Medicaid Integrity & Compliance Analyst (Remote)

New York State Office of the Medicaid Inspector General; New York (NY); Hybrid; USD 56,000 - 70,000; Full time

Benefits offered by this job

Telecommuting allowed up to 50%

Job summary

New York State Office of the Medicaid Inspector General seeks a professional to support the Bureau of Casualty & Estate Recovery (BCE) within the Division of Compliance and Self-Disclosure (DCSD). The role includes reviewing case management data, handling inquiries from OMIG units and external agencies, and contributing to policy recommendations that align with federal requirements.

Telecommuting is permitted up to 50% of each pay cycle, with full-time in-office attendance required initially.

Qualifications

• Two years of experience working with Medicaid Compliance Program data.
• Associate’s degree AND one year of experience, OR Bachelor’s degree.
• Medicaid programs and services include educating, assisting, and monitoring compliance with program regulations and obligations; developing, clarifying, and ensuring implementation of program requirements.

Responsibilities

• Prospectively sample and review cases across all areas and types within the case management database system and provided within reports received to ensure accuracy, timeliness and workflow within C&E recovery efforts.
• Receive and process incoming C&E related inquiries from other OMIG Units, the public, other NYS agencies, and local county Department of Social Services offices.
• Identify and track concerns/questions raised by various stakeholders, their resolution, and impacts to the larger program or existing processes.
• Work collaboratively with team, division management, and agency management to identify program and policy recommendations that further the agency mission and adhere to federal requirements.
• Assist in the creation, updating, and maintenance of the Bureau Manual, and of all protocols and procedures related to Casualty & Estate Recovery.
• Learn and/or seeks training in the software and computer systems used by the Bureau to become proficient in these computer tools.

Skills

Medicaid data

Data analysis

Communication

Research

Education

Associate's degree

Bachelor's degree

Job description

New York State Office of the Medicaid Inspector General seeks a professional to support the Bureau of Casualty & Estate Recovery (BCE) within the Division of Compliance and Self-Disclosure (DCSD). The role includes reviewing case management data, handling inquiries from OMIG units and external agencies, and contributing to policy recommendations that align with federal requirements.

Telecommuting is permitted up to 50% of each pay cycle, with full-time in-office attendance required initially.