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Job Description Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success - Analyze complex personal and business financial records for purposes to include identifying payments and kickbacks, tracing money flows, identifying assets, identifying sources and uses of cash, and quantifying damages. - Analyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts receivable and accounts payable, aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules. - Identify, quantify, and understand related party transactions. - Analyze healthcare claims and other data. - Create financial damage models for use in litigation. - Conduct asset valuation. - Conduct records reconstruction. - Develop computerized models to assist in the presentation of financial evidence. - Report on financial data and evidence. - Communicate findings to attorneys and investigators. - Review defense presentations, expert reports, and arguments. - Work with independent experts. - Prepare expert reports for litigation. - Participate in negotiations as requested. - Testify as required. - Perform training and give presentations on data analysis tools and experience. Qualifications - Minimum of 5 years of experience in forensic financial accounting, litigation consulting, and/or health care fraud analysis required. - The resume must demonstrate experience that illustrates a clear understanding of the rules of evidence and civil procedures, the admissibility and inadmissibility of evidence, the elements of the violation(s) under investigation, and other applicable policies required to support criminal and civil investigations. Ideally, you will also have - Experience preparing expert reports and other trial preparation preferred. CPA preferred. - Certified Fraud Examiner preferred. Our Commitment Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. - Health, Dental, and Vision - Life Insurance - 401k - Flexible Spending Account (Health, Dependent Care, and Commuter) - Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of meaningful government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit https://www.cgsfederal.com or contact: Email: info@cgsfederal.com #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Schedule: Full Time Sunday – Thursday, or Tuesday – Friday; flexible hours Salary: $16 - $17.50 per hour - based on experience Benefits: Generous PTO Paid Holidays and Floating Holidays Aetna Health Insurance, including medical, dental, and vision Child Care Reimbursement Compassionate PTO Donation Program – to support a team member Flexible Scheduling Employer Paid Life Insurance Employee Assistance Program PTO Cash Out Program Retirement Plan – 401(k) with company match We are currently seeking an energetic and dedicated Activities Assistant. Activities Assistant Responsibilities include: This role leads assigned programs that are of interest and meaning to our residents to enhance their lives and exceed their active aging lifestyle expectations. Basic knowledge of Alzheimer's Disease and related Dementia’s required. Experience in and knowledge of senior living, including Assisted Living, Memory care, and Enhanced Assisted Living preferred. Leads assigned activity programs. Offers adequate and diversified recreational activities to residents with sufficient supervision for each activity. Develops programs for residents including, if applicable, programs designed for residents confined to their rooms. Engages and motivates residents resulting in program participation. Informs residents of upcoming activities and maintains a current schedule of events on the bulletin board. Greets new residents making a special effort to include and engage them in activities and introduce them to others in the community with similar interests and backgrounds. Assists in planning parties and activities as well as decorating the community according to the season and/or holiday throughout the year, as well as planning monthly birthday parties to honor residents. Activities Assistant Education & Experience: High School Diploma or General Education Degree (GED) required Minimum three (3) years’ experience working with adult recreation Employee Appreciation: Peregrine Proud: Public acknowledgement of exceptional employee performance Monthly All Staff Gift Card Drawings Periodic All Staff Appreciation Community Events Annual Longevity Rewards: Anniversary Bonus & Celebration Company Overview: Peregrine Senior Living is known for their innovative leadership in revolutionizing care for the elderly. Joining Peregrine means working for a leader in memory care-based programs, one that has set current standards and will likely define them in the future. Come join our team and help us revolutionize exceptional care for the senior population in the greater Albany, New York region. Peregrine Senior Living at Guilderland located in Slingerlands, NY is a leading provider of senior assisted living and memory care and is committed to providing its residents with exceptional care and supervision. COVID-19 considerations: Strict adherence to NYS DOH guidelines & CDC standards. Peregrine Senior Living is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Peregrine Senior Living makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Job Description The Teresian House is currently hiring a Social Worker. This opportunity is a Full Time Day position! Thank you for considering Teresian House in your choice for employment! Do you want to join a team committed to enhancing the lives of our residents by providing optimal service in a homelike atmosphere? We invite you to join our team and reap the benefits in becoming part of the Teresian House family: • Great pay rate with excellent benefits, • Generous paid time off with cash-out options, • Cost-shared health, dental, and optical insurance with a significant employer paid share, • Opportunity for career pathways, • Retirement plan with employer match, • Fully employer paid group term life insurance, • Tuition assistance and scholarships! Qualified candidates for a Social Worker position will have: • Bachelor's or Master's Degree in Social Work and nursing home social work experience preferred., • MDS experience preferred., • Experience with residents who have memory impairment preferred., • Excellent communication and organizational skills required., • Knowledge of concerns and challenges specific to the geriatric population., • Ability to engage families in the care planning process and assist them in developing skills for coping with the unique challenges associated with the aging of a loved one., • Must be willing to work every sixth weekend. Our mission is evident in the daily interactions our staff have with residents and their families. At Teresian House, we are truly "Where the spirit of love and dedication lives..."

