Quality Assurance Analyst Job at GENESYS Consulting Services, Inc., Albany, NY

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  • GENESYS Consulting Services, Inc.
  • Albany, NY

Job Description

Key Responsibilities :

  • Evaluate child/youth’s case for compliance to applicable regulations.
    • Clearly communicate evaluation requirements and follow up.
    • Evaluate documentation against applicable 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
    • 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.
  • Build and maintain relationships with stakeholders to provide a high level of customer service.
  • Traveling to provider sites to perform case reviews.

Required Qualifications:

  • Bachelor’s degree in public health, healthcare management, psychology, human services, or related field.
  • A minimum of 2 years of 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/Desired Qualifications:

  • Extensive knowledge of, and experience with, Home and Community-Based Services Waiver programs, either as a provider or compliance officer.
  • Experience with Medicaid billing, including the use of various Electronic Health Records (EHR) systems.
  • 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.

GENESYS Consulting Services, Inc. is proud to be an equal-opportunity employer.

Job Tags

Contract work, Work from home,

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