Job Information
UNIVERSAL Technologies, LLC Healthcare Compliance Analyst in Albany, New York
UNIVERSAL Technologies is hiring a Healthcare Compliance Analyst for a hybrid role in Albany, NY. Qualified. candidate will have Extensive knowledge of, and experience with, Home and Community-Based Services Waiver programs.
This role will be based in Albany but may include travel across New York State including New York City approximately 3 days a week and work 2 days remotely. Candidates must have a valid driver's license.
Candidates must be able to pass a Mandatory ITS Security Agreements and Fingerprint-based Background Check and sign an NDA.
Position: The Healthcare Compliance Analyst will collaborate with team members to conceptualize, deliver, and support our clients through today’s ever-changing healthcare landscape. The Analyst will provide analysis expertise to evaluate the performance of the 1915(c) Children’s Waiver across New York State.
WHO WE ARE:
UNIVERSAL Technologies, LLC is a Women-Owned (M/WBE) IT solutions and consulting company focused at delivering enterprise systems that significantly improve our clients IT performance. We work across the IT spectrum including Development, Business/Systems/Data Analysis, Project Management, Cyber Security, Network Engineering, and High-Level System Architecture.
The pride in the services we provide and the accessibility and flexibility we provide to employees are what make Universal Technologies stand out from the rest! We hope to propel your IT career to the next level and excite our employees with new and challenging projects.
WHAT WE OFFER:
Our W2 employees can expect the following benefits:
Competitive pay
Health/Dental Insurance
Group Life Insurance
401K
HSA/FSA
Pre-Tax Transportation Program
Generous Paid Time Off/Holiday Policy
MANDATORY SKILLS/EXPERIENCE:
Bachelor’s Degree in Public health, healthcare management, psychology, human services, or related field.
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.
Extensive knowledge of, and experience with, Home and Community-Based Services Waiver programs, including the 1915(c) NYS Children’s 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.
SCOPE OF SERVICES:
Evaluate child/youth’s case for compliance with 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 Children’s Transformation Program.
Assist in determining trends in non-compliance.
Make appropriate and timely recommendations to project management.
Assist with the ongoing operationalization of project 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.
UNIVERSAL Technologies is an Equal Opportunity Employer.