Auditor

### JOB-19506 Auditor - 25733Title/# of Positions/Unit: AuditorDepartmentDepartment of Health (DOH)Office: Office of Health Insurance Programs (OHIP)Division: Division of Operations and Systems (DOS)Location: 11 Corporate Woods Blvd, Ste 301 Albany, NY 12211Shift/Schedule: FTMission statement of OHIP:The overall mission of the Office of Health Insurance Programs is to optimize the health of Medicaid members by wisely using all available resources. OHIP is responsible for administering New Yorks Medicaid budget (approximately $65B for 2018) by collaborating with stakeholders across the health care industry including other state agencies, local and federal government agencies, providers, members, and community-based organizations. OHIP is also responsible for implementation of major initiatives including Medicaid Redesign, the Affordable Care Act, and State Administration of Medicaid.Division functions: The Division of Operations and Systems (DOS) is responsible for the oversight of information systems that support the New York State Department of Health initiatives as well as the New York State Medicaid Program.The initiatives include, but are not limited to, the NY State of Health (NYSOH) system, the Medicaid Eligibility and Client Management (MECM) system, the electronic Medicaid of New York State (eMedNY) system, the Medicaid Provider Services Portal (PSP), and the Medicaid Data Warehouse (MDW). The division's duties include oversight of the design, development, testing and implementation of the enhancements to these systems. Position Description: This is a full-time position with the NYS Medicaid Programs Bureau of Provider Enrollment (BPE). BPE staff are responsible for enrolling and revalidating providers in NYS Medicaid and maintaining provider records in eMedNY.This IncludesEnsuring that the application and required documentation are complete, current, and validNavigating various federal and State databases, including Medicares enrollment system (PECOS) and other states licensing verification websitesContacting providers via email or phone if information is incomplete or requires further clarificationEntering and updating provider information in eMedNYMeeting production and quality standardsAdditional Skill Level, Experience or Other Requirements:Strong computer skills, including proficiency in Microsoft Office, internet navigation, and data entryExcellent organizational skills, including the ability to prioritize work assignmentsAbility to be flexible, innovative and work independently with minimal supervision and as a team memberStrong communication skills (written and verbal)Previous experience in health care office, health insurance, and/or the public or non-profit sectors (Preferred)Previous data entry and data validation experience (Preferred)Previous customer service experience (Preferred)