Susan Carl
OMIG Auditor-Medicaid Specialist 2.
Talent
Albany, City of Albany, AlbanyMember since September 15, 2023
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About
- Performed Medicaid managed care audits for the NYS Office of the Medicaid Inspector General.
- Played a major role in developing a new retractive Medicaid audit for Medicaid recipients who moved out of state (PARIS MATCH Audit). Developed audit protocols for Medicaid audits and member of the OMIG team revising Medicaid managed care audits.
- Acted as OMIG county liaison providing data and answering county staff questions related to managed care.
Developed educational information re Medicaid managed care for counties, nurses and OMIG staff.
Experience
- Developed educational materials to update NYS local departments of social services re Medicaid managed care system issues and changes and organized training sessions.
- Developed audit for identifying Medicaid managed care recipients who have moved out of NYS.
- Supervised Medicaid managed care compliance audits.
- Member of OMIG management group responsible for amendments to Medicaid managed care model contracts.
- Developed OMIG detailed audit protocol for a federal waiver program, Long Term Home Health Care Program, with appropriate legal citations.
Education
- Masters in Business Administration in Accounting, Union College, Graduate Management Institute, Schenectady, New York.
- Masters in Business Administration in Health ServicesAdministration, Union College, Graduate Management Institute, Schenectady, New York.
