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

Medicaid Integrity Specialist 1 (Financial Analysis)

Duties Include :

Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and analyzes background information to identify targets; examines and analyzes fee-for-service and managed care documentation to ensure provider compliance with the rules and regulations of the Medicaid program; prepares work papers, checklists, schedules, narratives, tabular material and analysis of findings; writes memos, letters, exit conference summaries, draft and final audit reports; participates in entrance and exit conferences; communicates with the supervisor, co-workers and provider staff professionally and effectively; adheres to audit deadlines and departments goals; performs a survey of the providers operating procedures to determine the nature, reliability, accuracy and accessibility of records; proposes solutions to the supervisor regarding audit issues encountered during field work; may participate in the investigation of recipients of various agency program areas and other types of fraud; may create, run, review, analyze and maintain ad hoc reports regarding audit data. May require travel (field work) up to 75%.

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.

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 FA; 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.

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 :

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. Position is eligible for additional $4,000 location pay.

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