Position Information

NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid Integrity Specialist 2

Occupational CategoryOther Professional Careers

Salary Grade23

Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)

Salary RangeFrom $84156 to $106454 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? Yes

Telecommuting allowed? Yes

Location

County To Be Determined

Street Address TBD

City TBD

StateNY

Zip Code00000

Job Specifics

Minimum Qualifications To be eligible for appointment, candidates must be reachable on the OMIG promotional list for Medicaid Integrity Specialist 2 OR be a current New York State employee with one year of permanent or contingent-permanent service in a title deemed eligible for transfer under Section 70.1 or 52.6 of the Civil Service Law.

Preferred Qualifications:
• Experience overseeing audits, particularly those involving Medicaid and Managed Care Organizations.
• Knowledge of the Medicaid Managed Care/Family Health Plus/HIV Special Needs Plan Contract and other federal and state laws and regulations that govern Managed Care Organizations.
• Knowledge of OMIG’s audit process and familiarity with applicable regulations.
• Ability to work independently as well as with others to resolve conflicts and audit issues.
• Excellent written and oral communication, grammar, and editing skills; critical, independent thinking, and analytical skills; excellent reading comprehension.
• Communicate professionally and effectively.
• Proficient in Microsoft Suite and ability to learn new data systems.

Duties Description Duties include but not limited to:
• Conduct and lead the reviews of managed care organizations (MCOs) to evaluate their compliance with program integrity sections of the Medicaid Managed Care/Family Health Plus/HIV Special Needs Plan Contract.
• Research and propose solutions regarding issues encountered during the review of MCO’s.
• Coordinate, attend, and lead meetings with other program divisions.
• Respond to routine correspondence with MCO representatives.
• Supervise, train, and oversee staff in conducting reviews.
• Perform a full range of supervisory functions including but not limited to assigning and evaluating work and completing performance evaluations.
• Participate in the resolution of reviews through administrative and litigation processes.

Additional Comments Location to be Determined. (Preference to NYC)

Some positions may require additional credentials or a background check to verify your identity.

Contact Information

Name Melissa H

Telephone

Fax 518-408-0395

Email Address Recruitment@omig.ny.gov

Address

Street 800 North Pearl St

Human Resources - 2nd Floor

City Albany

State NY

Zip Code 12204

 

Notes on ApplyingAPPLICATION: Qualified candidates should send a cover letter, resume detailing how you meet the minimum qualifications by email to Recruitment@omig.ny.gov or by fax to (518) 408-0395. Indicate the VACANCY ID#, TITLE, and LOCATION in the subject heading for the position you are applying to. (33360)

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