NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid Integrity Specialist 2 (Financial Analysis)

Occupational CategoryFinancial, Accounting, Auditing

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 25%

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 Street

City Albany

StateNY

Zip Code12204

Duties Description The Bureau of Provider Audit in the Division of Medicaid Audit (DMA) is responsible for performing provider audits of various program specialties that receive Medicaid reimbursement to ensure program compliance with applicable Federal and State laws, rules and policies governing the NYS Medicaid program. The Medicaid Integrity Specialist 2 (FA) will be responsible for supervising various fee-for-service (FFS) and/or managed care encounter-based audits per OMIG audit policies and standards; supervising and training staff; reviewing audit universe/sample packages; targeting areas of audit; gathering and researching data, billings, and rates; conducting entrance and exit conferences; preparing work papers, spreadsheets, and other schedules to document the audit and record findings; ensuring that all aspects of PADS is completed; preparing correspondence, draft and final reports; assisting in acting as liaison between OMIG and the auditee, attorneys, and other agencies, as needed. The Medicaid Integrity Specialist 2 (FA) may also be tasked with developing/revising audit protocols, as needed, and other duties required of a Subject Matter Expert (SME) in the Bureau of Provider Audit. This position may require travel (field work) up to 25%.

The position will also support the External Audit unit with its responsibility in performing the federal Payment Error Rate Measurement project and will involve handling data requests for the Agency’s Executive staff, as needed, performing audits for the Healthcare Worker Bonus project, remaining up to date with trends in fraud, waste and abuse identified in available data systems and dashboards, and aiding external audit in support of the Agency’s activities.

Minimum Qualifications To be eligible for appointment, candidates must be reachable on the OMIG promotional list for Medicaid Integrity Specialist 2 (Financial Analysis) or be a current New York State employee with one year of permanent or contingent-permanent services in a title deemed eligible for transfer under Section 70.1 or 52.6 of the Civil Service Law.

Preferred Qualifications: Two years of auditing experience; knowledge of the Medicaid and Medicare programs; excellent verbal/written communication, analytical and personal skills; knowledge/experience with computer applications, particularly for audit activities.

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

Name Melissa H

Telephone

Fax

Email Address recruitment@omig.ny.gov

Address

Street 800 North Pearl St.

City Albany

State NY

Zip Code 12204

Notes on ApplyingPlease send a cover letter and resume detailing how you meet the minimum qualifications by email to Recruitment@omig.ny.gov or by fax to (518) 408-0395. Indicate the VACANCY ID #221672, AND the title - MIS2FA/DMA in the subject heading.

PLEASE NOTE: We are unable to open documents from Google Docs, Google Drive, OneDrive, Apple Pages, and/or “the cloud”. Please submit requested documents as an attachment in Microsoft Word or PDF format.

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 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. (41302)