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NY HELP Yes

Agency Medicaid Inspector General, NYS Office of the

Title Medicaid Integrity Specialist 1/ Trainee 1/ Trainee 2

Occupational Category Other Professional Careers

Salary Grade 18

Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF)

Salary Range From $53764 to $85138 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Non-competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 4 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address 800 North Pearl Street

City Albany

State NY

Zip Code 12208

Duties Description Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 will join the Multiple CIN and Contract Based Recovery Unit at OMIG with an opportunity to start or grow their state career in a collaborative, team-oriented environment. Over the course of a two-year traineeship, the candidate will learn to use databases and software programs including Microsoft Access, SQL Developer and eMedNY. The selected candidate will aid in the development and issuance of Medicaid managed care audits; analyze data and make determinations on audit disputes, prepare well-written and accurate audit reports, and correspond professionally within and outside the agency while overseeing mail-out recovery projects. These audits recover improper payments made to managed care organizations when one Medicaid member is issued more than one Client Identification Number (CIN) which result in duplicate payments. The candidate will also participate in contract-based recoveries for family planning chargeback; learn and apply Medicaid policy, regulations, and Medicaid managed care contracts to audits; conduct research on existing and emerging trends in Medicaid managed care; work well as part of a team and independently; and demonstrate strong critical thinking skills, attention to detail, and excellent interpersonal skills.

Minimum Qualifications This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS)**To be considered for appointment through NY HELPS, candidates must meet the open-competitive minimum qualifications for this position:• Bachelor’s degree* or highero Advanced placement to the Trainee 2 or Grade 18 level may be possible depending on education and experience.*Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accredited agency by theU.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.70.1 Transfer:• For a 70.1 transfer to this title, you must have one year of permanent or contingent-permanent competitive service in a 70.1 title allocated to a salary grade 16 or above (11 or above for a Trainee 1, 12 or above for a Trainee 2).70.4 Transfer:• For a 70.4 transfer to this title, your current title must be within two salary grades, and either be on the PCO or be on the PATT and possess a bachelor’s degree. Your score on either the PCO or PATT does not need to be reachable.52.6 Transfer:• For a 52.6 transfer to this title, you must have one year of permanent or contingent-permanent service in a 52.6 title allocated to a salary grade 16 or above (11 or above for a Trainee 1, 12 or above for a Trainee 2).To determine if your current Civil Service title is eligible for transfer to this title, visit the Career Mobility GOT-IT website: Career Mobility Office » GOT-IT (ny.gov)Appointments via transfer must not result in a second, consecutive transfer with an advancement of more than two S-grades or one M-grade.55-b/c program appointments: For a 55 b/c appointment, you must:• Possess the minimum qualifications for the selected title as established by the Department of Civil Service and listed on the most recent exam announcement• Meet the applicable minimal mental and/or physical requirements for the job (with a reasonable accommodation if necessary).• Have a current Eligibility Letter from the NYS Department of Civil Service, www.cs.ny.gov/rp55/ and be able to provide it to the Human Resources Office upon request.*If you are currently 55 b/c eligible and possess a bachelor’s degree, we encourage you to apply for this position.Depending on qualifications, you may be required to serve a 1 or 2-year traineeship that leads to the full level grade 18 position.

Additional Comments FREE PARKINGThe 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 [email protected] does not participate in E-Verify and does not sponsor visa applications.

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

Name Melissa H

Telephone

Fax

Email Address [email protected]

Address

Street 800 North Pearl Street

City Albany

State NY

Zip Code 12204

Notes on Applying Please submit your resume and cover letter by email to [email protected]. Indicate the Vacancy ID 196349, MIS 1, Albany in the Subject Heading. (31618)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.