Quality assurance analyst
Salary undisclosed
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Job Duties
- Evaluate compliance to applicable regulations through documentation and observations of SADCs.
- Clearly communicate evaluation requirements and follow up in writing.
- Review and evaluate documentation against applicable State/Federal regulations.
- Collect data and documentation to support compliance findings.
- Utilize technology to convert hard copy documentation to electronic.
- Utilize a secure file transfer system to send/receive documentation.
- Record, summarize, and convey compliance findings through written communication for the SADC program.
- Assist in determining trends in non-compliance.
- Make appropriate and timely recommendations to lead/project manager.
- Assist with the ongoing functioning of the project’s processes and procedures.
- Assist with all internal and external reporting as needed and related to SADC HClient Compliance reviews.
- Any other tasks as requested by the client.
- Bachelor’s degree in public health, healthcare management, psychology, human services, business administration 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.
- Exceptional verbal and written communication skills, customer service relationship techniques, and accuracy and attention to detail.
- Experience with monitoring or auditing program compliance.
- Experience in meeting deadlines and adhering to strict standards of performance.
- Ability to handle and balance multiple competing priorities and tasks, in a fast-paced environment.
- Proficiency in MS Excel, MS Word, MS Outlook, MS Visio, MS PowerPoint, and MS SharePoint.
- Knowledge of, and experience with interpreting state and federal regulations, and enforcing compliance activities of third parties.
- Experience working with client Department of Health (DOH), Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Families (OCFS).
- 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.
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