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 NYS employee with one year or more of permanent or contingent-permanent service in a title eligible for transfer 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 or in a title eligible to transfer to Management Specialist Trainee 1 or 2. If filled as a trainee, the selected candidate must successfully complete a two-year traineeship to advance to journey level.
Preferred Qualifications: Proficiency with Microsoft Office Suite and knowledge of, or willingness to learn, Structured Query Language (SQL)..
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 for Medicaid managed care audits, including match-based audits relating to PARIS Match, Deceased Enrollees, Enhanced Nursing Home Rate Code, and other retroactive disenrollment scenarios; learns and applies Medicaid policy, regulations, and Medicaid managed care contracts to audits; prepares well-written and accurate audit reports, and corresponds professionally within and outside the agency; oversees 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 as part of a team and independently; and demonstrates strong critical thinking skills, the ability to multitask, attention to detail, and excellent interpersonal skills.
Additional Comments Management Specialist Trainee 1 position starts at $45,617.
Permanent; Full-time; Competitive. Hours to be determined.
All OMIG employees are required to be tested weekly for COVID-19 unless they are fully vaccinated. Employees who are vaccinated must provide proof of vaccine status through a secure online portal.
Free parking is available.
Some positions may require additional credentials or a background check to verify your identity.