Pharmacy Consultant

Profile

Contact
Agency
Medicaid Inspector General, NYS Office of the
Title
Pharmacy Consultant
Occupational Category
Health Care, Human/Social Services
Salary Grade
25
Bargaining Unit
PS&T - Professional, Scientific, and Technical (PEF)
Salary Range
From $86432 to $108935 Annually
Employment Type
Full-Time
Appointment Type
Permanent
Jurisdictional Class
Competitive Class
Travel Percentage
0%
Workweek
Mon-Fri
Hours Per Week
37.5
Workday
From
8 AM
To
4 PM
Flextime allowed?
No
Mandatory overtime?
No
Compressed workweek allowed?
No
Telecommuting allowed?
No
County
Albany
Street Address
Office of the Medicaid Inspector General
800 North Pearl Street
City
Albany
State
NY
Zip Code
12204
Minimum Qualifications
Current New York State employee with one year permanent or contingent
permanent status as a Pharmacy Consultant, OR NYS employee with one year or more of
permanent or contingent-permanent service in a title eligible to transfer under Section
70.1 of the Civil Service Law. Outside candidates that have a current license and registration to practice pharmacy in New York State and two years of post-licensure experience as a pharmacist must apply to the exam announcement at ****and be reachable on the eligible list to be eligible for permanent appointment to the position.
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 and/or recipients and can refer for criminal prosecution.
The Pharmacy Consultant will function as a member of the State Medical Review Team (SMRT)
which is required by regulation to review individual Medicaid recipients to determine whether they
should be recommended for restriction. Individual recipients are targeted for review either through
a review of summary profile reports obtained by running exception criteria against Medicaid
paid claims data, or by receipt of referrals of individual recipients by outside sources. The
incumbent of this position will be responsible for preparing written narratives detailing a
summary of the pharmacological history of paid Medicaid claims related to expected and
accepted drug and supply use. The review will determine overuse or misuse of services
warranting the restriction of the recipient. In the process of conducting reviews,
information of interest to other areas of the OMIG, such as forged prescriptions,
inappropriate ordering by providers, and illegal or otherwise inappropriate actions by the
recipients will be referred within the office to increase the overall integrity of the Medicaid
program.
Additional Comments
Permanent; Full Time; Competitive. Travel across New York State is required. Percent of travel is minor. Current licensure and registration to practice pharmacy in New York State is necessary for continued employment as a Pharmacy Consultant. Action will be taken to remove you from your position if you fail to maintain licensure and registration.
Some positions may require additional credentials or a background check to verify your identity.
Name
Maureen Wilkins
Telephone
Fax
Email Address
****
Address
Street
Office of the Medicaid Inspector General
800 North Pearl Street
City
Albany
State
NY
Zip Code
12204

Company info

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