Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NY HELPS)

Description

Duties Description

Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 will join the Match-Based Reviews Unit at OMIG with an opportunity to start or grow their state career in a collaborative, team-oriented environment. Over the course of a traineeship, the candidate will learn to use databases and software programs available for Medicaid research, including Microsoft Access, eMedNY and the Medicaid Data Warehouse. The selected candidate will support the development of Medicaid managed care audits relating to deceased and incarcerated enrollees, analyze data, prepare accurate audit reports, oversee mail-out recovery projects, monitor and evaluate responses from providers, and update relevant audit-tracking systems. We are seeking candidates who demonstrate adaptability, a strong work ethic, organizational skills, strong critical thinking skills, attention to detail, excellent interpersonal skills, the ability to work well as a team and independently, and eagerness to learn and grown within the role.

Qualifications

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 higher
• 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 the U.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.
  
  

Preferred Qualifications: Proficiency with Microsoft Office Suite, experience reviewing and verifying documentation, familiarity with the Medicaid program and/or knowledge of/willingness to learn Structured Query Language (SQL).

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 PARKING

Permanent, Full-Time, Competitive (for transfers and appointments off a list), Non-Competitive (for appointments through the NY HELPS Program). Trainee 1 salary starts at $53,764. Salary is NON-NEGOTIABLE.

• The Department of Civil Service has developed the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS), which is a streamlined program that allows appointment to this title and others without examination.
  
  

For the duration of the NY HELPS program, this title, may be filled via permanent, non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the titles for which they apply.