Current jobs related to Medicaid Integrity Specialist 1/trainee 1 - Albany - Medicaid Inspector General, NYS Office of the

  • Auditor 1/Auditor Trainee 1/Auditor Trainee 2

    24 hours ago

    Albany, New York, United States StateJobsNY Full time

    Job Title: Auditor 1/Auditor Trainee 1/Auditor Trainee 2This position is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications...

  • Medicaid Eligibility Examiner 1

    6 days ago

    Albany, New York, United States StateJobsNY Full time

    About the RoleThe Medicaid Eligibility Examiner 1 position is part of the NYS HELP program, which offers a unique opportunity for individuals to join the State's team and contribute to the administration of public health insurance programs. As a Medicaid Eligibility Examiner 1, you will work within the Bureau of Third-Party Health Insurance, Medicare Savings...

  • Food Laboratory Specialist 1 or Trainee

    1 day ago

    Albany, New York, United States New York State Civil Service Full time

    Job SummaryWe are seeking a highly skilled Food Laboratory Specialist Trainee 1 to join our team in the chemistry section of the Food Laboratory. As a key member of our team, you will be responsible for receiving and preparing samples for testing and analysis, performing laboratory testing methods using chemical principles, and operating complex laboratory...

  • Human Resources Specialist 1

    4 months ago

    Albany, United States New York State Full time

    Minimum Qualifications NY HELPS Non-competitive Minimum Qualifications: Human Resources Specialist Trainee 1: A bachelor's or higher degree. Human Resources Specialist Trainee 2: A bachelor's degree and one year of professional human resources experience. Human Resources Specialist 1: A bachelor's degree and two years of professional human resources...

  • Human Resources Advisor 1

    4 weeks ago

    Albany, New York, United States New York State Full time

    Position Title: Human Resources SpecialistWe are seeking a dedicated Human Resources Specialist to assist in the management of our Department's personnel programs. The ideal candidate will possess a bachelor's degree or higher and have relevant experience in the field of human resources.Essential Qualifications:Human Resources Specialist Trainee 1: Requires...

  • Auditor 1/Auditor Trainee 1/2

    7 days ago

    Albany, New York, United States StateJobsNY Full time

    Job SummaryWe are seeking a highly skilled and experienced Auditor 1/Auditor Trainee 1/2 to join our team at the New York State Department of Labor. As an Auditor 1/Auditor Trainee 1/2, you will be responsible for planning and conducting internal and contract audits to ensure compliance with laws, regulations, and organizational policies.Key...

  • Medicaid Support Specialist

    3 days ago

    Albany, New York, United States ALTA IT Services Full time

    Medicaid Support Specialist Job DescriptionWe are seeking a highly skilled and detail-oriented Medicaid Support Specialist to join our team at ALTA IT Services.Key Responsibilities:Takes and processes transactions by telephone, internet, and correspondence from customers and representatives.Enters and maintains database records of customer profiles and...

  • Medicaid Support Specialist

    2 weeks ago

    Albany, New York, United States ALTA IT Services Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Medicaid Support Specialist to join our team at ALTA IT Services. As a Medicaid Support Specialist, you will play a critical role in supporting a Fortune 100 company in the federal space.Key ResponsibilitiesTakes and processes transactions by telephone, internet, and correspondence from...

  • Auditor 1 Fiscal Systems

    1 week ago

    Albany, New York, United States StateJobsNY Full time

    Job Title: Auditor 1 Fiscal SystemsThis position is part of the New York Hiring for Emergency Limited Placement Statewide program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, if they meet the below NY HELPS minimum qualifications.NY HELPS Non-Competitive Minimum Qualifications:For Trainee...

  • Medicaid Support Specialist

    2 months ago

    Albany, United States System One Holdings, LLC Full time

    ALTA IT is hiring for a Medicaid Support specialist. The individual will support a fortune 100 company in the federal space. This is a great entry-level opportunity to put on your resume. You will be answering inbound phone calls from Medicaid Providers for billing or enrollment.These calls are not scripted; there is knowledge to be learned to understand and...

  • Auditor 1

    1 week ago

    Albany, New York, United States StateJobsNY Full time

    Job SummaryWe are seeking a highly skilled Auditor 1 to join our team at StateJobsNY. As an Auditor 1, you will play a critical role in ensuring the organization's compliance with relevant laws and statutes.Key ResponsibilitiesParticipate as a team member in performing a full scope of internal audits.Ensure that the organization is complying with relevant...

