MEDICAID CONSULTANT
Core
Interpret Medicaid policies and procedures for long-term care cases, supervise eligibility team supervisors, and ensure compliance with Federal, State, and City Guidelines for the Home Care Services Program.
Role type
Senior IC Medicaid Consultant (Administrative Associate II)
Builds
Medicaid eligibility determinations and case processing for long-term care programs
Domain
Public Sector / Healthcare Administration
Required skills
Medicaid policy interpretation, case review and approval, team supervision, quality control auditing, error analysis, training delivery, high-priority case resolution
Responsibilities
Interpret Medicaid policies for assigned cases; Supervise and distribute work schedules to Medicaid Eligibility Team Supervisors; Provide second-level sign-off approval for adverse case actions; Conduct random reviews of completed cases; Conduct meetings with supervisors to advise on problems and provide written reports; Conduct training sessions for supervisors and specialists; Review computer error reports and control processes; Aid supervisors on high-priority actions like Tape Match and Fair Hearings
Seniority
Senior, hands-on IC with supervisory duties