Job Information
NYS Office of the Medicaid Inspector General Medicaid Integrity Specialist 1/Trainee 1 in Menands, New York
New York State leads the nation in developing a robust culture of Medicaid program integrity and healthcare compliance. Formed in 2006 to more efficiently use resources dedicated to fighting fraud, waste, and abuse, we are a small agency with a big impact! To fulfill its mission, the Office of the Medicaid Inspector General (OMIG) performs audits, investigations, and reviews of Medicaid services and providers and works with other federal and state agencies that have regulatory oversight or law enforcement powers. Each year, the agency has identified or recovered billions of dollars in cost avoidance and recoveries to offset Medicaid program costs. OMIG staff primarily work on Medicaid program integrity functions. These positions include auditors, investigators, nurses, data analysts, pharmacists, other clinical/medical professionals, compliance specialists, program administrators/managers, and persons providing legal, technological, and administrative support, in seven offices across the State.For more information on the NYS Office of the Medicaid Inspector General’s Mission, please visit: https://omig.ny.gov/about-us/about-omigOMIG is recruiting to fill entry-level positions in all of its program areas. Depending on the program area, Medicaid Integrity Specialists perform a broad range of activities to promote Medicaid program integrity and appropriate delivery and utilization of Medicaid programs and services. Examples include:Auditing of billing and claims dataPreferred Skills: experience reviewing claims or billing data, attention to detail, use of tables and spreadsheets.Educating/assisting/monitoring compliance with program regulationsPreferred Skills: ability to communicate verbally and in writing, and to simplify complex rules into user-friendly guidance.Collecting and analyzing dataPreferred Skills: Experience using query language, such as SQL, to synthesize large data sets into useful auditing tools.Evaluating and assessing appropriateness of provider or recipient enrollment and participation in the Medicaid program, Mandatory reporting, and analyzing and developing referrals for corrective actionPreferred Skills: Research and analytical skills; ability to evaluate findings as compared to program regulations; ability to draft a conclusion, experience reviewing, editing, or writing reports.Benefits: New York State offers a comprehensive and robust benefits package that includes:• Multiple Health Insurance Options including prescription coverage.• No Cost Dental and Vision Care Benefits.• Life Insurance• Paid Parental Leave• Paid Personal Leave, Vacation, Sick Leave, and Holidays• 13 Paid Holidays• Up to 13 Days of Sick Leave annually• Up to 5 days of Personal Leave annually• Up to 3 days of professional leave annually to participate in professional development• Health Care Spending Account• Dependent Care Advantage Account• Telecommuting (up to 50%) possible through OMIG Telecommuting Program• Membership in the New York State and Local Employees’ Retirement System• Voluntary Defined Contribution Plan• Deferred Compensation Plan 457(b) Plan• Employee Assistance Program• Employees may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF)• A commitment to diversity, equity, inclusion and accessibility.Click here to learn more about New York State BenefitsWhy join public service? Joining the public service sector offers a unique opportunity to contribute directly to the well-being of society. Here are some compelling reasons to consider:1. Public Impact: Make a tangible difference in people’s lives by working on projects and initiatives that address community needs and contribute to the greater good.2. Sense of Purpose: Public service often comes with a strong sense of purpose, as you play a crucial role in serving the public and promoting the common welfare.3. Job Stability: Public sector jobs provide stability and security, with competitive benefits, opportunities for professional development, and an active Union presence.4. Learning and Growth: Public service position involve tackling complex challenges, providing continuous opportunities for learning, growth, and skill development.5. Collaboration and Teamwork: Work in collaborative environments where teams come together to address societal issues, fostering a sense of camaraderie and shared goals.6. Ethical Fulfillment: Public sector roles are guided by strong ethical framework.Consider these aspects when contemplating a career in the public service sector and discover a fulfilling path where your efforts directly impact the well-being of the consumers and communities we serve.This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).No exam required! For the duration of the NY HELPS Program, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At this time, agencies may recruit and hire employees by making temporary appointments. In May 2024, if a temporary NY HELPS employee is satisfactorily performing in the position, the appointment will be changed from temporary pending Civil Service Commission Action to permanent non-competitive and the official probationary period will begin.At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
Minimum Salary: 52198 Maximum Salary: 65001 Salary Unit: Yearly