  • Rehabilitation Specialist 1

    4 weeks ago

    Albany, New York, United States CDPC Full time

    Position OverviewAs a Rehabilitation Specialist 1, you will deliver a comprehensive array of rehabilitative and habilitative services, which include:Evaluating individuals' rehabilitation requirementsCollaborating on the development of treatment strategies for rehabilitation servicesTracking and recording progress towards set goals and objectivesBenefits...

  • Educational Program Coordinator 1

    4 weeks ago

    Albany, New York, United States StateJobsNY Full time

    MINIMUM QUALIFICATIONS:NY HELPSThis position is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). During the NY HELPS Program, this role may be filled through a non-competitive appointment, meaning no examination is required; however, all candidates must meet the minimum qualifications for the title they are applying...

  • Construction Specialist 1

    12 hours ago

    Albany, New York, United States New York State Civil Service Full time

    Job SummaryThe Construction Specialist 1 plays a crucial role in the Office of Structures, responsible for a wide range of duties and functions. Reporting to a Professional Engineer 1, this position requires a strong background in civil engineering and transportation infrastructure work.Key ResponsibilitiesDevelop and utilize complete physical engineering...

  • Construction Specialist 1

    3 days ago

    Albany, New York, United States New York State Civil Service Full time

    Job Title: Construction Specialist 1This is a challenging and rewarding role that requires a strong background in civil engineering and transportation infrastructure. As a Construction Specialist 1, you will be responsible for managing and coordinating the construction of various projects, ensuring that they are completed on time, within budget, and to the...

  • IT Audit Specialist 1

    3 weeks ago

    Albany, New York, United States New York State Full time

    Minimum Qualifications: A minimum of seven years of experience in IT auditing is required, which can be obtained through various combinations of education and generalized audit experience as detailed below. Responsible for executing IT-focused audits and assessments to ensure compliance across various entities, including governmental bodies and educational...

  • Revenue Crimes Specialist 1

    4 weeks ago

    Albany, United States StateJobsNY Full time

    REVENUE CRIMES SPECIALIST 1: 1. Bachelor's degree and two years of experience in conducting investigations of tax crimes, white collar crime and/or conducting related field investigations of criminal activities which includes establishing a chain of evidence; OR 2. Associate's degree in criminal justice and four years of the experience listed under # 1; OR...

  • Construction Specialist 1 Transportation

    2 days ago

    Albany, New York, United States StateJobsNY Full time

    Job Title: Construction Specialist 1 TransportationThis is a challenging opportunity to join the New York State Department of Transportation as a Construction Specialist 1 Transportation. The selected candidate will be responsible for overseeing the construction of transportation infrastructure projects, ensuring compliance with Department plans and...

  • Construction Specialist 1 Transportation

    6 days ago

    Albany, New York, United States New York State Civil Service Full time

    Job SummaryWe are seeking a highly skilled Construction Specialist 1 to join our team in Region 1 Construction. As a key member of our team, you will be responsible for overseeing construction projects, ensuring compliance with Department plans and specifications, and providing technical guidance to lower-level technicians.Key ResponsibilitiesPerform field...

  • Business Systems Analyst 1

    7 days ago

    Albany, New York, United States New York State Civil Service Full time

    Job SummaryWe are seeking a highly skilled Business Systems Analyst 1 to join our team in the Eligibility Systems Modernization Group (ESMG), Bureau of Upstate Eligibility Systems. The successful candidate will work on implementing Medicaid policy/legislative changes to the Welfare Management System (WMS), transitioning populations out of WMS, developing the...

Medicaid Integrity Specialist 1/trainee 1

3 months ago

Albany, United States Medicaid Inspector General, NYS Office of the Full time

**Minimum Qualifications**

You must have a bachelor's degree* or higher. No experience is required for appointment as a Trainee 1.
Advanced placement to the Trainee 2 or Grade 18 level may be possible depending on education and experience.

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 NYS Civil Service 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 mínimal mental and/or physical requirements for the job (with a reasonable accommodation, if necessary)

Depending on qualifications, you may be required to serve a 1 or 2-year traineeship that leads to the full level grade 18 position.

**Duties Description**

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.

OMIG 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 data
Preferred Skills: experience reviewing claims or billing data, attention to detail, use of tables and spreadsheets.
Educating/assisting/monitoring compliance with program regulations
Preferred Skills: ability to communicate verbally and in writing, and to simplify complex rules into user-friendly guidance.
Collecting and analyzing data
Preferred 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 action
Preferred 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