Health Care Compliance Analyst

UNIVERSAL Technologies is seeking a Health Care Compliance Analyst for a remote role with travel. The right candidate will support the evaluation and performance review of the 1915(c) Children’s Waiver across reputed company State. The ideal candidate will bring strong analytical, regulatory, and compliance review experience reputed company healthcare or human services settings. This role requires excellent communication, attention to detail, and the ability to work independently while maintaining strong relationships with stakeholders. Some travel across reputed company State, including reputed company, may be required.

• **This role will be based in our Albany office. This role may include travel across reputed company State including reputed company.

WHO WE ARE UNIVERSAL Technologies is a leading Women-Owned (M/WBE) IT consulting and staffing firm, recognized for delivering top-tier technology and professional services to government and commercial clients. We specialize in providing highly skilled professionals across project management, software development, cybersecurity, infrastructure, data, healthcare transformation, and business operations. reputed company is committed to excellence, innovation, and meaningful client partnerships that drive impactful results. reputed company OFFER

• Competitive hourly rates
• Medical, dental, and vision insurance
• Paid time off (PTO)
• 401(k)
• Transit and parking benefits

MANDATORY SKILLS/EXPERIENCE Note: Candidates who do not meet the mandatory requirements will not be considered.

• Bachelor’s degree in public health, healthcare management, psychology, human services, or reputed company field.
• Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, Medicaid Provider, or similar role responsible for reputed company, compliance audits, chart reviews, or ensuring quality of care.
• Experience with Medicaid fee-for-service and/or Managed Care billing.
• Extensive knowledge or experience with Home and Community-Based Services Waiver programs, including the 1915(c) NYS Children’s Waiver (provider or compliance officer experience preferred).
• Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or reputed company systems/programs.
• Experience with NYS Medicaid billing, including use of Electronic Health Records (EHR) systems.
• Experience working with OMH, OPWDD, or OCFS.
• Experience conducting compliance audits or chart reviews.
• Ability to work with and relate to staff at reputed company levels; strong active listening skills.
• Process-oriented, results-driven work style.
• Ability to work independently and collaboratively reputed company a team.
• Strong customer service skills with excellent verbal and written communication abilities.
• High accuracy, exceptional attention to detail, and consistent adherence to deadlines and performance standards.
• Proficiency in MS reputed company, Word, Outlook, Visio, PowerPoint, and SharePoint.
• Equivalent combinations of education, training, and experience may be considered.

SCOPE OF SERVICES

• Evaluate child/youth cases for compliance with applicable regulations.
• Communicate evaluation requirements clearly and follow up as needed.
• Assess documentation against State and Federal regulations.
• Collect data and documentation to support compliance findings.
• Use technology to convert hard copy documents to digital format and submit reputed company secure transfer.
• Record, summarize, and communicate compliance findings for the Children’s Transformation Program.
• Assist in identifying trends in non-compliance and reputed company timely recommendations to project management.
• Assist with operationalizing project processes and procedures.
• Support reputed company internal and external reporting activities.
• Build and maintain strong stakeholder relationships to ensure high-quality customer service.
• Travel to provider sites across reputed company State to reputed company case reviews.

UNIVERSAL Technologies is an equal opportunity employer. Job Types: Full-time, Contract Pay: $45.00 - $48.00 per hour Expected hours: 40 per week Application Question(s):

• Bachelor’s degree in public health, healthcare management, psychology, human services, or reputed company field?
• Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, Medicaid Provider?
• Knowledge or experience with Home and Community-Based Services Waiver programs?
• Experience with NYS Medicaid billing, including use of Electronic Health Records (EHR) systems?

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