QA Analyst 2 yrs as Hlthcare Compliance An/Auditor/Care Mgr/Medicaid Provider

Profile

Title: QA Analyst
Duration: 12 months
Location: Albany Remote for now, due to COVID
As a Quality Assurance (QA) Analyst, you will collaborate with team members to support our clients through today's ever-changing healthcare landscape. Your day-to-day role as a consultant will be to provide analysis expertise to evaluate the performance of the Social Adult Day Cares across New York State and their compliance with the Home and Community Based Settings regulations. This role will be based in the Albany office.
Job Duties:
Evaluate the 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 Social Adult Day Care program.
Assist in determining trends in non-compliance.
Make appropriate and timely recommendations to project management.
Assist with the ongoing operationalization of project's processes and procedures.
Assist with all internal and external reporting, as needed, and related to QA reviews.
Required Qualifications:
Bachelor's Degree in public health, healthcare management, psychology, human services, business administration, mathematics 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.
Experience with monitoring program compliance or 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/Desired Qualifications:
Extensive knowledge of, and experience with, Social Adult Day Care.
Experience working with eMedNY, CANS-NY, UAS-NY, or other related Medicaid programs or systems.
Experience working with NYS Department of Health (DOH), Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Families (OCFS).
Experience with NYS Medicaid billing, including the use of various Electronic Health Records (EHR) systems.
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.
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