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About the Role

The Medical Assistance Program (MAP) is seeking a Field Monitor to oversee the day-to-day operations of the New York Medicaid CHOICE Program in New York City, ensuring compliance with contractual obligations and performance standards.

Responsibilities

• Conduct unannounced field visits to designated sites four days per week to observe presentations and ensure contract compliance.
• Conduct on-site monitoring of Community Based Organization activity related to Maximus.
• Communicate identified problems and issues to service providers for resolution.
• Monitor presentations for key messages regarding managed care, plan selection, emergency services, and member rights.
• Ensure Medicaid beneficiaries are informed of available plan choices.
• Ensure Medicaid beneficiaries are referred to the toll-free helpline for assistance.
• Monitor overall presentation quality, including counselor professionalism and form collection.
• Report gross violations of the Maximus Quality Assurance Plan to Central Office within 24 hours.
• Monitor Maximus Helpline performance and assist with monthly audits.

Requirements

• Applicant must be permanent in Caseworker civil service title.
• This is a lateral transfer, no-cost action.
• State Central Register screening will be conducted prior to considering a candidate for employment as a Caseworker.
• Candidates who have been the subject of an indicated child abuse and maltreatment report will not be assigned to any position which requires child-care responsibilities.
• Employees who have been the subject of such a report may be reassigned or terminated from employment from their positions as Caseworker.

Skills

• Fluent in Chinese Mandarin

Location

• New York City

Work Type

• Full-time

Experience Level

• Caseworker

Education Level

• Baccalaureate degree from an accredited college or university

Salary/Compensations

• USD 48206 - USD 55437

About the Company

• The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs for the City of New York.
• HRA/DEPT OF SOCIAL SERVICES is an agency focused on Administration & Human Resources.

Equal Opportunity

• 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.