Position Information

NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid Integrity Specialist 2 (Financial Analysis)

Occupational CategoryFinancial, Accounting, Auditing

Salary Grade23

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

Salary RangeFrom $86681 to $109650 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 20%

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 Monroe

Street Address 90 Linden Oaks, Suite 120

City Rochester

StateNY

Zip Code14625

Job Specifics

Duties Description Audit Leadership & Supervision: Work with management to identify and plan audit areas, gathering and analyzing data on providers, billings, and rates. Direct the full audit process to ensure accurate, timely fieldwork and complete electronic audit files. Supervise staff and review disallowances, memos, work papers, and audit reports for clarity, accuracy, and compliance with protocols. Conduct entrance and exit conferences, review schedules and spreadsheets to document audits and findings, prepare correspondence and reports, act as liaison between OMIG and auditees, summarize audit results, and assemble audit reports for recovery of overpayments.

Supervision & Development: Assign work, approve leave, evaluate performance, and mentor staff while providing technical guidance and training. Collaborate with management to recommend audit referrals, investigations, administrative actions, or policy changes. Serve as liaison with providers and management, ensuring confidentiality and compliance with OMIG policies and standards.

Subject Matter Expertise: Serve as a pharmacy subject-matter expert by researching and assessing emerging regulations, federal and state initiatives, and new processes to evaluate their impact on program integrity. Execute audit reviews, develop and update protocols, guidance, and procedures, advise audit teams, and adapt practices to evolving requirements.

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

Preferred Qualifications: Experience in Medicaid or healthcare auditing, pharmacy program integrity, or financial analysis. Demonstrated ability to interpret and apply federal and state regulations, analyze complex billing and claims data, and prepare audit reports. Proven ability to manage multiple priorities and communicate effectively with providers and management. Proficiency in Microsoft Excel, Access, and PADS is preferred.

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

How to Apply

Name Melissa H

Telephone

Fax

Email Address recruitment@omig.ny.gov

Address

Street 800 North Pearl St.

City Albany

State NY

Zip Code 12204

 

Notes on ApplyingAPPLICATION: Qualified candidates should send a cover letter and 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 #200800, AND the TITLE-MIS2FA/DMA/Rochester in the subject heading for the position you are applying to.

PLEASE NOTE: We are unable to open documents from Google Docs, Google Drive, OneDrive, Apple Pages, and/or “the cloud”. Please submit requested documents as an attachment in Microsoft Word or PDF format.

OMIG does not participate in E-Verify and does not sponsor visa applications.

The Office of the Medicaid Inspector General is proud to be an equal opportunity employer. We encourage those with unique backgrounds and contributions such as education, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, color, religion, disability, sexual orientation, and beliefs to apply.

We provide reasonable and religious accommodations for any part of the application and hiring process. If you have a disability or special need that requires accommodation, please send a request to RARequest@omig.ny.gov. (45204)