Position Information

NY HELPNo

AgencyMedicaid Inspector General, NYS Office of the

TitleMedicaid Integrity Specialist 2

Occupational CategoryNo Preference

Salary Grade23

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

Salary RangeFrom $86681 to $109650 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? Yes

Telecommuting allowed? Yes

Location

County Albany

Street Address 800 North Pearl St

City Albany

StateNY

Zip Code12204

Job Specifics

Duties Description PREFERRED QUALIFICATIONS:

The ideal candidate will have strong computer skills and will need a working knowledge in Word, Adobe PDF, Excel, JSURS, MDW, and Access programs.



The incumbent of this position will perform tasks related to the Recipient Restriction Program (RRP) Upstate, Downstate, Managed Care, and the Health Benefit Exchange (HBE) within the Division of Medicaid Investigations (DMI). This position will be responsible for, but not limited to, the following duties to ensure RRP program integrity:

• Monitor and enforce Managed Care Organization (MCO) requirements regarding RRP by reviewing encounter data and monthly reports
• Maintain ongoing knowledge of Medicaid Managed Care Model Contract and NYS restriction regulations
• Schedule and execute frequent MCO outreach including individual plan meetings, large group meetings, and training.
• Provide MCO subject matter expert insight to other OMIG units or outside agencies
• Facilitate all communications between MCOs and OMIG RRP
• Coordinate, assign and supervise all tasks regarding restriction implementation and maintenance
• Address a high volume of daily RRP communications
• Update and maintain standard operating procedure manual for implementation and maintenance of restrictions.
• Supervise and train members of the implementation team

Minimum Qualifications To be eligible for appointment, candidates must be reachable on the OMIG promotional list for Medicaid Integrity Specialist 2, OR be a current New York State employee with one year of permanent or contingent-permanent services in a title deemed eligible for transfer under Section 70.1 or 52.6 of the Civil Service Law.

Additional Comments Permanent, Competitive, full-time. There will be minimal mandatory overtime.

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

How to Apply

Name Jenn Sichak

Telephone

Fax

Email Address Recruitment@omig.ny.gov

Address

Street 800 North Pearl St

2nd Floor

City Albany

State NY

Zip Code 12204

 

Notes on ApplyingSubmit resume and writing sample to Jenn Sichak, Office of the Medicaid Inspector General, 800 North Pearl St, 2nd Floor, Albany, NY 12204, OR by email to Recruitment@omig.ny.gov with a subject line of MIS2 - RRP, OR by fax to (518) 408-0395, no later than September 30, 2025.

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.