Investigative Specialist 2 Medicaid

NY HELPS No

55-b/c Eligible No

Agency Medicaid Inspector General, NYS Office of the

Title Investigative Specialist 2 Medicaid

Occupational Category No Preference

Salary Grade 23

Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF)

Salary Range From $90582 to $114585 Annually

Employment Type Full-Time

Appointment Type Permanent

Internship No

Jurisdictional Class Non-competitive Class

Travel Percentage 20%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Westchester

Street Address 445 Hamilton Ave

City White Plains

State NY

Zip Code 10601

Duties Description 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 conduct and oversee investigations of providers alleged of committing fraud, waste, and abuse. The official workstation of this position will be in either the White Plains or Hauppauge Regional office, and the incumbent will have responsibility for supervising staff in both regional offices. The Investigative Specialist 2 Medicaid will report to an Investigative Specialist 4 Medicaid in the New York City office which may require travel to that office in addition to the regional office. Specific duties of the position include, but are not limited to: • Supervising investigative staff in the White Plains and Hauppauge regional offices and investigative operations primarily in the surrounding counties within the offices area of responsibility. Investigative responsibility may span beyond the region; statewide if necessary. • Evaluating complaints of Medicaid fraud, waste, and abuse and assigning complaints for investigation. • Conducting regular case reviews for all staff to ensure progress meets investigative metrics and appropriate actions are taken. • Working a personal caseload including complex investigations. • Drafting correspondence, reports, and notices for public issuance in connection with administrative actions seeking to recoup Medicaid overpayments and impose sanctions. • Maintaining working relationships with the Special Investigative Units within Managed Care Organizations to discuss fraud trends and matters referred to OMIG. • Testifying at administrative hearings as necessary.• Ensuring recoupment of overpayments and/or sanctions when appropriate.

Minimum Qualifications PREFERRED QUALIFICATIONS: Excellent verbal and written communication skills. Proficiency with Microsoft Office Suite with the ability to learn new data systems.MINIMUM QUALIFICATIONS:One year of permanent service as an Investigative Specialist 1OR Seven years of experience in conducting field investigations preliminary to administrative actions, civil litigation, or criminal prosecution. This experience must include conducting interviews of witnesses and others; taking written statements and affidavits; collecting and analyzing physical and documentary evidence; preparing detailed written reports of investigative findings; and testifying in court or at formal hearings. One year of experience must have been at a supervisory level. 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. 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.

Additional Comments Non-Competitive, permanent, full-time. There will be minimal mandatory overtime. New to state starting salary is $90,582 with a downstate adjustment of $4,150. The salary is NON-NEGOTIABLE. Routine travel is required throughout New York State to supervise staff and 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.NOTE: THIS POSITION WILL EITHER BE FILLED IN WHITE PLAINS OR HAUPPAUGE.Telecommuting will be at a minimum for the first six months.Please be aware that because of the nature of the position, an appointment is subject to satisfactory completion of fingerprinting and background checks. **It is essential that you describe your training, education, and experience as completely as possible. Ambiguity or vagueness will not be decided in your favor. NOTE: IN ORDER TO AWARD THE PROPER CREDIT FOR WORK EXPERIENCE, RESUMES MUST INCLUDE MONTH AND YEAR FOR START AND END DATES. IF ANY OF THIS EXPERIENCE IS LESS THAN FULL TIME YOU MUST INDICATE THE AVERAGE NUMBER OF HOURS WORKED PER WEEK.

Some positions may require additional credentials or a background check to verify your identity.

Name Jenn S.

Telephone

Fax

Email Address [email protected]

Address

Street 800 North Pearl St

2nd Floor

City Albany

State NY

Zip Code 12204

Notes on Applying NOTE: THIS POSITION WILL EITHER BE FILLED IN WHITE PLAINS OR HAUPPAUGE. Submit resume and writing sample to Jenn S., by email to [email protected] with a subject line of IS 2 White Plains, no later than October 16, 2026.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.OMIG does not participate in E-Verify and does not sponsor visa applications. 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 [email protected].