Quality Assurance Analyst

G

GENESYS Consulting Services, Inc.

Quality Assurance Analyst

Albany, NY
Full Time
Paid
  • Responsibilities

    Required Qualifications:

    • Bachelor’s degree in public health, healthcare management, psychology, human services, 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.
    • 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.
    • Strong analytical and problem-solving abilities; able to evaluate data and make sound, evidence-based decisions.

    Preferred/Desired Qualifications:

    • Extensive knowledge of, and experience with, Home and Community-Based Services (HCBS) 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).
    • Ability to manage time independently while meeting deadlines and adhering to high performance standards.
    • 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.

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