NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid Integrity Specialist 2

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 0%

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

County Albany

Street Address 800 North Pearl St.

City Albany

StateNY

Zip Code12204

Duties Description Reporting directly to the Manager of the Match-Based Reviews Unit, the individual appointed to this position will supervise a team of staff members and manage audits related to match-based reviews. These reviews will focus on identifying overpayments associated with deceased enrollees, incarcerated enrollees, and enrollees for whom enhanced nursing home capitated payments have been made without supporting eligibility information or encounter records. The supervisor will be responsible for ensuring that audits are conducted on a consistent schedule, providing oversight and training to staff members, and handling administrative tasks, including time-off requests and timecard approvals.

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 services in a title deemed eligible for transfer under Section 70.1 or 52.6 of the Civil Service Law.

Preferred Qualifications: Experience auditing Medicaid Managed Plans, particularly match-based reviews. Familiarity with Managed Care Model Contracts and Medicaid eligibility systems.

Additional Comments FREE PARKING

This position is eligible to apply for and participate in the agency's telecommuting program.

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

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 #191185, TITLE-MIS2/DMA, and LOCATION- Albany in the subject heading for the position you are applying to. (49103)

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

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.