Job Description Director of Billing (IN HOUSE POSITION) Certified Home Health Agency (CHHA) – New York State Position Summary The Director of Billing is responsible for the overall management, accuracy, compliance, and performance of the CHHA billing and revenue cycle functions. This role ensures timely and accurate billing, reimbursement optimization, regulatory compliance with NYSDOH and CMS requirements, and effective coordination with intake, clinical, authorization, and finance departments. The Director of Billing plays a critical role in maintaining agency financial stability while supporting compliant patient care delivery. Reporting Relationship Reports directly to the Chief Financial Officer (CFO), Administrator, or Executive Director, as designated. Supervisory Responsibilities • Directly supervises billing staff, medical records staff, and authorization personnel (as applicable), • Oversees training, performance management, and workflow efficiency within the billing department Essential Duties and Responsibilities Billing & Revenue Cycle Oversight • Oversees all billing functions for CHHA services, including Medicare, Medicaid, Managed Care, Medicare Advantage, and commercial payers, • Ensures accurate and timely submission of claims in compliance with NYSDOH, CMS, and payer-specific requirements, • Monitors billing timeliness, denial rates, payment variances, and aging accounts receivable, • Works collaboratively with finance to reconcile revenue, cash posting, and payer remittances Regulatory & Compliance Responsibilities • Ensures compliance with:, • NYSDOH CHHA regulations, • CMS Medicare Conditions of Participation, • Medicaid billing and managed care requirements, • Maintains readiness for NYSDOH and CMS audits and surveys, • Ensures billing practices align with:, • OASIS completion, • Physician orders, • Plan of Care certification and recertification, • Visit documentation standards, • Participates in corrective action plans related to billing, documentation, or compliance findings Interdepartmental Coordination • Works closely with:, • Intake and Authorization teams to ensure services are authorized and billable, • Clinical leadership to resolve documentation or order deficiencies, • Quality Assurance to address audit findings and improve compliance, • Identifies system or process gaps that impact billing accuracy or timeliness and implements solutions Data, Reporting & Performance Monitoring • Develops and reviews billing and revenue reports, including:, • Denials and rejections, • Authorization issues, • Days in A/R, • Missed or delayed billing opportunities, • Provides regular performance reports to executive leadership, • Uses data to identify trends, risks, and opportunities for improvement Staff Leadership & Development • Ensures billing staff are trained and competent in current billing rules and payer requirements, • Establishes clear workflows, accountability, and productivity expectations, • Supports ongoing education related to regulatory changes and payer updates Qualifications Education • Bachelor’s degree in healthcare administration, business, finance, or related field preferred, • Equivalent experience in CHHA billing may be considered Experience • Minimum 5 years of healthcare billing experience, with at least 3 years in home health (CHHA) billing, • Demonstrated experience with:, • Medicare home health billing, • Medicaid and Managed Care billing in NYS, • CHHA documentation and regulatory requirements, • Prior supervisory or management experience required Knowledge & Skills • Strong working knowledge of:, • NYSDOH CHHA regulations, • CMS Medicare billing requirements, • OASIS and Plan of Care requirements, • Proficiency with home health billing systems (e.g., HCHB or similar), • Excellent analytical, organizational, and problem-solving skills, • Strong communication and leadership abilities, • Ability to work collaboratively across departments Physical & Work Requirements • Primarily office-based with prolonged periods of computer use, • Ability to attend meetings and audits as required Performance Expectations • Accurate and timely billing, • Reduced denial rates and improved cash flow, • Audit readiness at all times, • Effective collaboration with clinical, intake, and finance teams Compliance with all NYSDOH and CMS requirements

