Investigation Administrator Jobs (NOW HIRING)

Duties Description Under the general direction of the Health Care Surveyor 4 in the Case Resolution Unit in Central Office, this position is responsible for coordinating and supporting the administrative investigative functions of the Central Office, Case Resolution Unit, which include but not limited to:
1. Supervision of administrative support staff.
2. Prepare requests for medical records including identifying correct template letter, identifying complete patient information, identifying appropriate treatment dates, identifying correct facilities or practice locations, and including appropriate enclosures. Reviewing drafted correspondence from other unit staff to ensure correct template letter and complete information are contained prior to dispatching of mail.
3. Prepare Quality Assurance requests including identifying the correct subject information, identifying the appropriate time period and including the appropriate enclosures.
4. Preparing complainant contact letters within required time frames.
5. Prepare subpoena including the appropriate subject information, outline of investigative material and correct assigned case investigator. Pull and scan all appropriate files, as identified in documentation and complete certification process with Director of Investigations or their delegate.
6. Track all requests and follow up within statutory timeframes including ensuring appropriate certified mail documentation meets the due process timelines and place documentation in electronic and physical investigative files.
7. Coordinate, prepare, and execute scheduling of meetings, agendas, meeting minutes, and memos.
8. Prepare response letters for executive correspondence, communication with other agencies, or other external parties.
9. Complete and submit confidential data requests as assigned, including tracking and following up to ensure receipt of all data elements.
10. Update investigative requests and/or any corresponding memoranda or information in the investigative management electronic system.
11. Coordinate the provision of medical records and documentation for investigative staff and clinical reviewers in the investigative process in accordance with OPMC policies and procedures.
12. Coordinate the provision of medical records and documentation to Medical Expert consultants in the investigative process utilizing HCS SFT or encrypted USB Flash Drives and follow up within required timeframes to ensure secure receipt.
13. Schedule investigative meetings both in person and remotely.
14. Manage incoming investigative telephone calls, oversee all certified mail and tracking, oversee the tracking and distribution of all investigative mail, complete the scanning and processing of investigative documentation, and maintaining the OPMC calendars.
15. Create and manage all tracking logs.
16. Make required investigative updates on OPMC SharePoint
Minimum Qualifications Permanent Transfer Candidates:
Current NYS Department of Health employee with one year of permanent or contingent-permanent, competitive, service as a Health Program Administrator, SG18 OR current NYS employee with one year of permanent or contingent-permanent service in a position eligible to transfer under Section 52.6, Section 70.1, or Section 70.4 of the NYS Civil Service Law to Health Program Administrator Trainee 1, NS, Health Program Administrator Trainee 2, NS, or Health Program Administrator, SG18.
Non-Competitive Candidates via NY HELPS:
Health Program Administrator Trainee 1, NS: Four years of experience in the administration, supervision, and oversight of programs including but not limited to the design, implementation, administration, management, operation, and assessment of program effectiveness; OR an associate's degree and two years of experience OR, a bachelor's, master's, or doctoral degree.
Health Program Administrator Trainee 2, NS: Five years of experience in the administration, supervision, and oversight of programs including but not limited to the design, implementation, administration, management, operation, and assessment of program effectiveness; OR, an associate's degree and three years of experience; OR a bachelor's degree and one year of experience; OR a master's, or doctoral degree.
Health Program Administrator, SG18: Six years of experience in the administration, supervision, and oversight of programs including but not limited to the design, implementation, administration, management, operation, and assessment of program effectiveness; OR, an associate's degree and four years of experience; OR a bachelor's degree and two years of experience; OR a master's and one year of experience; OR a doctoral degree.
Preferred Qualifications: Strong analytical skills, strong written and verbal communication skills
Strong computer skills to conduct internet searches and utilize multiple databases as well as Microsoft Office Suite.
Strong organizational skills with special attention to detail
Ability to interpret communication from the public and others
Strong customer service skills
Additional Comments When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate's favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.
This position is part of the NYS HELPS program. No examination is required.
This position may require travel throughout New York State including overnights to areas not served by public transportation.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
• Holiday & Paid Time Off
• Public Service Loan Forgiveness (PSLF)
• Pension from New York State Employees' Retirement System
• Shift & Geographic pay differentials
• Affordable Health Care options
• Family dental and vision benefits at no additional cost
• NYS Deferred Compensation plan
• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
• And many more...
The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health's Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.Reasonable.Accommodation@health.ny.gov to make a request.
The NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate of the position (beginning of the salary range). Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations, and negotiated union contracts.
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group, SM/HPA/59676
Telephone 518-486-1812
Fax 518-473-3395
Email Address resume@health.ny.gov
Address
Street Corning Tower, Empire State Plaza, Room 2217
City Albany
State NY
Zip Code 12237
Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference SM/HPA/59676 included in the subject line or by mail to Human Resources Management Group,SM/HPA/59676 , Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.