StateJobsNY
Investigative Specialist 1/Trainee 1/Trainee 2
StateJobsNY, Albany, New York, United States, 12201
Medicaid Investigations Investigator
The Division of Medicaid Investigations ensures the integrity of the Medicaid program by conducting investigations, recovering over payments, and implementing administrative sanctions against providers. The incumbent will aid in this endeavor using their expertise to assist in the investigation of providers for potential fraud. Duties of the position will include, but are not limited to: Investigating all allegations of Medicaid fraud, waste, and abuse. Conducting fieldwork, including surveillance and onsite inspections. Fieldwork includes traveling to all areas throughout New York. Conducting interviews and taking statements. Operating various data systems; analyzing information and drawing appropriate conclusions. Obtaining sufficient information and documentation to support investigative findings. Drafting correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions. Testifying at administrative hearings as necessary. Collaborating with other regulatory oversight agencies and law enforcement and conducting joint investigations as appropriate. Serving as liaison with Managed care Organizations and participating in regular meetings with their Special Investigation Unit representatives. Appointment to the Trainee 1 level requires: Four years of investigative experience OR an associate degree and two years of investigative experience OR a bachelor's or higher degree. Appointment to the G-18 level requires: Six years of experience in a field investigative position conducting interviews of witnesses and others, taking written statements and affidavits, collecting and analyzing physical and documentary evidence, and preparing detailed written reports of investigative findings. Non-Competitive, permanent, full-time position. There will be minimal mandatory overtime. Candidates with no prior state history will start at a starting salary for the Trainee 1 position of $53,764. The starting salary for the full G-18 position is $66,951. The salaries are NON-NEGOTIABLE. Routine travel throughout New York State is required to conduct fieldwork necessary to complete investigations. Must have a valid driver's license or otherwise demonstrate the ability to meet the transportation requirements of the position. Please be aware that because of the nature of the position, an appointment is subject to satisfactory completion of fingerprinting and a background check.
The Division of Medicaid Investigations ensures the integrity of the Medicaid program by conducting investigations, recovering over payments, and implementing administrative sanctions against providers. The incumbent will aid in this endeavor using their expertise to assist in the investigation of providers for potential fraud. Duties of the position will include, but are not limited to: Investigating all allegations of Medicaid fraud, waste, and abuse. Conducting fieldwork, including surveillance and onsite inspections. Fieldwork includes traveling to all areas throughout New York. Conducting interviews and taking statements. Operating various data systems; analyzing information and drawing appropriate conclusions. Obtaining sufficient information and documentation to support investigative findings. Drafting correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions. Testifying at administrative hearings as necessary. Collaborating with other regulatory oversight agencies and law enforcement and conducting joint investigations as appropriate. Serving as liaison with Managed care Organizations and participating in regular meetings with their Special Investigation Unit representatives. Appointment to the Trainee 1 level requires: Four years of investigative experience OR an associate degree and two years of investigative experience OR a bachelor's or higher degree. Appointment to the G-18 level requires: Six years of experience in a field investigative position conducting interviews of witnesses and others, taking written statements and affidavits, collecting and analyzing physical and documentary evidence, and preparing detailed written reports of investigative findings. Non-Competitive, permanent, full-time position. There will be minimal mandatory overtime. Candidates with no prior state history will start at a starting salary for the Trainee 1 position of $53,764. The starting salary for the full G-18 position is $66,951. The salaries are NON-NEGOTIABLE. Routine travel throughout New York State is required to conduct fieldwork necessary to complete investigations. Must have a valid driver's license or otherwise demonstrate the ability to meet the transportation requirements of the position. Please be aware that because of the nature of the position, an appointment is subject to satisfactory completion of fingerprinting and a background check.