Developmental Disabilities Program Specialist 1 (Medicaid Compliance Liaison) Position Available In Kings, New York

Basics Schedule Location Job Specifics How to Apply Indicates whether if this vacancy posting is part of the

NY HELPS

Program. NY HELP No The agency in which the vacancy exists. Agency People With Developmental Disabilities, Office for The job title for the vacancy. Title Developmental Disabilities Program Specialist 1 (Medicaid Compliance Liaison) The job title for the vacancy. Occupational Category Health Care, Human/Social Services The salary grade for this vacancy. Salaries are determined by salary grade and bargaining unit. Salary Grade 21 The collective bargaining unit to which this vacancy is assigned. Bargaining Unit PS&T – Professional, Scientific, and Technical (PEF) The minimum and maximum of the salary range for this vacancy. Salary Range From $78126 to $99056 Annually Indicates whether this job is full-time or part-time. If the job is part-time, an estimated percentage will be provided. Employment Type Full-Time This indicates the type of job, typically permanent, temporary, or provisional. ‘Provisional’ means that the appointment will be temporary until the incumbent takes and passes an appropriate civil service examination. Appointment Type Permanent Jurisdictional class is the indicator for how this job can be filled. The classified service is governed by the Civil Service Commission, and consists of competitive, non-competitive, exempt, and labor classes. ‘Competitive class’ indicates that the applicant must take and pass an appropriate civil service examination. ‘Non-competitive class’ indicates that the applicant’s qualifications will be evaluated without a civil service examination. ‘Exempt class’ indicates that the applicant will be evaluated by methods other than competitive or non-competitive, and that incumbents will not be granted tenure. ‘Labor class’ requires that applicants possess skills or other physical characteristics that cannot effectively be evaluated by other means. The unclassified service is legislatively defined, and includes such positions as elected officials, department and agency heads, and all academic personnel in public schools, colleges, and universities. Jurisdictional Class Competitive Class Estimates the percentage of time incumbents of this vacancy will be required to travel. Travel Percentage 0% This provides information on the expected workweek. Workweek Mon-Fri The number of hours in the workweek, typically 37.5 or 40 for full time, or any other number for part time. Hours Per Week 40 Workday The start time for this vacancy. If the agency employs flextime, this will be the earliest time this vacancy’s shift can start. From 9 AM The end time for this vacancy. If the agency employs flextime, this will be the latest time this vacancy’s shift can end. To 5:30 PM If checked, the agency allows flextime. Flextime allowed? No If checked, this vacancy includes mandatory overtime. Mandatory overtime? No If checked, this agency allows compressed workweek scheduling. Compressed workweek allowed? No If checked, this agency allows telecommuting for this position. Telecommuting allowed? No The county in which the vacancy is located. County Kings The street address where the vacancy is located. Street Address Brooklyn

DDSO 750

Vandalia Ave The city where the vacancy is located. City Brooklyn The state where the vacancy is located (the default is New York). State NY The zip code where the vacancy is located. Zip Code 11239 The duties that the incumbent of the vacancy will be expected to perform. Duties Description The Office for People with Developmental Disabilities (OPWDD) provides high-quality, person-centered services, supports and advocacy to approximately 130,000+ individuals with developmental disabilities in New York State. We are guided in our interactions with the people we serve and each other by compassion, dignity, diversity, excellence and honesty. As a condition of Medicaid participation, certain laws require OPWDD as a provider (state operations) to adopt and implement an effective compliance program to identify areas of Medicaid fraud, waste, and abuse to assist with the integrity of the Medicaid program. The OPWDD State Operations Offices have a responsibility to ensure overall fiscal compliance within their regions which includes ensuring that there is compliant supporting documentation with service provision for claims billed to Medicaid. The DDPS1 (DDSO Medicaid Liaison) will report to the SOO Director, Director of Quality Management and Team Leader for Quality Management, and will act as point person with the DDSO Management, and various Central Office Units including Medicaid Compliance. The incumbents will be responsible for ensuring quality and compliance by performing professional, administrative, training, and analytical duties related to the district’s fiscal compliance monitoring and training function to assist with the integrity of the Medicaid program and to mitigate agency revenue losses on claims billed to Medicaid.

Responsibilities include:

• Analyze claims and corresponding service documentation for billing compliance based on claim samples provided by the Office of Audit Services quarterly.
• Record results of claim reviews and analyze corresponding quarterly reports of deficiencies; transmit reports to SOO Director and Central Office.
• Complete quarterly trend reporting for the district (

IE:

financial issues, repeating system issues, staff issues, etc.)

