Deputy Medicaid Inspector General for Investigations
New York State Civil Service
NY HELP No
Agency Medicaid Inspector General, NYS Office of the
Title Deputy Medicaid Inspector General for Investigations
Occupational Category Administrative or General Management
Salary Grade 666
Bargaining Unit M/C - Managerial/Confidential (Unrepresented)
Salary Range From $156757 to $197170 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Exempt Class
Travel Percentage 20%
Workweek Mon-Fri
Hours Per Week 37.5
Workday
From 9 AM
To 5 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? No
County Albany
Street Address 800 North Pearl Street
City Albany
State NY
Zip Code 12204
Duties Description Under the general direction of the Medicaid Inspector General, reporting directly to the First Deputy Medicaid Inspector General (First Deputy), the incumbent of this position is a member of the Office of the Medicaid Inspector General (OMIG) executive leadership team, working closely with other Deputies and executive-level staff. The incumbent provides the strategic direction and manages operations of the OMIG’s Division of Medicaid Investigations (DMI), with staff in several regional offices. Investigations and other supportive functions are a critical component of OMIG’s Medicaid program integrity efforts. DMI seeks to improve provider and recipient behaviors with the goal of protecting the recipient community, while promoting quality care for all within the State’s Medicaid program.Specific duties include, but are not limited to:Provide overall oversight, vision, and direction to the Office of the Medicaid Inspector General’s Division of Medicaid Investigations:• Confer with the MIG, First Deputy, and/or other executive-level managers to define investigative projects, initiatives, and long-term objectives. Provide guidance to agency executive leadership team regarding DMI functions and objectives. • Provide expert guidance and input in the proper and consistent application of program regulations as they apply to DMI, including new or emergent areas. • Oversee the establishment of investigative priorities. Determine or oversee policy, standards, and procedures for all areas of investigative operations.• Recommend actions to be taken regarding Medicaid fraud, waste, and abuse findings where there are no clear precedents. • Evaluate coordinated statewide investigative activities and processes for effectiveness and efficiency. • Monitor progress toward program objectives; evaluate the success of investigative initiatives; develop specific recovery estimates.Provide oversight and accountability for the day-to-day operations of DMI: • Oversee the Assistant MIG; provide a high level of guidance, mentoring, advice, and/or direction in resolving novel, sensitive, critical and high-profile issues. • Ensure consistency and coordination between Bureaus. Set tone for the Division; communicate directives, priorities, preferences, and approach. Incorporate a culture of inclusiveness and respect. • Provide vision and direction on Division budget, staffing plans, organizational structure. Represent OMIG with agency partners and external stakeholders:• Participate in regular meetings with other Deputies and executive-level staff. • Form relationships and collaborate on investigations and legal or administrative proceedings with other governmental entities or stakeholders, such as the NYS Attorney General’s Office, the federal Department of Health and Human Services, the federal Office of the Inspector General, local District Attorneys, and other State agencies, relative to joint investigations, best practices, legal and administrative proceedings. • Represent the OMIG in professional associations or other forums, such as the Medicaid Integrity Institute.
Minimum Qualifications Preferred Qualifications: Bachelor’s Degree and/or advanced degree and a minimum of nine years of professional experience in an organized program of fraud investigation. A degree in criminal justice or a health care related field is preferred. At least four years of this experience must have included the management and supervision of subordinate staff. Preferred experience would include an understanding of, and experience with: investigative case management, interactions/procedures relative to law enforcement or prosecutorial entities, surveillance and monitoring, Medicaid program oversight, or other fraud deterrent activities. Excellent oral and written communication skills are also required.
Additional Comments Full-time, exempt. Salary within the posted range will be commensurate with experience. This is an appointment to a position in the exempt jurisdictional class. All exempt appointments require completion of a background check prior to appointment, and completion of an annual Financial Disclosure Statement. Incumbents serve at the pleasure of the appointing authority, and the employment relationship can be altered at any time by either party.Free parking is available.
Some positions may require additional credentials or a background check to verify your identity.
Name Grethe Kvernes
Telephone 518-408-5787
Fax
Email Address recruitment@omig.ny.gov
Address
Street 800 North Pearl Street
City Albany
State NY
Zip Code 12204
Notes on Applying 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.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.
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