Position Information

NY HELPYes

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid 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? Yes

Telecommuting allowed? Yes

Location

County New York

Street Address 90 Church Street

City New York City

StateNY

Zip Code10007

Job Specifics

Duties Description This position is within the Bureau of Casualty & Estate Recovery (BCE), Division of Compliance and Self-Disclosure (DCSD). BCE performs programmatic oversight of New York State’s centralized Casualty & Estate Recovery Program including acting as liaison with various internal and external stakeholders, advising on program related matters, and management of a contract and vendor dedicated to this type of recovery.
Duties of this position include, but are not limited to:
• Prospectively sample and review cases across all areas and types within the case management database system and provided within reports received to ensure accuracy, timeliness and workflow within C&E recovery efforts.
• Receive and process incoming C&E related inquiries from other OMIG Units, the public, other NYS agencies, and local county Department of Social Services offices.
• Identify and track concerns/questions raised by various stakeholders, their resolution, and impacts to the larger program or existing processes.
• Work collaboratively with team, division management, and agency management to identify program and policy recommendations that further the agency mission and adhere to federal requirements.
• Assist in the creation, updating, and maintenance of the Bureau Manual, and of all protocols and procedures related to Casualty & Estate Recovery.
• Learn and/or seeks training in the software and computer systems used by the Bureau to become proficient in these computer tools.


PREFERRED QUALIFICATIONS:

The preferred candidate will have excellent written and verbal communication, as well as organizational and time management skills. Prior knowledge of OMIG’s casualty (personal injury) and estate recovery program, New York State estate or personal injury law, and/or the New York State Medicaid program, is greatly preferred. Familiarity and skill with research and applying learned information is required.

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:
• Two years of experience* working with Medicaid Compliance Program data; OR
• Associate’s degree* AND one year 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%.

Additional Comments Permanent, Full-Time, Competitive (for transfer and appointments off of 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.

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

2nd Floor

City Albany

State NY

Zip Code 12204

 

Notes on ApplyingSubmit resume to Tess M., by email to Recruitment@omig.ny.gov with a subject line of MIS 1 #52306-NYC

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.