| Healthcare QA-Compliance Analyst at Remote, Remote, USA |
| Email: [email protected] |
| From: Abhijith, Sligosoft [email protected] Reply to: [email protected] Greetings from Sligo Software Solutions, Inc. !! SLIGO is a Software Development & IT Consulting company. We have around 100+ IT associates working with our esteemed clients across several domains such as IT, Banking, Healthcare, and Government. We have an urgent requirement for Healthcare QA/Compliance Analyst position with our client. Role: Healthcare QA/Compliance Analyst Location: Albany, New York Duration: 12 Months Job ID: SLG - 19 - 9694 Client: NY State Location: Albany Remote with travel Travel will be required up to 50% of the time. Some overnight stays will be required, sometimes for the entire work week. An expense budget will be available for travel costs. Expense invoices will be due within 7 days of travel. Remote work will be allowed when not traveling. Duties Evaluate child/youths case for compliance to applicable regulations. Clearly communicate evaluation requirements and follow up. Evaluate documentation against applicable State/Federal regulations. Collect data and documentation to support compliance findings. Utilize technology to convert hard copy documentation to electronic and submit via secure file transfer. Record, summarize, and communicate compliance findings for the Childrens Transformation Program. Assist in determining trends in non-compliance. Make appropriate and timely recommendations to project management. Assist with the ongoing operationalization of projects processes and procedures. Assist with all internal and external reporting. Build and maintain relationships with stakeholders to provide a high level of customer service. Travelling to provider sites to perform case reviews. Mandatory Requirements Experience (9+ Years) Requirements This is an 100% Onsite Bachelors Degree in Public health, healthcare management, psychology, human services, or related field. A minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, or Medicaid Provider, in a role responsible for conducting oversight, compliance audits or chart reviews, or ensuring quality of care. An equivalent combination of advanced education, training, and experience will be considered. Experience with Medicaid fee-for-service and/or Managed Care billing. Proficiency in MS Excel, MS Word, MS Outlook, MS Visio, MS PowerPoint and MS SharePoint. Preferred Skills: Extensive knowledge of, and experience with, Home and Community-Based Services Waiver programs, including the 1915(c) NYS Childrens Waiver, either as a provider or compliance officer. Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or other related programs/systems. Experience with NYS Medicaid billing, including the use of various Electronic Health Records (EHR) systems. Experience working with Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Families (OCFS). Experience with compliance audits or chart reviews. Ability to work with and relate to staff and demonstrate active listening skills. Process oriented and results-driven work strategy. Ability to foster teamwork with all levels of management and staff. Ability to work well independently and within a team. Exceptional customer service relationship techniques, including superior verbal and written communication skills. Excellent accuracy and attention to detail. Experience in meeting deadlines and adhering to strict standards of performance. Keywords: cprogramm quality analyst information technology microsoft Idaho New York Healthcare QA-Compliance Analyst [email protected] |
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| Tue Jul 30 19:06:00 UTC 2024 |