Note: For questions about the job posting, please contact the agency that posted this position by using the contact information provided on the "Contact" tab for the position.
Minimum Qualifications CURRENT NEW YORK STATE EMPLOYEE with a minimum of one year of permanent or contingent-permanent service as a Management Specialist 1, G-18, or in a title allocated to G-16 or above and eligible to transfer under Section 70.1 of the Civil Service Law OR in a title eligible to transfer to Management Specialist Trainee 1 or Management Specialist Trainee 2 under Section 70.1 of the Civil Service Law.
The position may also be filled at the trainee level by appointment of a candidate reachable on the PATT or PCO list. If filled as a trainee, the selected candidate must successfully complete a two-year traineeship.
Duties Description Reporting directly to an audit supervisor, the Management Specialist 1 uses databases and software programs available for Medicaid research, including SQL Developer and eMedNY, to aid in the development of Medicaid managed care audits; analyzes data and makes well-reasoned determinations in connection with match-based audits relating to Multiple CIN and other retroactive disenrollment scenarios; learns and applies Medicaid policy, regulations, and Medicaid managed care contracts to audits; will assist in the preparation of audit reports; strong written and verbal communication skills are required; organizes mail-out recovery projects, including monitoring and evaluating responses from providers, updating relevant audit-tracking systems, and documenting any adjustments as necessary; conducts research into existing and emerging trends in Medicaid managed care, including Value Based Payments; works well independently and as part of a team; demonstrates strong critical thinking skills, the ability to multitask, attention to detail, and excellent interpersonal skills.
Some positions may require additional credentials or a background check to verify your identity.
Notes on ApplyingSubmit resume to Sherri Tompkins, Office of the Medicaid Inspector General, 800 North Pearl Street, Albany, NY 12204, or by email to Sherri.Tompkins@omig.ny.gov with a subject line Management Specialist 1, or by fax to (518) 408-0395, no later than Friday, July 20, 2018.