Eligibility Program Manager 1 - Grade 27

Positions in this title can be hired through NY HELPS

GOT-IT does not provide information on any job postings or job availability. For information on current job postings, please visit StateJobsNY. You may also visit specific New York State Agency websites for information about an agency and its job opportunities.

Positions

This title exists in Health, Department of and has approximately 12 positions.

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Positions By County

*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 Eligibility Program Manager 1
Title Grade Hiring Rate/yr Job Rate/yr
Eligibility Program Manager 1 27 $103,784 $127,830
Eligibility Program Manager 2 29 $114,976 $140,815
Eligibility Program Manager 3 64 $120,187 $151,674

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

Positions in this title series administer and oversee bureaus and larger units within the Office of Health Insurance Programs and the New York State of Health that manage the New York State Medicaid Program, Child Health Plus Program, Qualified Health Plan coverage, and other public health insurance programs.  Incumbents direct, administer, and oversee all aspects of eligibility and enrollment for public health insurance programs.  Levels in the title series are distinguished by the scope of the program area or multiple programs managed, and the quantity and allocation of staff supervised.  

These positions are classified at the Department of Health (DOH), Office of Health Insurance Programs (OHIP).

Coordinates, manages, and oversees a unit or multiple units of subordinate staff engaged in the overall determination of eligibility and enrollment in a limited or small public health insurance program:

• Provides supervision, guidance, and oversight to subordinate staff; intervenes and resolves problems as necessary.  

• Determines and oversees staff assignments and reassignments; evaluates performance; monitors time and attendance; and approves leaves and the use of overtime.  

• Directs staff in responding to intra and inter-agency correspondence, letters, telephone calls, and emails from the public, clients, stakeholders, oversight agencies, federal staff, members of the legislature, and health care provider community.  

• Identifies training needs and arranges for the provision of training.  

• Manages and directs program activities by setting priorities and deadlines.  

• Assists in the development and implementation of program policies, procedures, and guidelines for the determination of eligibility in a public health insurance program.

• Develops, refines, establishes, and implements program procedures and the activities necessary to determine eligibility and target eligible participants for public health insurance programs.

• Evaluates public health insurance program data, including service levels, potential eligibles, target populations, public health trends, and program accountability.

• Prepares and reviews reports of program activities.  

• Implements and ensures adherence to federal eligibility regulations and State requirements.  

• Provides clarification of federal eligibility regulations and State requirements to other Department of Health units, Fiscal Management, other State agencies, local program agencies, and other requesting entities.  

• Represents the Department of Health and its public health insurance programs on various workgroups, cross-functional teams, and intra and inter-agency task forces concerned with public health insurance program eligibility and enrollment issues.  


Interprets federal and State laws, rules, and regulations to develop instructions, eligibility policy statements, directives, analyses, and other materials:  

• Interprets guidelines and instructions related to eligibility issues; performs analysis for bureau and division-level staff; and makes recommendations for improvement.

• Writes analytical reports and papers as required.

• Collaborates with technical business systems and requirements analyst staff to develop automated systems programs and solutions.  

• Reviews and updates prepared material used to train local program staff and entities engaged in the determination of eligibility and enrollment.  

• Provides information for and direction to health care provider staff and recipients of public health insurance programs.  

• May serve as contact or liaison with federal Centers for Medicare and Medicaid Services (CMS) staff and auditors.  


Oversees program review and management evaluation processes:

• Develops and approves annual review schedules, final review reports, and corrective action submissions.

• Analyzes and evaluates findings for trends and repetition, and recommends training topics from review findings.  

• Analyzes and communicates to staff the impact of a variety of federal and State laws, rules, and regulations related to eligibility for public health insurance programs.  


Oversees program implementation and participation:

• Develops policies and procedures, and communicates them to staff, local program agencies, and other entities engaged in the determination of eligibility for public health insurance programs.  

• Develops and monitors plans for training and evaluation of program components and systems for documentation and reporting to meet federal and State requirements.  

• Measures program growth and reduction by geographic region to ensure optimum participation levels.  

• Implements efficiency measures based on cost-benefit analysis.

• Directs outreach activities to ensure target populations are served.  

• Directs evaluations activities designed to recognize program deficiencies in service levels or categories.  


May serve as an assistant bureau director in a larger program, or over multiple programs.

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

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.

25-978

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

All HELP and NY HELPS open positions are now posted on StateJobsNY. It is now even easier for Jobseekers to find openings and connect with New York State agencies.

To narrow your search to NY HELPS jobs, click on "For the General Public", then "Search Vacancies", and select "Yes" on the NY HELPS dropdown to narrow your search to NY HELPS jobs.

Directions to apply will be specified on each individual job posting.

View Open Positions
On StateJobsNY

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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