Job Description Customer Service Representative At Public Partnerships LLC (PPL), you’ll support New Yorkers with disabilities and chronic health conditions as they manage their care and stay independent at home. You’ll be the friendly, knowledgeable voice people rely on, and we’ll support you with strong benefits, growth opportunities, and a clear path forward! • Location: Onsite – Latham, NY, 12110, • $22/hour + up to 10% performance bonus, • Language Skills Desired: We value a diverse, multilingual workforce and encourage candidates who speak any language to apply. This position offers a $1.50/hour bilingual premium., • $500 retention bonus at 6 months based on performance, • Hybrid opportunity after 6 months (2–3 days/week) based on performance, • Medical, dental & vision starting Day 1, • 401(k) retirement plan, • Generous paid time off, • Employee Assistance Program, • Part-time Role Also Available 10-2 Schedule Snapshot Training (First 4 Weeks) • Monday–Friday, 8:00 AM–5:00 PM, • Onsite in Latham, NY, • Includes two weeks of formal training and two weeks of job shadowing, • Full attendance required After Training (First 6 Months) • Tuesday–Saturday, 8:00 AM–5:00 PM, • Onsite in Latham, NY After your first 6 Months • Availability Requirement: Employees MUST be available to work any assigned 8-hour shift within our operating hours of Monday–Saturday, 8:00 AM–8:00 PM. Through the shift bidding process, you'll be scheduled for a consistent 8-hour shift within this window—not the full 12-hour span. Based on performance, employees become eligible for: • Shift bidding opportunities, • Hybrid work (2–3 remote days per week), • Additional schedule options Language Skills Desired: We value a diverse, multilingual workforce and encourage candidates who speak any language to apply. This position offers a $1.50/hour bilingual premium. What You’ll Do • Deliver exceptional customer service by handling high-volume inbound and outbound calls with professionalism, empathy, and efficiency, • Communicate clearly and effectively with diverse populations, including individuals with disabilities, ensuring a supportive and inclusive experience, • Accurately document all customer interactions, inquiries, and resolutions to meet audit and compliance standards, • Manage administrative tasks such as support tickets, email, and mail routing while maintaining strong attention to detail, • Develop and maintain in-depth knowledge of program rules, policies, and internal systems to resolve customer inquiries confidently, • Apply strong problem-solving and troubleshooting skills to address customer concerns and deliver timely resolutions, • Thrive in a fast-paced environment by effectively prioritizing tasks, managing time, and maintaining high-quality work standards About PPL Public Partnerships LLC (PPL) supports people who use long-term care services to self-direct their care. As the Statewide Fiscal Intermediary for New York’s CDPAP program, PPL helps ensure individuals can live independently with the support they need. Learn more: https://pplfirst.com/cdpap The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified Public Partnerships is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! \nCompany Description We're committed to bringing passion and customer focus to the business. Public Partnerships LLC. supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services. Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com). We're committed to bringing passion and customer focus to the business.\r\n\r\nPublic Partnerships LLC. supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services. \r\n\r\n\r\nOur culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com).

