responsibility for interpreting legislation or regulations, defining/describing target populations and local demographics, grant/proposal writing, or developing, reviewing, and evaluating contracts.

For informational purposes only, click on the examination number(s) listed below to see the current or previous examination(s) that are used to fill this title.

38-979 80-196

Please note: qualifications for this position may be subject to change. Job postings on StateJobsNY will contain the most up-to-date qualifications.

How to Apply

When this examination is scheduled to be held, the announcement can be found on the Department of Civil Service, Examination Announcements web page. If you do not see an examination currently scheduled please check back on a monthly basis or sign up for email notification so that you will automatically be notified when new examinations are being offered.

Mobility Options

Career mobility is not just limited to the titles in the Career Ladder, above. Additional movement may be achieved through transfers opportunities or other examinations.

For additional information or clarification of transfer determinations, current State employees should contact the Career Mobility Office at (518) 485-6199 or (800) 553-1322.

You can also visit ELMS Online to view established open-competitive, promotion, and transition eligible lists.

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