Healthcare Compliance Specialist

Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of the transformation of the public sector’s IT environment. Our team is on the forefront of helping to solve the government's most complex IT challenges. If you are seeking a role that offers you the opportunity to work on rewarding projects, consider a career with Cloud and Things. 

Overview:

We are seeking a Quality Assurance Analyst to support a project for the New York State Department of Health (NYS DOH). In this role you will collaborate with the NYS DOH team members to assist with the Health Home Re-designation process. Your day-to-day role will be providing quality assurance and quality improvement support including but not limited to policy and procedure reviews, patient chart reviews, documenting findings, and developing and reviewing comprehensive re-designation final reports for all health homes across New York State.

Job Duties:

• Review and evaluate assigned health home policies to determine compliance based on state and federal policy requirements
• Review and evaluate assigned health home charts to determine compliance based on state and federal requirements.
• Document review findings utilizing the processes provided.
• Prepare for and attend internal meetings to discuss review findings.
• Conduct Quality Assurance reviews on completed charts to ensure accuracy of data collected.
• Maintain internal resources utilized during the re-designation process.
• Synthesize and summarize data obtained from the Case Management Agency survey.
• Review and prepare audit tools for upcoming designation reviews.
• Analyze current processes and procedures to develop recommendations to increase efficiency.
• Collaborate with technical advisors to develop enhancements to audit tools and technology.
• Develop training materials to educate state agency staff on new processes and procedures.

Required Qualifications:

• A minimum of a bachelor’s degree in Public Health, Social Work, Healthcare with at least 2 years of related experience is required. An equivalent combination of advanced education, training, and experience will be considered.

Required Skills:

• Working knowledge of Health Homes Redesignation program, including a good understanding of the redesignation process and requirements.
• Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or other related systems /programs / organizations.
• Process oriented and results-driven work strategy.
• Experience with multiple Electronic Health Record applications.
• Ability to work with and relate to staff and demonstrate active listening skills.

Preferred Skills:

• 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 standard.
• Process oriented and results-driven work strategy.

Cloud and Things complies with all applicable federal, state, and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other category protected by applicable federal, state, or local laws.

1401

Job Type: Full-time

Pay: $90,000.00 - $98,000.00 per year

Benefits:

• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Compliance management: 1 year (Preferred)

Ability to Commute:

• Albany, NY 12202 (Required)

Ability to Relocate:

• Albany, NY 12202: Relocate before starting work (Required)

Work Location: Hybrid remote in Albany, NY 12202

Salary : $90,000 - $98,000