Medicaid Eligibility Examiner 2/3/4
- Multiple-choice Test To Be Held
- October 7, 2023
You may be assigned to either Saturday or Sunday to take your test.
You cannot request or change your scheduled day.
- Applications Must Be Submitted or Postmarked By
- August 23, 2023
|Open to Employees of
|Non−Refundable Processing Fee (Waivers available)
|Medicaid Eligibility Examiner 2
|Health, Department of
|Medicaid Eligibility Examiner 3
|Health, Department of
|Medicaid Eligibility Examiner 4
|Health, Department of
*Salaries have been updated to reflect the most updated negotiated contract.
Due to current testing space limitations, candidates may need to travel to a test site to take this examination. Candidates will be notified of their test site location on their admission notice.
Promotion examination open to all qualified employees of the New York State Department of Health.
On or before October 7, 2023, you must be a qualified employee of the New York State Department of Health and have had 45 days of permanent competitive or 55-b/55-c service as:
For Exam No. 38-979: Medicaid Eligibility Examiner Trainee, Medicaid Eligibility Examiner Trainee (Spanish Language), Medicaid Eligibility Examiner 1, or Medicaid Eligibility Examiner 1 (Spanish Language).
For Exam No. 38-980: Medicaid Eligibility Examiner 2, Medicaid Eligibility Examiner 2 (Spanish Language), or Medicaid Claims Examiner 2.
For Exam No. 38-981: Medicaid Eligibility Examiner 3 or Medicaid Claims Examiner 3.
Only the title or titles listed are qualifying.
If you were permanently appointed to a qualifying title on or before August 23, 2023, and have served continuously in this title since that date, you are eligible to file for this examination.
Qualifying Experience For Appointment From The Eligible List: After one year of service at the full performance level, successful candidates will be qualified for appointment from the eligible list.
The Positions: These positions exist in the New York State Department of Health and are located in Albany, Buffalo, New York City, and Rensselaer.
As a Medicaid Eligibility Examiner 2, you would perform duties related to the New York State Medicaid Program and other public health insurance programs within the Department of Health. You would develop and review eligibility scenarios to test new computer applications and systems. You would process basic and more complex eligibility applications and address specific concerns for resolution of more complex applications that require interpretation of policies and procedures or additional investigation. You would supervise subordinate staff, plan and conduct staff training in response to revised regulations or procedures, schedule work, and monitor workload and quality assurance of work completed by staff. You may serve as a paraprofessional and provide expertise and support to professional positions in staff bureaus regarding policy, operations, benefits, services, and eligibility for Medicaid and other public health insurance programs.
As a Medicaid Eligibility Examiner 3, you would serve as a working, second level supervisor of a group of paraprofessionals and/or support staff that perform a variety of duties related to determining eligibility and processing applications for Medicaid and/or public health insurance. You would interact with consumers and advocates as issues arise surrounding various public health insurance programs, make eligibility determinations and process applications for public health insurance in difficult and/or special cases, demonstrate job functions for staff, and assist in the delivery of training.
As a Medicaid Eligibility Examiner 4, you would serve as a manager and administer and direct multiple public health insurance eligibility enrollment functions or a large program; directly supervise a team of lower level staff; ensure adherence to laws, rules, and regulations as well as analyze and interpret State and federal legislation; make recommendations regarding eligibility laws, rules and regulations, and interpret and communicate State and federal laws and codes to implement policies and procedures; ensure efficient program implementation and consistent and correct application of eligibility guidelines; review the most difficult or problematic applications and renewals; communicate program changes to subordinates and ensure changes are incorporated accurately; and participate in the planning, development, arrangement, and provision of staff training.
- The Medicaid Eligibility Examiner 2 eligible list will be used to fill Medicaid Eligibility Examiner 2 Spanish language positions. You will inform the Department of Health of your language proficiency upon receiving a canvass letter. Before you can be offered an appointment, you will be required to pass a performance test to demonstrate your language proficiency.
- The examination for Medicaid Eligibility Examiner 2 is being held on a promotion and open-competitive basis. If you are admitted to the promotion examination under anticipated eligibility (i.e., you do not have the required one year of Qualifying Experience For Appointment From The Eligible List) and if you meet the open-competitive minimum qualifications, you may also be admitted to the open-competitive examination. To be admitted, you must apply for the open-competitive examination according to the instructions given on the open-competitive announcement. Once you meet the required one year of qualifying service for appointment from the promotion list, you will not be eligible for appointment from the open-competitive eligible list.
Subject of Examination
|To be considered for appointment to this title, you must pass the multiple-choice test. The multiple-choice test evaluates your knowledge, skills, and/or abilities in the following areas:
|For Examination Numbers
|1. Understanding and interpreting written material based on Medicaid related documents - All information regarding Medicaid policies, rules and regulations needed to answer these questions will be presented in the materials supplied. You will be expected to interpret and evaluate information, make decisions and establish priorities.
|2. Preparing written material - These questions test for the ability to present information clearly and accurately, and to organize paragraphs logically and comprehensibly. For some questions, you will be given information in two or three sentences followed by four restatements of the information. You must then choose the best version. For other questions, you will be given paragraphs with their sentences out of order. You must then choose, from four suggestions, the best order for the sentences.
|3. Ensuring effective inter/intra agency communications - These questions test for understanding of techniques for interacting effectively with individuals and agencies, to educate and inform them about topics of concern, to clarify agency programs or policies, to negotiate conflicts or resolve complaints, and to represent one's agency or program in a manner in keeping with good public relations practices. Questions may also cover interacting with the staff of one's own agency and/or that of other agencies in cooperative efforts of public outreach or service.
