Benefits Eligibility Coordinator

Overview

The Benefits Eligibility Coordinator assists individuals referred through the enrollment process at Care Design NY in securing Medicaid coverage to support their enrollment in Care Management with Care Design NY, including enrollment in the OPWDD HCBS Waiver where required for a waiver of parental deeming. This position is responsible for working with individuals, families, Regional Enrollment staff, and Benefits and Entitlements Specialists to coordinate enrollment activities. The Benefits Eligibility Coordinator is proactive, taking all necessary steps to facilitate Medicaid coverage promptly and accurately.

At Partnership Solutions, our work is performed in support of, and on behalf of, Care Design NY and Partners Health Plan. As their administrative arm, we share in a unified organizational culture and the work we do is in furtherance of our collective ability to achieve our shared organizational mission, vision, and values as stated below:

Purpose - Connecting people to their chosen supports to live a healthy and meaningful life.Vision – We see a world that is accepting, inclusive, and promotes positive health for all individuals with intellectual and /or developmental Disabilities (I/DD).Mission – Our mission is twofold: to provide compassionate, skilled person-centered care planning that includes a holistic approach to health and wellness, and to advocate for a disability inclusive world.Values -

• Committed - We are committed to developing successful employees across the organization so members and families can receive high-quality supports.
• Compassionate - We are compassionate about creating open, honest relationships through collaboration, active listening, and showing empathy for others.
• Connected - We are connected to each other through a sense of belonging that enriches the work environment and shapes a positive experience for members and families.

All full-time positions come with generous benefits including $3000 tuition reimbursement per calendar year, and up to $250 of professional development courses! Click here to view the current benefits summary.

Responsibilities

• Work with Regional Enrollment staff, individuals and families to determine the assistance needed and the most appropriate method of obtaining Medicaid eligibility.
• Assist individuals who wish to enroll with Care Design NY to secure Medicaid coverage, including the waiver of the parental deeming process as needed for those seeking HCBS Waiver services.
• Complete, submit and track the status of Medicaid applications submitted via DSS, HRA and NYSOH; coordinate HCBS Waiver enrollment as appropriate.
• Build and maintain positive working relationships with benefit-paying agencies such as local Departments of Social Services (DSS), the Social Security Administration (SSA), Department of Health {DOH), Office of Temporary and Disability Assistance (OTDA), Office for People with Developmental Disabilities {OPWDD), and other entities providing benefits, services and supports to CDNY enrollees.
• Coordinate Medicaid eligibility, proper coverage and coding with OPWDD regional staff as needed
• Prepare status and progress reports for Care Design NY Leadership
• Identify issues related to Medicaid and HCBS Waiver application submission and processing that may impact individuals seeking services and bring those to leadership's attention.
• Willing to become a Certified Application Counselor (CAC) for the New York State of Health (NYSOH)

Qualifications

• Associate’s degree preferred
• 5 years of experience working in the NYS I/DD system
• Strong knowledge of OPWDD programs and the HCBS Waiver
• Ability to work directly with benefit-paying agencies (e.g., DSS, SSA)
• Excellent verbal and written communication skills
• Excellent computer skills; ability to learn new systems and programs
• Ability to meet and work directly with individuals, families, and advocates and coordinate efforts with other Care Design NY staff as needed
• Knowledge of Medicaid eligibility criteria and coverage options for individuals with I/DD is a plus

Care Design NY and Partnership Solutions provide equal employment opportunities to all. We celebrate the qualities that make each of us unique and greatly value how they enrich the work we do. As such, we welcome candidates of color, candidates who identify as gender diverse, neurodiverse candidates, and candidates of all ages with diverse lived experiences and perspectives to apply.

Salary starting at

Salary up to

Salary : $24 - $26