• Participate in statewide meetings and individual meetings with Central Office staff.
• Communicate with your SOO Director and DDSO staff on issues within your district, such as potential or actual self-disclosures; billing and claiming monitoring and other compliance activities, and submit self-disclosure reporting forms, as necessary.
• Conduct training (train-the-trainer) on issues related to fiscal compliance in your district.
• Identify physical locations and additional training needs where staff and review trends demonstrate the need for improved internal controls and corrective actions.
• Assist in development of policies and procedures, surveys, or reports or forms for your DDSO, as needed.
• Travel to geographic areas within your district; may involve occasional travel to Central Office.
• Work closely with your district staff and your SOO Director on identifying physical locations and staff where systemic trends of deficient claims indicate additional training needs, instituting and facilitating training and improved internal controls.
• Developing, monitoring, recording, or facilitating, corrective action plans on issues related to billing compliance.
• Generally, act as the DDSO liaison/point person for your DDSO and the various Central Office Units including but not limited to Central Operations, Medicaid Compliance, Office of Audit Services (Bureau of Compliance Management & Bureau of Internal Audit or External Audit on billing and claiming issues, on internal or outside agency audits, and on general allegations of Medicaid fraud, waste, & abuse.

• Participate in any future Electronic Health Record (EHR) activities as needed, to enhance understanding of the way OPWDD will propose to utilize an electronic health record and care coordination system within State Operations.

LinkedIn:

https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-JJ1 The minimum qualifications required for this vacancy. Minimum Qualifications Must currently be a permanent Developmental Disabilities Program Specialist 1 and interested in transfer. OR Must be active and reachable on the Civil Service eligible list for Developmental Disabilities Program Specialist 1. OR One year of permanent competitive or 55 b/c service in a salary grade 19 or higher and eligible for 70.1 transfer as determined by the Department of Civil Service. Additional comments regarding the vacancy. Additional Comments

• If you are currently a New York State employee serving in a permanent competitive qualifying title and eligible for a transfer via Section 70.1 or 52.6 of the Civil Service Law, you may be appointed to this title as a permanent competitive employee.
• The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies.
• Preference will be given to OPWDD employees impacted by closures. If you are being impacted by closure, please indicate this on your resume.
• All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.
• If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF).

The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a qualifying repayment plan while working full-time for a qualifying employer. For more information on PSLF, please visit www.studentAid.gov/publicservice.

• Employees on long term leave can bid on positions but must be able to report to work within fourteen (14) days and be able to perform the essential functions of their positions with or without reasonable accommodation (RA).

If an employee or job applicant believes that they need a reasonable accommodation, they should contact the Reasonable Accommodation Unit at (518) 486-7222 or email accommodationrequests@opwdd.ny.gov to obtain information and RA forms.

• Savings programs such as the U.S. Savings Bond and the College Savings Plan.
• Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered health care expenses or dependent care expenses.
• Access to the Employee Assistance Program (EAP) an assessment and referral service that connects employees with local service providers and support services to address their personal needs.
• Life insurance and Disability insurance.
• The New York State Deferred Compensation Plan is a voluntary retirement plan that offers employees the option to invest a part of their salaries for retirement on a tax-deferred basis.

Paid Holidays and Leave:

° Thirteen (13) paid holidays each year. ° Thirteen (13) days of paid vacation leave initially. ° Five (5) days paid personal leave each year. ° Thirteen (13) days of paid sick leave each year (PEF/CSEA), which may carry over from year to year. ° Up to three (3) days professional leave each year to participate in professional development events.

Health Care Coverage:

Employees and their eligible dependents can choose from a variety of affordable health insurance programs. Employees are provided family dental and vision plans at no extra cost.

Paid Parental Leave:

Paid Parental Leave allows eligible employees to take up to 12 weeks of paid leave at full pay for each qualifying event. A qualifying event is defined as the birth of a child or placement of a child for adoption or foster care.

Retirement Program:

Participate in The NYS Employees’ Retirement System (ERS), which is recognized as one of the best-managed and best-funded public retirement systems in the nation.

Professional Development and Education and Training:

NYS offers training programs and tuition assistance to eligible employees to maintain and increase their professional skills and prepare them for promotional opportunities. For more information, please visit https://oer.ny.gov/training-and-professional-development.

• Additionally, the Public Service Workshops Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated employees that may grant continuing education credits towards maintaining professional licensure. For more information, please visit https://oer.ny.gov/public-service-workshops-program-pswp.
• OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion.

We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large workforce, we rely on the collective individual differences, life experiences, knowledge, self-expression, ideas and talent that our employees bring to their work. This speaks to our culture and is a key part of our successes. As we continuously recruit people for our team, we welcome the unique contributions that applicants bring in terms of their 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. Some positions may require additional credentials or a background check to verify your identity. The name of the contact person for this vacancy. Name Brooklyn DDSO Human Resources Office The telephone number to use for questions about this vacancy. Telephone 718-642-6310 The fax to use for this vacancy. Fax 718-264-3344 Email address for emailing applications, or to ask questions about this vacancy. Email Address Brooklyn.

Careers@opwdd.ny.gov Address The street address of the contact for this vacancy. Street Brooklyn

DDSO 750

Vandalia Ave The city for the contact for this vacancy. City Brooklyn The state of the contact for this vacancy (the default is New York). State NY The zip code for the contact for this vacancy. Zip Code 11239 Instructions for potential applicants. Notes on Applying Please email your resume to Brooklyn.careers@opwdd.ny.gov. Reference vacancy ID in your email.