Seeking to fill (1) administrative assistant position to support the Center for Aging & Long-Term Care Policy and Finance Initiatives. The administrative assistant will provide office and administrative support to the Center and will work closely with the Director and Deputy Director of the Center. Responsibilities include: • managing staff calendars on a day-to-day basis,, • providing administrative support to format and prepare reports and presentation materials,, • establishing and maintaining electronic and hard copy files, logs, and tracking systems,, • arranging travel arrangements and preparing related paperwork,, • scheduling in-person and virtual meetings and conference calls,, • compiling, prioritizing and distributing mail,, • maintaining inventory of and ordering supplies as needed,, • answering and routing phone calls to appropriate parties,, • other assignments and projects as assigned Minimum qualifications: • a high school diploma (or equivalent),, • two-year minimum experience working in a professional office setting,, • proficiency with Microsoft Office applications, particularly Outlook, Word, Excel, Teams, and shared calendars, and virtual meeting applications including WebEx and Zoom, • experience supporting day-to-day office operations, including supplies, equipment, correspondence, document management, and general administrative needs, • the ability to enter data into, and extract data from, electronic databases,, • the ability to work independently and on a team with different personalities,, • the ability to handle multiple, shifting priorities,, • good organizational skills, including an ability to organize information into reports, • ability to prioritize multiple assignments, • strong written and verbal communication skills Preferred qualifications: • previous experience working for the New York State Department of Health Salary commensurate with scope of work job experience Perform other reasonably related duties as required. New Wave People is an Equal Opportunity Employer (EEO).

Office of Aging & Long-Term Care Location: Albany, NY Schedule: Hybrid (50% Onsite / 50% Remote) Salary Range: $85,000 - $93,600 The Office of Aging & Long-Term Care is seeking a Medicaid Program Manager to support the Center for Home and Community Based Services in its mission to rebalance New York State's long-term care system from institutional care to home and community-based services. This position plays a critical role in supporting the Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI) Medicaid Waiver Programs. The successful candidate will help ensure compliance with Centers for Medicare & Medicaid Services (CMS) requirements while overseeing participant complaint resolution, quality assurance initiatives, and stakeholder engagement efforts that enhance service delivery and participant outcomes. • Oversee and manage quality assurance activities for the NHTD and TBI Waiver Programs., • Lead the waiver participant complaint process, ensuring timely investigation and resolution of concerns., • Serve as the primary point of contact for waiver participant cases., • Investigate participant complaints, critical incidents, abuse, neglect, and participant harm allegations., • Collaborate with Regional Resource Development Centers (RRDCs), Service Coordinators, and provider agencies to address and resolve participant concerns., • Ensure waiver program compliance with federal CMS standards and regulations., • Interact with CMS staff and external stakeholders regarding waiver operations and regulatory requirements., • Monitor program performance and identify opportunities for continuous quality improvement., • Provide technical assistance and guidance to RRDCs, program service agencies, and internal Department of Health teams., • Interpret and clarify waiver policies, procedures, and program manuals., • Identify opportunities for stakeholder education and participant engagement., • Serve as a liaison across Department of Health bureaus to support coordinated program operations., • Conduct periodic reviews of waiver service quality and participant outcomes., • Develop reports, recommendations, and program analyses for leadership., • Identify operational efficiencies and process improvement opportunities., • Facilitate meetings and present findings to internal and external stakeholders., • Bachelor's degree and equivalent professional experience, or a combination of education and experience., • 10+ years of professional experience in healthcare administration, Medicaid programs, human services, long-term care, public health, or a related field., • 5+ years of subject matter expertise in Medicaid, waiver programs, managed care, healthcare compliance, or related program operations., • Demonstrated supervisory or team leadership experience., • Experience managing complex investigations, case reviews, compliance activities, or quality assurance initiatives., • Experience with Home and Community-Based Services (HCBS), Medicaid Waiver Programs, NHTD, TBI, or long-term services and supports (LTSS)., • Knowledge of CMS regulations and Medicaid program requirements., • Strong written and verbal communication skills., • Excellent organizational, analytical, and problem-solving abilities., • Experience facilitating meetings and collaborating with diverse stakeholder groups., • Advanced proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint., • Ability to prepare detailed reports, executive summaries, and presentations for leadership. SSO offers a competitive benefits package that supports your health, financial well-being, and long-term growth, including: • Medical, dental, and vision insurance, • 401(k) with discretionary employer match, • Paid time off and holidays, • Flexible spending accounts, • Additional employee perks Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role. Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

The incumbent will work directly with regional and central office staff responsible for quality assurance and improvement of Hospice and Palliative Care, taking steps to ensure guidelines are met and model practices communicated. Job Title: Registered Nurse - Hospice. The Office of Aging and Long-Te

Our objective is to assist our clients in managing and navigating challenges. Minimum of 3-5 years' experience with the aging/ chronically ill /Individuals with disabilities population.

