Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NYHELPS)

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.
  
  

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.

Duties Description

The Bureau of Business Intelligence is adding two MIS 1- SG 18/Trainee 1/Trainee 2 (NY HELPS) positions in a new unit, Advanced Analytics. Each MIS 1/Trainee will be primarily responsible for implementing new technologies, or using existing technologies in innovative ways, with the goal of improving or developing new audits, investigations, claim edits, or other OMIG Program Integrity efforts. The position will also support unit efforts in liaising with various internal and external groups to improve OMIG's PI oversite.

The position may be required to assist other members of the unit in projects seeking to develop stronger collaboration with other OMIG divisions, other NYS agencies, or other state Medicaid agencies. The employee will also be responsible for ensuring the accurate execution of any and all data requests submitted to BBI.

Proficiency with MS Access, SharePoint, and Power Apps. Familiarity with Tableau or other data visualization software, experience implementing new software, experience identifying potential billing schemes in MDW or medical claims data both independently and in collaboration with auditors/investigators is preferred but not required.

Additional Comments

Additional preferred skills:

SQL

MS Access

Tableau

Data Analytics

Computer Science

Coding

C++

• net
  
  

837

MDW/Medicaid Data Warehouse

eMedNY

ANSI x 12

Data Mining

Database Architect

Database Research

Healthcare Actuary