NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleAssistant Medicaid Inspector General for Investigations - Albany or NYC

Occupational CategoryAdministrative or General Management

Salary Grade665

Bargaining UnitM/C - Managerial/Confidential (Unrepresented)

Salary RangeFrom $141581 to $178874 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Exempt Class

Travel Percentage 20%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

County Albany

Street Address 800 North Pearl Street

City Albany

StateNY

Zip Code12204

Duties Description Under the direction of the Deputy Medicaid Inspector General (DMIG) for Investigations, the incumbent of this position is responsible for managing investigative and other supportive functions within the Division of Medicaid Investigations (DMI), with staff in several regional offices. These activities encompass a broad spectrum of Medicaid program integrity efforts. In addition, the Assistant Medicaid Inspector General (AMIG) participates in the overall administration and long-term strategic planning for DMI, and acts as the Division Director in the absence of the DMIG.
Investigations and other supportive functions are a critical component of OMIG’s Medicaid program integrity efforts. DMI seeks to improve provider and recipient behaviors with the goal of protecting the recipient community, while promoting quality care for all within the State’s Medicaid program.
Specific duties include, but are not limited to:
Oversee, manage, and direct the day-to-day operations and processes within the Division:
• Confer or collaborate with the DMIG and/or other executive-level managers to define investigative projects, initiatives, and long-term objectives/goals. Operationalize goals into tangible action items and assignments.
• Keep DMIG apprised of current DMI assignments, procedures, goals, and performance metrics.
• Implement investigative priorities. Work with subordinate managers to define policies, standards, and procedures for all areas of investigative operations.
• As appropriate, provide input or recommend actions to be taken regarding Medicaid fraud, waste findings, where there are no clear precedents.
• Oversee the preparation of periodic progress reports and/or development of metrics to measure the success of investigative activities and progress of casework.
Provide leadership and management for the day-to-day operations of DMI:
• Provide leadership, guidance, supervision and mentoring to Bureau Directors and supervisors. Promote at atmosphere of inclusiveness and respect, professional motivation and curiosity.
• Provide a high level of programmatic knowledge and assist with applying it with novel, sensitive, critical, and high-profile issues.
• Ensure consistency and coordination between Bureaus. Communicate directives, priorities, preferences, and approach. Set appropriate professional standards.
• Oversee staffing, recruitment, professional development, and succession management planning.
Represent OMIG with agency partners and external stakeholders:
• Collaborate on investigations and legal or administrative proceedings with other governmental entities or stakeholders, such as the NYS Attorney General’s Office, the federal Department of Health and Human Services, the federal Office of the Inspector General, local District Attorneys, and other State agencies, relative to joint investigations, best practices, legal and administrative proceedings.
• Assist the DMIG or members of the executive leadership team in preparing internal and external communications, presentations, or other projects, as directed.

Minimum Qualifications Preferred Qualifications:
Bachelor’s Degree and/or advanced degree along with a minimum of eight years of professional experience in an organized program of fraud investigation. A degree in criminal justice or a health care related field is preferred. At least three years of this experience must have included the management and supervision of subordinate staff. Preferred experience would include an understanding of, and experience with: investigative case management, interactions/processes relative to law enforcement or prosecutorial entities, surveillance and monitoring, or other fraud deterrent activities. Excellent oral and written communication skills are also required.

Additional Comments This position will be based either in Albany or NYC, depending on the candidate chosen, with routine travel between those offices expected. Travel to other regional offices will be required occasionally. *If filled in NYC, the position will be based at 90 Church Street in Manhattan.*

Full-time, exempt. Salary within the posted range will be commensurate with experience. This is an appointment to a position in the exempt jurisdictional class. All exempt appointments require completion of a background check prior to appointment, and completion of an annual Financial Disclosure Statement. Incumbents serve at the pleasure of the appointing authority, and the employment relationship can be altered at any time by either party.

Free parking is available at Albany location.

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

Name Grethe Kvernes

Telephone 518-408-5787

Fax

Email Address recruitment@omig.ny.gov

Address

Street 800 North Pearl Street

City Albany

State NY

Zip Code 12204

Notes on ApplyingThe 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.

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.