NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid Integrity Specialist 4

Occupational CategoryOther Professional Careers

Salary Grade664

Bargaining UnitM/C - Managerial/Confidential (Unrepresented)

Salary RangeFrom $127507 to $160911 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? No

Telecommuting allowed? Yes

County Albany

Street Address 800 North Pearl St

City Albany

StateNY

Zip Code12204

Duties Description This position will report directly to the Assistant Medicaid Inspector General for Division of System Utilization & Review. This position will oversee two grade 27's with the Recovery Audit Contract (RAC) and Third-Party Liability (TPL).

The Key Responsibilities for this Position Include the Following:
-Provide direct supervision and mentoring to bureau managers, supervisors, and staff
-Oversee both the TPL & RAC contracts
-Confer with the AMIG, and/or other team managers to define Bureau priorities, projects, initiatives, and long-term goals and objectives.
-Develop policies and protocols for bureau business operations
-Targeting for future RAC & TPL projects
-Work with the RAC & TPL managers to plan, schedule, monitor workload, and track status of all work assigned and completed within both units
-Record and track quality metrics concerning recoveries, as well as the performance of the RAC and TPl contractors
-Monthly/Quarterly/Yearly reporting for the bureau
-Assist with special assignments
-Train staff with both data and the audit process
-Assist with writing the RFP for both RAC & TPL
-Provide education and guidance to contract staff
-Attend monthly and yearly meetings with contract staff

Minimum Qualifications Required Skillset & Experience:
-Contract Oversight Experience and familiarity with Requests for Proposals (RFP)
-Extensive Management Experience is preferred
-Extensive experience with the NYS Medicaid program is strongly preferred
-Experience with pulling data from the Medicaid Data Warehouse


To be eligible for appointment, candidates must be reachable on the OMIG promotional list for Medicaid Integrity Specialist 4 (Albany) or be a current New York State employee with one year of permanent or contingent-permanent service in a title eligible for transfer under Section 70.1 or 52.6 of the Civil Service Law.

Additional Comments FREE PARKING

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

2nd Floor

City Albany

State NY

Zip Code 12204

Notes on ApplyingAPPLICATION: Qualified candidates should send a cover letter and resume by email to Recruitment@omig.ny.gov or by fax to (518) 408-0395. Indicate the VACANCY ID# 211028, title- MIS 4 in the subject heading for the position you are applying to.

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.

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.