Medicaid Integrity Specialist 1/Trainee 1/Trainee 2

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Review Vacancy

Date Posted 06/23/26

Applications Due07/07/26

Vacancy ID218397

• Basics
• Schedule
• Location
• Job Specifics
• How to Apply

NY HELPYes

AgencyMedicaid Inspector General, NYS Office of the

Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2

Occupational CategoryOther Professional Careers

Salary Grade18

Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)

Salary RangeFrom $53764 to $66951 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Non-competitive Class

Travel Percentage 0%

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 The Bureau of Business Intelligence is looking for one Medicaid Integrity Specialist position in the Claim and Provider Analysis Unit. This employees will provide support to the OSC audit reviews. This responsibility includes reviewing OSC audit documents and verifying identified claims. The duties will also include researching Medicaid laws and regulations, using the Medicaid Data Warehouse to analyze the claims identified and creating summary documents for the External Audit Unit. This position will be responsible for assisting in the creation and update of the MDS (Minimum Data Set) databases. The duties of this position will be to assist in creating the databases used for the review of each nursing home included in the yearly audits and the exchange of data with the Department of Health used to finalize each audit. Additionally, this position will be responsible for the completion of all types of data requests from each OMIG program area. This will include researching the different program areas, collaborating with program staff and writing complex SQL queries in order to analyze claims to ensure the accuracy of final output.

Preferred Qualifications:

Proficiency with SQL, MS Access, and Excel; basic understanding of the Medicaid program, familiarity with large data sets.

Minimum Qualifications To be considered for appointment through NY HELPS, candidates must meet the open-competitive minimum qualifications for this position.

Appointment to the Trainee 1 level requires:

• Four years of experience* in the promotion of Medicaid program integrity and appropriate delivery and utilization of Medicaid programs and services; OR
• Associate's degree* AND two years of experience; OR
• Bachelor's degree*
• Medicaid programs and services include: educating, assisting, and monitoring compliance with program regulations and obligations; developing, clarifying, and ensuring implementation of program requirements; collecting and analyzing data; evaluating and assessing appropriateness of provider or recipient participation in the Medicaid program or the appropriateness of billing or utilization of service; or developing referrals for further action or recommendations for corrective action.

Advanced placement to the Trainee 2 or Grade 18 level may be possible depending on education and experience. It is essential that candidates clearly and concisely indicate exactly how they meet the above minimum qualifications in their resume. Failure to show how you meet the minimum qualifications above may result in disqualifications and removal from consideration.

• Your degree must have been awarded by a college or university accredited by 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.

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.

Additional Comments Permanent, Full-Time, Competitive (for transfer and appointments off a list), Non-Competitive (for appointments through the NY HELPS Program).

Trainee 1 salary: 53,764

Trainee 2 salary: 59,994

G-18 salary: 66,951

SALARIES ARE 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.

Telecommuting is permitted up to 50% each pay cycle, which is 2 weeks. Full time in office attendance is required for at least the first 6 weeks, and Telecommuting time will be increased progressively up to the maximum allowable 50%.

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.

City Albany

State NY

Zip Code 12204

Notes on ApplyingSubmit resume and official college transcript(s) to Tess M. by email to Recruitment@omig.ny.gov with a subject line of BBI MIS.

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.

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

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