Source: New York State Jobs · Bespree is not the employer.
The Office of the Medicaid Inspector General (OMIG) is an independent entity created within the New York State Department of Health to promote and protect the integrity of the Medicaid program in New York State.
In furtherance of its mission, OMIG conducts and coordinates the investigation, detection, audit, and review of Medicaid providers and recipients to ensure program integrity.
OMIG works closely with external stakeholders, such as the federal Centers for Medicare and Medicaid Services (CMS), the Office of the Inspector General (OIG), the New York State Attorney General's Medicaid Fraud Control Unit (MFCU), the Bureau of Narcotic Enforcement (BNE), and other state agencies.
OMIG has the authority to pursue civil and administrative enforcement actions against any individual or entity that engages in fraud, abuse, illegal or inappropriate acts, or unacceptable practices.
Within the Office of Counsel, attorneys provide support to other agency divisions in the form of legal advice, review and analysis, and legal research of issues relating to Medicaid. Senior Attorneys assist and advise staff on issues relating to the application of Medicaid laws, rules and regulations and policies affecting OMIG’s activities, operations and/or overall mission, and legal matters that arise in litigation. Senior Attorneys may be assigned to handle litigation filed in both state and federal courts involving a variety of issues or subject areas such as estate matters and mortgage foreclosure actions related to Medicaid lien recoveries; temporary restraining orders and injunctions; healthcare compliance; healthcare fraud and restitution to the NY Medicaid Program; statistical sampling methods in Medicaid recoveries; and substantial evidence questions in final administrative determinations.
Additional duties may include: handling and processing FOIL requests on behalf of the agency, assisting in identifying providers who have filed for bankruptcy, reviewing vendor contracts as part of New York State’s procurement process, working with the Attorney General’s Office to file or enforce a judgment against a provider, negotiating and drafting answers, memoranda of law and other responsive documents, responding to discovery requests, obtaining and assisting in the preparation of affidavits and in the development of OMIG’s legal position and strategy towards the case.
Additionally, Senior Attorneys are responsible for representing the OMIG in administrative hearings involving the recoupment of money from, and/or the imposition of, a sanction against Medicaid providers. These duties include preparing the case for hearing, conducting witness preparation, performing direct and cross examination, preparing opening statements and post-hearing briefs, and reviewing and obtaining the necessary documents for use in the administrative hearing.
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). Positions may be filled at the Senior Attorney level or one within the Legal Traineeship appointment levels.
Appointments will be dependent upon qualifications of candidate selected.
Eligible for NY HELPS, Transfer under Section 70.4, or 55b/candidate must meet the open competitive minimum qualifications below:
**Salaries are non-negotiable.
*If appointed to Assistant Attorney 1 and you are not admitted to the NYS Bar within two years of appointment, your appointment will be terminated.
Applicants may be appointed to this position if currently reachable on the appropriate eligible list for this title OR meet the minimum qualifications listed.
There is no examination required for appointment to a NY HELPS position. At a future date, it is expected that NY HELPS employees will have their non-competitive employment status converted to competitive status, without having to take an exam. Employees will then be afforded with all the same rights and privileges of competitive class employees of New York State.
While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
55-bc Program: The Governor's Programs to Hire Individuals and Veterans with Disabilities consist of two specialized programs: the 55-b and the 55-c Program. This position may be designated55-b/c and is subject to verification of applicant eligibility. Candidates must meet the minimum qualifications for appointment at traineeship or Senior Attorney levels. For more information on the 55b/c Program, please visithttps://www.cs.ny.gov/rp55/.
New York State agencies, departments, and public authorities provide services across healthcare, engineering, administration, public safety, the trades, and other areas.
Source: New York State Jobs · Bespree is not the employer.
The Office of the Medicaid Inspector General (OMIG) is an independent entity created within the New York State Department of Health to promote and protect the integrity of the Medicaid program in New York State.
In furtherance of its mission, OMIG conducts and coordinates the investigation, detection, audit, and review of Medicaid providers and recipients to ensure program integrity.
OMIG works closely with external stakeholders, such as the federal Centers for Medicare and Medicaid Services (CMS), the Office of the Inspector General (OIG), the New York State Attorney General's Medicaid Fraud Control Unit (MFCU), the Bureau of Narcotic Enforcement (BNE), and other state agencies.
OMIG has the authority to pursue civil and administrative enforcement actions against any individual or entity that engages in fraud, abuse, illegal or inappropriate acts, or unacceptable practices.
Within the Office of Counsel, attorneys provide support to other agency divisions in the form of legal advice, review and analysis, and legal research of issues relating to Medicaid. Senior Attorneys assist and advise staff on issues relating to the application of Medicaid laws, rules and regulations and policies affecting OMIG’s activities, operations and/or overall mission, and legal matters that arise in litigation. Senior Attorneys may be assigned to handle litigation filed in both state and federal courts involving a variety of issues or subject areas such as estate matters and mortgage foreclosure actions related to Medicaid lien recoveries; temporary restraining orders and injunctions; healthcare compliance; healthcare fraud and restitution to the NY Medicaid Program; statistical sampling methods in Medicaid recoveries; and substantial evidence questions in final administrative determinations.
Additional duties may include: handling and processing FOIL requests on behalf of the agency, assisting in identifying providers who have filed for bankruptcy, reviewing vendor contracts as part of New York State’s procurement process, working with the Attorney General’s Office to file or enforce a judgment against a provider, negotiating and drafting answers, memoranda of law and other responsive documents, responding to discovery requests, obtaining and assisting in the preparation of affidavits and in the development of OMIG’s legal position and strategy towards the case.
Additionally, Senior Attorneys are responsible for representing the OMIG in administrative hearings involving the recoupment of money from, and/or the imposition of, a sanction against Medicaid providers. These duties include preparing the case for hearing, conducting witness preparation, performing direct and cross examination, preparing opening statements and post-hearing briefs, and reviewing and obtaining the necessary documents for use in the administrative hearing.
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). Positions may be filled at the Senior Attorney level or one within the Legal Traineeship appointment levels.
Appointments will be dependent upon qualifications of candidate selected.
Eligible for NY HELPS, Transfer under Section 70.4, or 55b/candidate must meet the open competitive minimum qualifications below:
**Salaries are non-negotiable.
*If appointed to Assistant Attorney 1 and you are not admitted to the NYS Bar within two years of appointment, your appointment will be terminated.
Applicants may be appointed to this position if currently reachable on the appropriate eligible list for this title OR meet the minimum qualifications listed.
There is no examination required for appointment to a NY HELPS position. At a future date, it is expected that NY HELPS employees will have their non-competitive employment status converted to competitive status, without having to take an exam. Employees will then be afforded with all the same rights and privileges of competitive class employees of New York State.
While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
55-bc Program: The Governor's Programs to Hire Individuals and Veterans with Disabilities consist of two specialized programs: the 55-b and the 55-c Program. This position may be designated55-b/c and is subject to verification of applicant eligibility. Candidates must meet the minimum qualifications for appointment at traineeship or Senior Attorney levels. For more information on the 55b/c Program, please visithttps://www.cs.ny.gov/rp55/.
New York State agencies, departments, and public authorities provide services across healthcare, engineering, administration, public safety, the trades, and other areas.