Position Information

NY HELPYes

AgencyMedicaid Inspector General, NYS Office of the

Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2

Occupational CategoryOther Professional Careers

Salary Grade18

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

Salary RangeFrom $56183 to $88970 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Non-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? No

Telecommuting allowed? Yes

Location

County Albany

Street Address 800 North Pearl St.

City Albany

StateNY

Zip Code12204

Job Specifics

Duties Description Reporting to the Medicaid Integrity Specialist 2 (MIS 2) in the Bureau of Compliance’s Clearance and Data Unit, the primary duties of this position include, but are not limited to:

•Participate in the development of metrics for Compliance Program Reviews (CPRs) and subject identification.

•Develop, maintain, and track thorough statistics and data for all daily CPR activities.

•Conduct regularly scheduled status update meetings with supervisory staff.

•Request appropriate information; monitor and follow up on receipt of deliverables.

•Work with supervisory staff to assemble customized dossiers of pre-CPR materials and provide direction and focus to CPR teams prior to CPRs.

•Work with the MIS 2 to provide support for pre- and post-CPR activities, such as the clearance process, preparation of reports, and maintenance of databases for use by CPR staff.

•Work under the direction of the MIS 2 to manage and coordinate Bureau databases.

•Triage and directly respond to compliance issues received by phone and through the dedicated Compliance mailbox.

•Provide appropriate compliance advice and guidance based upon current Bureau standards.

•Maintain and adhere to assigned Bureau internal control functions.

Preferred Qualifications:
Excellent verbal/written communication skills.

•Researching skills and knowledge of research tools with NYS and public databases
Good record-keeping skills and close attention to detail on deliverable schedules.

•Data mining and analytical skills/experience

•Excellent organizational and time-management skills

•Self-directed/Decision making skills: ability to recognize appropriate actions, make recommendations and/or decisions

Minimum Qualifications To be considered for appointment through NY HELPS, candidates must meet the open-competitive minimum qualifications for this position.

Appointment to the Trainee 1 level requires:
• Four years of experience* in the promotion of Medicaid program integrity and appropriate delivery and utilization of Medicaid programs and services; OR
• Associate’s degree* AND two years of experience; OR
• Bachelor’s degree*

* Medicaid programs and services include: educating, assisting, and monitoring compliance with program regulations and obligations; developing, clarifying, and ensuring implementation of program requirements; collecting and analyzing data; evaluating and assessing appropriateness of provider or recipient participation in the Medicaid program or the appropriateness of billing or utilization of service; or developing referrals for further action or recommendations for corrective action.

** Advanced placement to the Trainee 2 or Grade 18 level may be possible depending on education and experience. It is essential that candidates clearly and concisely indicate exactly how they meet the above minimum qualifications in their resume. Failure to show how you meet the minimum qualifications above may result in disqualifications and removal from consideration.

*Your degree must have been awarded by a college or university accredited by regional, national, or specialized agency recognized as an accredited agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside of the United States or its territories, you must provide independent verification of equivalency. This information can be found at http://www.cs.ny.gov/jobseeker/degrees.cfm. Candidates are responsible for the evaluation fee.

Competitive Minimum Qualifications:

Current New York State Employee with one year or more of permanent or contingent-permanent competitive service, or 55 b/c service as a Medicaid Integrity Specialist 1; OR current New York State Employee with one year or more of permanent or contingent-permanent service or 55 b/c service in a qualifying title and eligible for transfer under Section 70.1, 70.4, or 52.6 of the Civil Service Law.

Additional Comments Permanent, Full-Time, Competitive (for transfer and appointments off a list), Non-Competitive (for appointments through the NY HELPS Program).

Trainee 1 salary: 56,183
Trainee 2 salary: 62,694
G-18 salary: 69,964

SALARIES ARE NON-NEGOTIABLE.

**The Department of Civil Service has developed the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS), which is a streamlined program that allows appointment to this title and others without examination.

For the duration of the NY HELPS program, this title, may be filled via permanent, non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the titles for which they apply.

Telecommuting is permitted up to 50% each pay cycle, which is 2 weeks. Full time in office attendance is required for at least the first 6 weeks, and Telecommuting time will be increased progressively up to the maximum allowable 50%.

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

How to Apply

Name Tess M.

Telephone

Fax

Email Address recruitment@omig.ny.gov

Address

Street 800 North Pearl St.

City Albany

State NY

Zip Code 12204

 

Notes on ApplyingSubmit resume and official college transcript(s) to Tess M. by email to Recruitment@omig.ny.gov with a subject line of DCSD MIS

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

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