Medicaid Eligibility Examiner 1 (NY HELPS) - 91087,79666,79667,79668 (Multi)
Albany, NY, USA
Posted on Jun 26, 2026
Description
Duties Description
The Medicaid Eligibility Examiner 1s (MEE 1) will work within the Division of Eligibility and Marketplace Integration’s (DEMI) Bureau of Community Enrollment and Eligibility Processing to provide support to expand health insurance to New York’s neediest and most vulnerable populations. The duties may include, but not limited to, the following:
Research suspected duplicate coverage and take appropriate action,
Track, update, and create reports from departmental data, and
Assist in developing operational procedures, instructions, and guidelines to support the unit’s goals and priorities.
Qualifications
Minimum Qualifications
Permanent Transfer: Current NYS Department of Health employee with permanent or contingent-permanent, competitive status as a Medicaid Eligibility Examiner (G9) OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a position at or above a grade 6 and eligible for transfer under Section 70.1 of the Civil Service Law. A list of transferrable titles can be found athttps://www.cs.ny.gov/businesssuite/title-transfer-matrix.cfm.
Open to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if the candidate meets the below NY HELPS minimum qualifications.
Non-Competitive Via HELPS
Medicaid Eligibility Examiner 1: Two years of experience determining or reviewing financial eligibility for healthcare or consumer-assisted programs to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations or performing quality assurance activities to ensure compliance with laws, rules, regulations, and policies in a health care delivery system including health care facilities; federal, State, or local health care agencies; hospitals; Medicaid programs; and/or other public or private health insurance programs.
30 semester credit hours can substitute for one year of experience.
Medicaid Eligibility Examiner Trainee 1: There are no minimum education or experience requirements. If you are appointed to a Trainee title, upon successful completion of a 12-monthtraineeship, you will automatically advance to the full journey level of the title, Grade 9.
Preferred Qualifications: Preferred candidates will have strong analytical skills and the ability to pay close attention to details. Candidates will also have good oral and written communication skills. Candidates should have proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team and to manage multiple priorities to meet deadlines. Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.
Additional Comments
This position is part of the NYS HELPS program. No examination is required.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
Duties Description
The Medicaid Eligibility Examiner 1s (MEE 1) will work within the Division of Eligibility and Marketplace Integration’s (DEMI) Bureau of Community Enrollment and Eligibility Processing to provide support to expand health insurance to New York’s neediest and most vulnerable populations. The duties may include, but not limited to, the following:
Research suspected duplicate coverage and take appropriate action,
Track, update, and create reports from departmental data, and
Assist in developing operational procedures, instructions, and guidelines to support the unit’s goals and priorities.
Qualifications
Minimum Qualifications
Permanent Transfer: Current NYS Department of Health employee with permanent or contingent-permanent, competitive status as a Medicaid Eligibility Examiner (G9) OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a position at or above a grade 6 and eligible for transfer under Section 70.1 of the Civil Service Law. A list of transferrable titles can be found athttps://www.cs.ny.gov/businesssuite/title-transfer-matrix.cfm.
Open to the Public: This title is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if the candidate meets the below NY HELPS minimum qualifications.
Non-Competitive Via HELPS
Medicaid Eligibility Examiner 1: Two years of experience determining or reviewing financial eligibility for healthcare or consumer-assisted programs to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations or performing quality assurance activities to ensure compliance with laws, rules, regulations, and policies in a health care delivery system including health care facilities; federal, State, or local health care agencies; hospitals; Medicaid programs; and/or other public or private health insurance programs.
30 semester credit hours can substitute for one year of experience.
Medicaid Eligibility Examiner Trainee 1: There are no minimum education or experience requirements. If you are appointed to a Trainee title, upon successful completion of a 12-monthtraineeship, you will automatically advance to the full journey level of the title, Grade 9.
Preferred Qualifications: Preferred candidates will have strong analytical skills and the ability to pay close attention to details. Candidates will also have good oral and written communication skills. Candidates should have proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team and to manage multiple priorities to meet deadlines. Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.
Additional Comments
This position is part of the NYS HELPS program. No examination is required.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
- Holiday & Paid Time Off
- Public Service Loan Forgiveness (PSLF)
- Pension from New York State Employees’ Retirement System
- Shift & Geographic pay differentials
- Affordable Health Care options
- Family dental and vision benefits at no additional cost
- NYS Deferred Compensation plan
- Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
- And many more...
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
