Health Care Surveyor 2

Open to the public.

Agency Office of the Medicaid Inspector General (an independent entity within the New York State Department of Health)
Title Health Care Surveyor 2
Salary $47,556, to $58,849
Salary Grade SG-19
Negotiating Unit Professional, Scientific & Technical / 05
Location Bureau of Investigations and Enforcement
Office of the Medicaid Inspector General, 800 N. Pearl Street, Albany
Minimum Qualifications Current Department of Health employee with permanent or contingent-permanent status as a Health Care Surveyor 2 OR current Department of Health or other NYS employee with one year of permanent or contingent-permanent service in a G-17 title or higher deemed eligible for transfer to Health Care Surveyor 2 under Section 70.1 of the Civil Service Law.
Preferred Qualifications Bachelor's degree in Nursing. Ten years clinical nursing experience with at least four years experience in medical/surgical nursing. Quality assurance and utilization review experience. Experience analyzing medical data to identify patterns or questionable practices. Experience with Medicaid policy, guidelines, rules and regulations. Experience with or willingness to learn Microsoft Word, Lotus Notes and Department of Health Computer systems (EMedNY, Data Warehouse, DataMart, etc), and strong oral and written communication skills.
Responsibilities Health Care Surveyor 2 G-19 will be responsible for provider reviews of all provider types enrolled in Medicaid. They will function as a member of a multidisciplinary team reviewing claims for duplicative, excessive or contraindicated care or services. They will also review claims data to identify quality of care issues or fraudulent billing.
Conditions of Employment Full time, contingent-permanent
Application Procedure Submit resume to Lori Reid, Office of the Medicaid Inspector General, Riverview Center, 150 Broadway, Room 332, Albany, NY 12204, or by e-mail to llf03@omig.state.ny.us, or by fax to (518) 408-5005. Please use a subject line of Health Care Surveyor 2.
Submit resumes by until filled

An affirmative action/equal opportunity employer. Women, minorities and people with disabilities are encouraged to apply.

Item # 99214
Issued February 15, 2008