|4. Evaluating conclusions based on factual information - These questions test your ability to evaluate and draw conclusions from factual information presented. Each question consists of a set of factual statements and a conclusion. You will be asked to determine whether the conclusion can be proven to be true by the facts, proven to be false by the facts, or if the facts are inadequate to prove the conclusion.
|5. Supervision - These questions test for knowledge of the principles and practices employed in planning, organizing, and controlling the activities of a work unit toward predetermined objectives. The concepts covered, usually in a situational question format, include such topics as assigning and reviewing work; evaluating performance; maintaining work standards; motivating and developing subordinates; implementing procedural change; increasing efficiency; and dealing with problems of absenteeism, morale, and discipline.
|6. Administrative supervision - These questions test for knowledge of the principles and practices involved in directing the activities of a large subordinate staff, including subordinate supervisors. Questions relate to the personal interactions between an upper level supervisor and their subordinate supervisors in the accomplishment of objectives. These questions cover such areas as assigning work to and coordinating the activities of several units, establishing and guiding staff development programs, evaluating the performance of subordinate supervisors, and maintaining relationships with other organizational sections.
If you pass, your seniority credit(s), if any, will be included in the computation of your final score. Your final score on the eligible list will be determined after adding any wartime Veterans' credits.
Credit For Seniority: Seniority is credited at the rate of one credit for each five-year period (or fraction thereof), excluding the first year of service.
Admission To The Test: If approved for a multiple-choice test, you will receive an admission notice which will indicate your assigned test date and the way your test will be administered. Your test may be administered with paper and pencil or online at a state test site using a state-provided Chromebook. You cannot request to change your scheduled day or request a specific type of test administration.
Applicants are required to have a Personal NY.gov account and keep their email address up to date. The Department of Civil Service and other state agencies will communicate with you through email correspondence. This may include the notification of your test arrangements, examination results, and canvassing you for interest in appointment. It will be important for you to keep your email address, phone number, and mailing address current by logging into https://www.cs.ny.gov/home/myaccount.
How To Apply
New York State is an Equal Opportunity Employer
It is the policy of the State of New York to provide for and promote equal opportunity employment, compensation, and other terms and conditions of employment without unlawful discrimination on the basis of age, race, color, religion, disability, national origin, gender, sexual orientation, veteran or military service member status, marital status, domestic violence victim status, genetic predisposition or carrier status, arrest and/or criminal conviction record, or any other category protected by law, unless based upon a bona fide occupational qualification or other exception.
Most multiple-choice tests are held on Saturdays. If you cannot take the test on the announced test date, due to a conflict with a religious observance or practice, check the box under “Religious Accommodation.” We will make arrangements for you to take the test on a different date (usually the following day).
Reasonable Accommodations in Testing
It is the policy of the Department of Civil Service, in accordance with the New York State Human Rights Law and the Americans with Disabilities Act, to provide qualified persons with disabilities equal employment opportunity and equal opportunity to participate in and receive the benefits, services, programs, and activities of the Department. It is the policy of the Department to provide such persons reasonable accommodations and reasonable modifications as are necessary to provide equal opportunity. Persons with disabilities who require an accommodation to participate in an examination must note this on their application. Further information is available from the Test Administration Unit of the Department of Civil Service. In the Albany area, call 518-457-2487. Outside of the Albany area, call toll free at 1-877-697-5627. For TDD services, call NY Relay at 711 (requires a fee) or 1-800-662-1220.
Admission to Examination
Notice to appear for the test may be conditional as review of applications may not be made until after the test. If you have not received your notice to appear for the multiple-choice test three days before the date of the test, email us at AdmissionNotices@cs.ny.gov. Please provide your first and last name, address, and the last four digits of your social security number, and we will provide you with the information you need to attend your multiple-choice test. If you have an issue other than not receiving your admission notice, please contact our office at (518) 474-6470 in the Albany area or toll free at 1-877-697-5627. Please leave a clear concise message and provide your first and last name, last four digits of your social security number and a daytime phone number.
Taking State and Local Examinations Scheduled for the Same Day
If you have applied to take a multiple-choice test announced by either one or several local jurisdictions (county, town, city) scheduled to be held on the same test date as this multiple-choice test, you must notify each of the local jurisdictions no later than two weeks before the test date to make arrangements for taking all tests at one test site. All tests will be held at the state examination center. For your convenience, contact information for all local civil service agencies is available on our website at: https://www.cs.ny.gov/jobseeker/local.cfm.
Eligibility for Examination
To be considered a qualified employee eligible to compete in this examination, you must be employed in, or on leave from, the specified department or agency on a permanent or contingent permanent basis in the competitive class, or in the non-competitive class or labor class if specifically noted on this announcement (or be on an appropriate preferred list), and have the specified time in the specified title or salary grade. You may not compete in a test for a title if you are permanently employed in that title (unless you are still on probation) or in a higher direct line of promotion.
Cell Phones or Electronic/Communication Devices at the Test Site
The use of cell phones, beepers, headphones, or any electronic or other communication devices at your personal testing site or in the test room, hallways, restrooms, building, grounds, or other areas, except as expressly authorized by the Department of Civil Service, could result in your disqualification.
This announcement is subject to amendment or cancellation without notice. Do not copy it, or post it to any other site, but link to it instead.