GOT-IT

Medicaid Eligibility Examiner 1

Grade 09

New York State has approximately 355 positions* in this title statewide. You may view a breakdown of positions by county. This position exists in Health, Department of. View links to all New York State agencies including agencies that have this title. For more information, New York State employees can contact the Career Mobility Office at (518) 485-6199 or (800) 553-1322. If you are not a current New York State employee, you can use the Department of Civil Service Web site to explore possible employment opportunities.

*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. If you are viewing a trainee title, please note this number reflects the number of positions established at the journey level. Agencies may fill at the trainee level(s) or at the journey level based on employee qualifications. GOT-IT does not provide information on any job postings or job availability. For information on current job postings, please visit State Jobs NY. You may also visit specific New York State Agency websites for information about an agency and its job opportunities.

Career Ladder

A listing of titles that are most commonly used as steps for upward mobility for this title series. The salary schedule for this career ladder is also available.

  1. Medicaid Eligibility Examiner Trainee

    Similar to Grade 06

  2. Medicaid Eligibility Examiner 1

    Grade 09

  3. Medicaid Eligibility Examiner 2

    Grade 14

  4. Medicaid Eligibility Examiner 3

    Grade 17

  5. Medicaid Eligibility Examiner 4

    Grade 21

Summary of Job Description

As a Medical Eligibility Examiner 1, you would be assigned duties related to the New York State Medicaid Program and other public health insurance programs within the Department of Health (DOH). You may be the primary contact with the general public, applicants, doctor offices, and hospitals, gathering documents and information in order to review applications for renewals of public health insurance; provide information on public health insurance eligibility; determine eligibility; collect appropriate documentation to support and maintain eligibility status; or conduct quality assurance activities. You would receive on-the-job training in eligibility determination, elementary investigative techniques, interviewing procedures and practices, and Federal, state, and local laws policies and/or procedures concerning the provisions of public health insurance programs.

View the classification standard for this title, on the Classification and Compensation webpage.

The NYS Title and Salary Plan provides additional information regarding other titles. If there is a classification standard available there will be a link under the column labeled STD. NO. If no link is available there is no classification standard available at this time for that title.

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 two years full time experience performing at least one of the activities listed below in a program 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.

Either:  

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

OR

2. performing quality assurance activities to ensure compliance with laws, rules, regulations, and policies.

Substitution: Thirty (30) college credit hours may be substituted for one year of qualifying experience. You must clearly demonstrate how you meet the remaining one year of required experience.

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.

26-266 26-711

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 announcement notification by email so that you will automatically be notified when new examinations are being offered.

Career Mobility

Career mobility is not just limited to the titles in the Career Ladder, above. Additional movement may be achieved through other examinations, additional education and/or work experience or transfer opportunities. For additional information or clarification of transfer determinations, current State employees should contact the Career Mobility Office. Visit ELMS Online to view established open-competitive, promotion, and transition eligible lists. If you are not a current New York State employee, see Employment Opportunities with New York State and find out how to become a New York State employee.

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