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ELIGIBILITY VERIFICATION SPECIALIST

ELIGIBILITY VERIFICATION SPECIALIST

NYC JobsNew York, NY, US
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Principal Administrative Associate II

The Office of Revenue Management and Development (ORMD) / The Bureau of Case Integrity & Eligibility Verification's (BCIEV) mission is to identify system enhancements to improve claiming and to avoid overpayments, as well as working with program areas to prevent potential errors by reviewing records of Cash Assistance and Medical Insurance and Community Services Administration (MICSA) cases and analyzing their contents for material that might retroactively identify Federal and State obligations that had not previously been recognized. Bureau of Case Integrity and Eligibility Verification (BCIEV) is recruiting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its Eligibility Verification Division, who will :

  • Work on various Medical Assistance Program (MAP) projects including reviewing and analyzing MAP duplicate Client Identification Numbers (CINs) for potential recovery of duplicate payments to New York State.
  • Initiate corrective actions for invalid MAP Social Security Numbers to minimize risk of audit disallowances; evaluate Information Technology Services (ITS) computer printouts relating to MAP reimbursement claims as well as be assigned to special assignments on MAP as necessary.
  • Perform quality assurance and Welfare Management System (WMS) look-ups for MAP cases identified through Enterprise Warehouse (EDW) and Electronic Medicaid of New York (E-MEDNY) queries.
  • Work on various MAP projects.
  • Conduct surveys and special assignments on MAP related issues.

Work Location : 4 World Trade Center

Hours / Schedule : 9 : 00 am to 5 : 00 pm

PRINCIPAL ADMINISTRATIVE ASSOC - 10124

Minimum Qualifications

1. A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical / administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical / administrative work of more than moderate difficulty; or 2. An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical / administrative experience including one year of the administrative supervisory experience described in "1" above; or 3. A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical / administrative experience including one year of the administrative supervisory experience as described in "1" above; 4. Education and / or experience equivalent to "1", "2", or "3" above. However, all candidates must possess the one year of administrative or supervisory experience as described in "1" above. Education above the high school level may be substituted for the general clerical / administrative experience (but not for the one year of administrative or supervisory experience described in "1" above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3 years.

Preferred Skills

  • Medical Assistance Program (MAP) Job Center, or HIV / AIDS Service Administration (HASA) experience.
  • Knowledge of Welfare Management System (WMS), Paperless Office System, HRA One Viewer, and Electronic Medicaid of New York (E-MedNY).
  • 55a Program

    This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.

    Public Service Loan Forgiveness

    As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education's website.

    Residency Requirement

    New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

    Additional Information

    The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.

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    Eligibility Specialist • New York, NY, US

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