MEDICAID ELIGIBILITY VERIFICATION SPECIALIST
Agency HRA/DEPT OF SOCIAL SERVICES —Manhattan, NY
- $61,656 - $70,904 a year
- Full-time
- High school
- Data analysis skills
- Mid-level
- Loan forgiveness
- Food provided
Payment Processor
Agency ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $61,656 - $89,625 a year
- Full-time
- High school
- Mid-level
- Office
- Loan forgiveness
Lead Early Childhood Teacher
Temple Sinai of Bergen County —Tenafly, NJ
- Full-time
- Background check
- Classroom
- CPR Certification
- Health insurance
- Paid time off
Quick Apply
Home Care Speech-Language Pathologist $125,000.00 + 37 Days PTO + Milage Reimbursement + Benefits + 401K
Caring Angels Home Care —Mount Vernon, NY
- $125,000 a year
- Weekends as needed
- Mid-level
- Home Health
- Pediatrics
- Continuing education credits
- Paid holidays
Quick Apply
Peer Mentor
Family Services of Westchester —White Plains, NY
- $21 an hour
- Part-time
- Background check
- Military
- High school diploma or GED
Quick Apply
On-Site Interpreter - NYCACS - Tier 3
LIS Solutions —New York, NY
- $40 an hour
- Part-time
- English
- Children
- Travel
- Work from home
- Flexible schedule
Quick Apply
Fee For Service /Per Diem Therapist- ALL FIVE BOROUGHS AND WESTCHESTER COUNTY
New Alternatives for Children, Inc. —New York, NY
- From $60 an hour
- Day shift
- LMFT
- Spanish
- Word processing
Quick Apply
Lead Teacher - 5066
BronxWorks —Bronx, NY
- $55,000 - $68,000 a year
- Full-time
- Classroom
- Spanish
- Ability to walk for extended periods
Quick Apply
Case Manager
Mental Health Association —Parsippany-Troy Hills, NJ
- $45,650 - $47,300 a year
- Weekends as needed
- Psychiatry
- Mid-level
- Outpatient experience
- Paid holidays
- Health insurance
Quick Apply
Lead Teacher
Family Services of Westchester —New Rochelle, NY
- $40,040 - $57,596,000 a year
- Online Application
- Microsoft Word
- Background check
- Classroom
- Health insurance
- Dental insurance
Quick Apply
Community LPN
BRIDGEWAY BEHAVIORAL HEALTH SERVICES —Union, NJ
- $52,900 - $69,500 a year
- Full-time
- Nursing
- High school diploma or GED
- Driver's License
- AD&D insurance
- Paid holidays
Quick Apply
14d
Intake Specialist
Agency ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $44,545 - $74,134 a year
- Full-time
- Mid-level
- Office
- 3 years
- Loan forgiveness
SHIFT SUPERVISOR
DEPT. OF HOMELESS SERVICES —New York, NY
- $69,880 - $98,325 a year
- Multiple hires
- Microsoft Word
- Microsoft Excel
- Military
- Loan forgiveness
Re-Entry Coordinator
Agency ADMIN FOR CHILDREN'S SVCS —Brooklyn, NY
- $62,868 - $97,593 a year
- Overtime
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Loan forgiveness
Placement Specialist
ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $62,868 - $97,593 a year
- Full-time
- Mid-level
- Office
- Residential
- Loan forgiveness
7d
Director of Patient Relations
NYC Health + Hospitals —New York, NY
- $92,000 - $130,000 a year
- Online Application
- Hospital
- Administrative experience
- Supervising experience
- Commuter assistance
- Paid holidays
Juvenile Justice Trainer
ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $62,868 - $97,593 a year
- Multiple hires
- Management
- Mid-level
- Office
- Loan forgiveness
Executive Assistant
Agency ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $68,209 - $104,239 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Loan forgiveness
Coordinator of Training
Agency ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $62,868 - $97,593 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Loan forgiveness
Mental Health Coordinator
ADMIN FOR CHILDREN'S SVCS —New York, NY
- $75,244 - $156,045 a year
- Weekends as needed
- Acute care
- Master of Social Work
- Microsoft Outlook
- Loan forgiveness
5d

I want to receive the latest job alert for county welfare in new york, ny

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

county welfare jobs near new york, ny

Shift Manager jobs in New York, NY

Eligibility Specialist jobs in Manhattan, NY

Lead Teacher jobs in Bronx, NY

Intake Specialist jobs in Manhattan, NY

Director Of Labor Relations jobs in New York, NY

Case Manager jobs in Parsippany-Troy Hills, NJ

Licensed Practical Nurse jobs in Union, NJ

Executive Assistant jobs in Manhattan, NY

Health Coordinator jobs in New York, NY

Interpreter jobs in New York, NY

Speech Language Pathologist jobs in Mount Vernon, NY

Payment Processor jobs in Manhattan, NY

Therapist jobs in New York, NY

Lead Teacher jobs in New Rochelle, NY

Training Coordinator jobs in Louisville, KY

Training Coordinator jobs in Petaluma, CA

Paid Training jobs in Charlotte, NC

Paid Cna Training Class jobs in Chicago, IL

Training Coordinator jobs in Fort Myers, FL

Student Disability Services Coordinator jobs in Connecticut

MEDICAID ELIGIBILITY VERIFICATION SPECIALIST

Agency HRA/DEPT OF SOCIAL SERVICES
Manhattan, NY

Apply Now

Job Details

Full-time
$61,656 - $70,904 a year

Benefits

Loan forgiveness
Food provided

Qualifications

Administrative experience
Supervising experience
Clerical experience

Full Job Description

MEDICAID ELIGIBILITY VERIFICATION SPECIALIST

HRA/DEPT OF SOCIAL SERVICES

Posted on

06/25/2026

Full-time

Location

MANHATTAN

Exam may be required

Department

Revenue Mgmt/Development-NM

Salary range: $61,656.00 – $70,904.00

Save

Job Description

APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE

The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to self-sufficiency as quickly as possible.

