Investigative Specialist 1 (multiple positions)
Enjoy investigating reported allegations of suspected wrongdoing? Medicaid fraud and abuse affects all New Yorkers by depleting valuable public funds meant to provide healthcare to vulnerable citizens. Join OMIG investigators to fight fraudulent behavior through on-site field investigations and detailed reports. 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. Specific duties of the position include:
o Investigate allegations of Medicaid fraud, waste or abuse; o Conduct fieldwork, including surveillance and on-site inspections; o Conduct interviews of witnesses, review records and prepare summaries of findings relating to the alleged activities; o Utilize various data systems; analyze information; and draw appropriate conclusions; o Obtain sufficient information and documentation to support investigative findings; o Conduct complex investigations including drafting correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions; o Testify at administrative hearings as necessary; o Ensure full compliance with the Investigative Case Management Process. o Collaborate with other regulatory oversight agencies and law enforcement and conduct joint investigations as appropriate.
Job Function
Enjoy investigating reported allegations of suspected wrongdoing? Medicaid fraud and abuse affects all New Yorkers by depleting valuable public funds meant to provide healthcare to vulnerable citizens. Join OMIG investigators to fight fraudulent behavior through on-site field investigations and detailed reports. 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. Specific duties of the position include:
o Investigate allegations of Medicaid fraud, waste or abuse; o Conduct fieldwork, including surveillance and on-site inspections; o Conduct interviews of witnesses, review records and prepare summaries of findings relating to the alleged activities; o Utilize various data systems; analyze information; and draw appropriate conclusions; o Obtain sufficient information and documentation to support investigative findings; o Conduct complex investigations including drafting correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions; o Testify at administrative hearings as necessary; o Ensure full compliance with the Investigative Case Management Process. o Collaborate with other regulatory oversight agencies and law enforcement and conduct joint investigations as appropriate.
Salary Range:
From $60069 to $76387 Annually
Minimum Qualification
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-Qualifying Investigative Experience includes but may not be limited to:
Experience in routine police patrol work, security guard or related security position, tax collector, collector of delinquent accounts, credit checker, legal assistant/attorney, hotel or store detective, loss prevention officer, parole officer, correction officer, guard, inspector, or experience in adoption and/or foster care placement. Substitutions:
An associate degree in criminal justice or related field may substitute for two years of qualifying experience. A bachelor's degree in criminal justice or a related field may substitute for four years of qualifying experience. Related fields include law enforcement, police science, criminal justice administration, criminology, criminal investigation, police studies, public justice, forensic accounting, forensic psychology, forensic science, and economic crime management. Preferred
Qualifications:
Excellent verbal and written communication skills. Proficiency with Microsoft Office Suite Products and ability to learn new systems. Ability to analyze and apply data to investigations. Understanding of the services provided to Medicaid participants.Estimated Salary: $20 to $28 per hour based on qualifications.
o Investigate allegations of Medicaid fraud, waste or abuse; o Conduct fieldwork, including surveillance and on-site inspections; o Conduct interviews of witnesses, review records and prepare summaries of findings relating to the alleged activities; o Utilize various data systems; analyze information; and draw appropriate conclusions; o Obtain sufficient information and documentation to support investigative findings; o Conduct complex investigations including drafting correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions; o Testify at administrative hearings as necessary; o Ensure full compliance with the Investigative Case Management Process. o Collaborate with other regulatory oversight agencies and law enforcement and conduct joint investigations as appropriate.
Job Function
Enjoy investigating reported allegations of suspected wrongdoing? Medicaid fraud and abuse affects all New Yorkers by depleting valuable public funds meant to provide healthcare to vulnerable citizens. Join OMIG investigators to fight fraudulent behavior through on-site field investigations and detailed reports. 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. Specific duties of the position include:
o Investigate allegations of Medicaid fraud, waste or abuse; o Conduct fieldwork, including surveillance and on-site inspections; o Conduct interviews of witnesses, review records and prepare summaries of findings relating to the alleged activities; o Utilize various data systems; analyze information; and draw appropriate conclusions; o Obtain sufficient information and documentation to support investigative findings; o Conduct complex investigations including drafting correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions; o Testify at administrative hearings as necessary; o Ensure full compliance with the Investigative Case Management Process. o Collaborate with other regulatory oversight agencies and law enforcement and conduct joint investigations as appropriate.
Salary Range:
From $60069 to $76387 Annually
Minimum Qualification
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-Qualifying Investigative Experience includes but may not be limited to:
Experience in routine police patrol work, security guard or related security position, tax collector, collector of delinquent accounts, credit checker, legal assistant/attorney, hotel or store detective, loss prevention officer, parole officer, correction officer, guard, inspector, or experience in adoption and/or foster care placement. Substitutions:
An associate degree in criminal justice or related field may substitute for two years of qualifying experience. A bachelor's degree in criminal justice or a related field may substitute for four years of qualifying experience. Related fields include law enforcement, police science, criminal justice administration, criminology, criminal investigation, police studies, public justice, forensic accounting, forensic psychology, forensic science, and economic crime management. Preferred
Qualifications:
Excellent verbal and written communication skills. Proficiency with Microsoft Office Suite Products and ability to learn new systems. Ability to analyze and apply data to investigations. Understanding of the services provided to Medicaid participants.Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