Job Description Based in Albany, NY, working at the direction of the New York State Department of Health (NYSDOH), Office of Aging and Long-Term Care, this individual will conduct surveillance and investigation activities related to Intermediate Care Facilities for Intermediate Care facilities for Individuals with Intellectual Disabilities (ICF/IDD). Duties include but are not limited to participating in surveys or complaint investigations, document finding, draft Statement of Deficiencies (SOD) within specified timeframes, testifying in administrative hearing ad needed. $3,000 Sign-on Bonus * Travel Incentive to be paid bi-weekly Non-travel days are based in the NYSDOH Albany office or telecommuting, if approved. QUALIFICATIONS: • Strong interpersonal skills with the ability to communicate professionally with colleagues, supervisors, providers, medical and administrative personnel and residents/patients., • Excellent communication (verbal & written) skills., • Ability to work independently with minimal supervision., • Ability to relate effectively to clinical and administrative personnel and patients., • Computer proficiency with the ability to learn and understand new review programs and monitoring tools., • Able to travel to on-site facility within New York State, required., • Must have a valid driver's license & the ability to travel to on-site facilities review assignments. EDUCATION & EXPERIENCE: • Registered Professional Nurse (RN). Currently licensed and registered in New York State, required. Bachelor’s degree, in any health care related field. One (1) year clinical experience with individuals with intellectual disabilities or in developmental disability facilities and deemed QIDP (Qualified Intellectual Disability Professional and ability to meets the federal requirements for attaining QIDP Certification with six (6) months of hire date., • OR – Master’s degree in Social Work (MSW) OR Master’s degree in any other health care related field, required. One (1) years of clinical experience with individuals with intellectual disabilities or in developmental disability facilities and deemed QIDP (Qualified Intellectual Disability Professional and ability to meets the federal requirements for attaining QIDP Certification with six (6) months of hire date. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $40.38 - $43.46. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status or any other category protected under applicable law.

Job Description In this Supervisor role you will assist IPRO’s Senior Director and the New York State Department of Health (NYSDOH), Office of Aging and Long-Term Care, Long Term care, with oversight of surveillance and investigation activities related to nursing homes (long term care). These activities are mandated to evaluate facility performance and monitor the quality of care and services provided. Duties include but are not limited to ensuring the quantity and quality of IPRO staff work output with acceptable outcomes; working with IPRO’s designated staff to ensure correct invoicing are submitted for staff; coordinating and assisting in providing preceptor surveillance training to IPRO surveyors; participating as a member of an interdisciplinary survey team and producing written documentation and draft Statements of Deficiencies (SOD); attend meetings and other duties assigned. The position will be located at the NYS DOH lower Manhattan OR Central Islip office. Non-travel days are based at the designated office or telecommuting, if approved. QUALIFICATIONS: • Demonstrate strong interpersonal skills with the ability to facilitate positive customer satisfaction in situations that are adverse or in controversy., • Ability to successfully work independently with minimal supervision, as well as in a team environment., • Excellent written and verbal skills with the ability to communicate professionally with co-workers, supervisors, providers, medical and administrative personnel, and residents/patients., • Ability to translate collected information into a clear, concise, legal, and defensible document., • Excellent investigative and analytical skills., • Strong computer skills with working knowledge of Microsoft office products, and the ability to learn new programs., • If approved to work remotely, must have secure internet that meets the speed required to perform all work duties, must have a workspace that provides privacy for all work-related calls, and must be able to secure all work-related items when not in use., • Must have a valid driver’s license & the ability to travel to on-site facilities review assignments. EDUCATION & EXPERIENCE: • NYS Licensed, Registered Nurse, required., • A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities, OR, three (3) years of clinical or administrative experience, OR A bachelor’s degree in nursing and two (2) years of clinical or administrative experience and two (2) years of supervisory experience., • Surveyor Minimum Qualifications Test (SMQT), required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The salary range for this position is $109,750.00- $115,996.50. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status or any other category protected under applicable law.