The Bureau of Case Integrity & Eligibility Verification’s mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out cost avoidance projects to minimize audit disallowances.

The Office of Revenue Management and Development (ORMD) is requesting a Principal Administrative Associate II position to function as a Medicaid Eligibility Verification Specialist in its Bureau of Case Integrity and Eligibility Verification (BCIEV)/ Eligibility Verification Unit, who will:

Review and analyze Medicaid Assistance case records and computer data to determine which cases qualify for a category that is eligible for State and Federal funding. Identify retroactive obligations that have not been claimed and to determine the effective date of adjustment for Federal and State reimbursements as established by case record entries and date of change and occurrence.

Review of Medicaid/Family Health Plus enrollees assigned more than one Client Identification Number (CIN) and subsequently enrolled into a Managed Care Organization (MCO) under different CINs as identified by New York Office of Medicaid Inspector General (OMIG). Follow OMIG’s specific instructions and timeframe to return the file. Also, prepare Turnaround Documents (TADS) for demographic (changes to improve the quality of clearance matches and to help prevent duplicate CIN assignments in the future.

Review of Medicaid/Family Health Plus enrollees assigned more than one Client Identification Number (CIN) and subsequently enrolled into a Managed Care Organization (MCO) under different CINs as identified by Office of New York State Comptroller (OSC). Follow OCS’ specific instructions and timeframe to return the file. Also, prepare Turnaround Documents (TADS) for demographic changes to improve the quality of clearance matches and to help prevent duplicate CIN assignments in the future.

Review of Medicaid (MA) recipients identified, by Finance Office through systems match, as having multiple active Client Identification Number (CIN) in an effort to end individuals’ enrollment in multiple Medicaid Managed Care plans. Prepare reports to share with MAP of which CIN should be disenrolled from Managed Care. Also prepare Turnaround Documents (TADS) for changes to improve the quality of clearance matches and to help prevent duplicate CIN assignments in the future. Adhere to tight claim deadlines.

Review Invalid Social Security Number Validation files of Medicaid Assistance an invalid Social Security Numbers to assist with minimizing audit disallowances and minimizing fraud. Verify clients’ demographics and prepare Turnaround Documents (TADS), when applicable, to correct client demographics. Prepare reports of referrals to Investigation, Revenue and Enforcement Administration (IREA) for client call-in and suspected fraud cases.

Keep abreast of current Federal, State and Agency policy and procedures to ensure categorical eligible payments adhere to all appropriate regulatory requirements. Assess the potential impact on claims and claim adjustments the requirements governing the various funding streams to ensure BCIEV is current and in compliance with existing funding requirements.

Perform quality assurance for Enterprise Data Warehouse (EDW) and Medicaid Data Warehouse (MDW) queries testing and providing feedback to enhance EDW queries.

Complete manual case lookups in response to Medicaid related press inquiries, FOIL requests, and DSS/DHS/HRA Senior staff requests, when data match results are inconclusive, to provide accurate details, case category and eligibility.

Perform case review analysis of Agency audit findings of cases potentially claimed in an incorrect category.

Work on numerous special projects involving other areas of the agency

Provide back-up documentation to substantiate claims and claim adjustments submitted by Finance Office/ORMD units

Create case records utilizing screenshots from Welfare Management System (WMS), HRA One Viewer, Systematic Alien Verification for Entitlements (SAVE), Electronic Medicaid of New York (eMedNY), Paperless Office System (POS) and other systems.

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 3½ years.

Preferred Skills

Knowledge of Welfare Management System (WMS), Paperless Office System (POS), HRA One Viewer, and Electronic Medicaid of New York (eMedNY).

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 at https://studentaid.gov/pslf/.

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.

Apply

Save

Job ID

777973

Posted until

08/24/2026

Title code

10124

Civil service title

PRINCIPAL ADMINISTRATIVE ASSOC

Title classification

Competitive-1

Business title

MEDICAID ELIGIBILITY VERIFICATION SPECIALIST

Experience level: Experienced (non-manager)

Job level

Number of positions

Work location

4 World Trade Center

Category: Administration & Human Resources

MEDICAID ELIGIBILITY VERIFICATION SPECIALIST

Apply Now

Refine Your Search

county welfare jobs in new york, ny

MEDICAID ELIGIBILITY VERIFICATION SPECIALIST

Payment Processor

Lead Early Childhood Teacher

Home Care Speech-Language Pathologist $125,000.00 + 37 Days PTO + Milage Reimbursement + Benefits + 401K

Peer Mentor

On-Site Interpreter - NYCACS - Tier 3

Fee For Service /Per Diem Therapist- ALL FIVE BOROUGHS AND WESTCHESTER COUNTY

Lead Teacher - 5066

Case Manager

Lead Teacher

Community LPN

Intake Specialist

SHIFT SUPERVISOR

Re-Entry Coordinator

Placement Specialist

Director of Patient Relations

Juvenile Justice Trainer

Executive Assistant

Coordinator of Training

Mental Health Coordinator

I want to receive the latest job alert for county welfare in new york, ny

Related Searches

Explore jobs in more locations

MEDICAID ELIGIBILITY VERIFICATION SPECIALIST

Job Description

Minimum Qualifications

Preferred Skills

55a Program

Public Service Loan Forgiveness

Residency Requirement

Additional Information

Job Seeker Tools

Employer Tools

Browse

Stay Connected