Review Vacancy
Date Posted: 01/08/18
Applications Due: 01/23/18
Vacancy ID: 46595
Position Information
NY HELPNo
AgencyState Comptroller, Office of the
TitleSupervising Medical Care Representative - Item #03432
Occupational CategoryOther Professional Careers
Salary Grade23
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $71847 to $90876 Annually
Employment Type Full-Time
Appointment Type Contingent Permanent
Jurisdictional Class Competitive Class
Travel Percentage 0%
Schedule
Workweek Mon-Fri
Hours Per Week 37.50
Workday
From 8 AM
To 4 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? No
Location
County Albany
Street Address Riverview Center
150 Broadway – Suite 470
City Menands
StateNY
Zip Code12204
Job Specifics
Minimum Qualifications Minimum Qualifications
Interested candidates must currently be on the Supervising Medical Care Representative list, OR be eligible to transfer under Section 70.1 of the Civil Service Law.
Candidates must be eligible to transfer under Section 70.1 of the Civil Service Law.
70.1 Transfer
Candidates must have one year of permanent, competitive service in a qualifying title allocated to salary grade 21 or higher.
Duties Description Supervision: Supervise the Medical Care Representatives in all technical aspects of their work, including their review of medical records to support the appropriateness of the service claims under the Comptroller’s pre-audit of Medicaid payments and the post audits of Medicaid and NYSHIP payments to providers. Supervise the Medical Care Representatives in all matters involving time and attendance, development of employee performance plans and preparing evaluations of the Medical Care Representatives’ performance. Also, review formal findings and conclusions reached by the Medical Care Representative before they are for transmitted to the Department of Health and the OMIG. As needed, supervise a team of auditors and Medical Care Representatives during on-site audits of Medicaid and NYSHIP billings.
Performs audit work and Writes Reports: Drafts the more complex audit findings and conclusions for transmittal to the Department of Health and the OMIG. Writes reports are clear, concise, objective, complete, well organized and prepared within the assigned time budget. Provide technical and medical assistance and advice to SGA staff on: the most complex cases, topics selected for audit, program policies and regulations, and information and controls in the claims processing and payment system. Provide technical expertise on the proper CPT coding for medical claims to identify claims that have been overbilled.
Evaluate and Train staff: Provide continuous OJT and formal training to SGA staff regarding medical procedures, billing codes and new problems identified in Medicaid and NYSHIP billings. Assist the State Program Examiners 3 in preparing evaluations of State Program Examiner staff SG-18 and below based upon their work on the audits. Organize education and training activities for the unit.
Additional Comments Desired Competencies
(1) Demonstrates leadership potential
(2) Strong verbal and written communication skills
(3) Excellent supervisory skills, including coaching and developing staff
(4) Strong capacity in health care skills – such as interpreting medical care records and evaluating medical claims.
(5) Strong analytical and problem solving abilities
(6) Excellent interpersonal and team skills
(7) Proficient in use of technology, such as Microsoft Office.
Some positions may require additional credentials or a background check to verify your identity.
Contact Information
Name Sara Burt
Telephone (518) 474 -1924
Fax
Email Address Recruit@osc.state.ny.us
Address
Street 110 State Street
City Albany
State NY
Zip Code 12236
Notes on ApplyingInterested candidates should submit a cover letter and resume to recruit@osc.state.ny.us no later than January 23, 2018. Please reference Item #03432 GOER-SAB when responding.
When responding, please include the reference number and letters listed in this section. (The Vacancy ID # should not be included).
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