FIELD MONITOR

The Medical Assistance Program

The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs for the City of New York. Applying individuals and families are approved for eligibility against applicable Federal and State guidelines. Those found to be eligible can use coverage provided to access doctors, medication, and other healthcare services at little or no cost.

About the role

The Medical Assistance Program (MAP) is recruiting for one (1) Caseworker fluent in Chinese Mandarin, to function as a Field Monitor who will:

• Conduct unannounced field visits to designated sites four days per week to observe presentations by MAXIMUS and to ensure that all terms, conditions, and deliverables agreed to in the MAXIMUS contract are being met.
• Conduct on-site monitoring of Community Based Organization activity with regards to MAXIMUS.
• Communicate any problems/issues identified through routine monitoring efforts that may be resolved and referred to the service provider.
• Monitor presentations that contain key messages regarding the basis of managed care, how to choose a plan, access to emergency services, self-referral, wrap around services, complaint procedure, exemption/exclusion procedures, member rights and responsibilities.
• Ensure that Medicaid beneficiaries are informed of all plan choices available.
• Ensure that Medicaid beneficiaries are referred to the toll-free helpline for answers to additional questions and problems.
• Monitor overall presentation quality including politeness and professionalism of counselors, assistance with the completion of enrollment forms, presentation and collection of evaluation forms which will be used for corrective action if warranted.
• Report findings of any gross violations of the MAXIMUS Quality Assurance Plan to MAP’s Central Office within 24 hours to ensure immediate corrective action.
• Monitor MAXIMUS Helpline performance and assist with the conduct of monthly audits to provide data regarding effectiveness of operation.

Responsibilities

HRA through CMU assists SDOH and CDOH in meeting monitoring objectives through the following actions:

• Conduct unannounced field visits to designated sites four days per week to observe presentations by MAXIMUS and to ensure that all terms, conditions, and deliverables agreed to in the MAXIMUS contract are being met.
• Conduct on-site monitoring of Community Based Organization activity with regards to MAXIMUS.
• Communicate any problems/issues identified through routine monitoring efforts that may be resolved and referred to the service provider.
• Monitor presentations that contain key messages regarding the basis of managed care, how to choose a plan, access to emergency services, self-referral, wrap around services, complaint procedure, exemption/exclusion procedures, member rights and responsibilities.
• Ensure that Medicaid beneficiaries are informed of all plan choices available.
• Ensure that Medicaid beneficiaries are referred to the toll-free helpline for answers to additional questions and problems.
• Monitor overall presentation quality including politeness and professionalism of counselors, assistance with the completion of enrollment forms, presentation and collection of evaluation forms which will be used for corrective action if warranted.
• Report findings of any gross violations of the MAXIMUS Quality Assurance Plan to MAP’s Central Office within 24 hours to ensure immediate corrective action.
• Monitor MAXIMUS Helpline performance and assist with the conduct of monthly audits to provide data regarding effectiveness of operation.

Requirements

• A baccalaureate degree from an accredited college or university accredited by regional, national, professional, or specialized agencies recognized as accrediting bodies by the U.S. Secretary of Education and by the Council for Higher Education Accreditation (CHEA).

Qualifications

• Fluency in the Chinese Mandarin Language - Must be able to travel to various (DSS/DHS) offices within the 5 boroughs

Skills

• Fluency in the Chinese Mandarin Language

Benefits

Hours/Shift: 9 am – 5 pm (FLEX)

Pay

Not specified

Schedule

Not specified

Qualifications

• Experienced (non-manager)

Number of positions

• 1

Work location

• 470 Vanderbilt Ave

Additional Information

• New York City Residency is not required for this position
• 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.
• 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 .
• Additional Information: Section 424-a of the New York State Social Services Law requires an authorized agency to inquire whether a candidate for employment with child-care responsibilities is or has been the subject of an indicated child abuse and maltreatment report on file with the State Central Register for child abuse and maltreatment. 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.
• Preferred Skills: Fluency in the Chinese Mandarin Language - Must be able to travel to various (DSS/DHS) offices within the 5 boroughs
• 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.
• Equal Opportunity Employer: The City of New York is 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.

Minor Metadata

Job ID: 777219
Posted until: 2026-08-15
Title code: 52304
Civil service title: CASEWORKER
Title classification: Competitive-1
Business title: FIELD MONITOR - Experienced (non-manager)
Job level: 00
Work location: 470 Vanderbilt Ave