NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid Integrity Specialist 2

Occupational CategoryOther Professional Careers

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 5%

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 This position is in DSUR, bureau of Third Party & Payment Oversight.

Responsibilities include, but are not limited to:
-Work closely with the RAC contractor on a daily basis and monitor and approve all aspects of the DAR/FAR process
-Assist in RAC scenario approvals and vetting throughout the agency
-Oversee the vetting of providers and Managed Care Plans, and train staff in this process
-Create weekly reports for the RAC contractor for all open projects
-Supervise and train RAC staff. Currently will be supervising two RAC staff
-Work with the RAC Manager to plan, schedule, monitor workload, and track status of all work assigned and completed within the RAC unit
-Use SQL Developer to run queries to verify claim data to be recovered upon within the scope of the RAC projects. Must have an advanced understanding and knowledge of SQL and Access as well as eMedNY provider and claims screens.
-Must have experience in communicating with contractors, other divisions, and the provider community
-Assist in completing weekly/monthly/quarterly, and annual reports for the unit
-Assist with special assignments when needed
-Verify and analyze OSC methodologies
-Maintain tracking databases for the RAC unit
-Comprehension and familiarity with Medicaid Provider Manuals and Medicaid Managed Care Model Contracts to effectively oversee audits and develop new scenario DARs/FARs for future recovery efforts
-Assist with or provide official testimony on behalf of New York State OMIG during administrative hearings

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


PREFERRED QUALIFICATIONS:
Excellent verbal and written communication, analytical, organizational and personal skills; knowledge and experience with Oracle, excel and access; strong attention to detail.

Additional Comments Competitive, Permanent, Full-Time. 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.

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

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 to Tess M., by email to Recruitment@omig.ny.gov with a subject line of MIS 2/TTPO, no later than July 16, 2026.

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 accommodation 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.