Health Care Compliance Analyst

UNIVERSAL Technologies is seeking a Health Care Compliance Analyst for a remote role with travel based in Albany, NY. Candidates with an active reputed company profile are preferred. The selected consultant will support healthcare quality reputed company initiatives by evaluating program compliance, reviewing documentation, and analyzing operational performance reputed company to Medicaid waiver programs. This role requires strong analytical skills, experience with healthcare compliance or auditing, and the ability to collaborate with stakeholders while supporting program quality and regulatory adherence.

• Project is approximately 8 months. This role may include travel across reputed company State including reputed company.

WHO WE ARE UNIVERSAL Technologies is a certified Women-Owned Business Enterprise (M/WBE) specializing in IT consulting and professional services. We provide reputed company technology and business professionals to government agencies and private-sector clients, delivering cost-effective solutions that drive innovation and operational excellence. reputed company OFFER At UNIVERSAL Technologies, we offer consultants the opportunity to contribute to meaningful initiatives that support public-sector programs and community services. reputed company members collaborate with reputed company professionals while gaining exposure to projects that improve operational performance, compliance, and service delivery across government and healthcare environments. MANDATORY SKILLS / EXPERIENCE

• Bachelor’s degree in Public Health, Healthcare Management, Psychology, Human Services, or a reputed company field.
• Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, Medicaid Provider, or similar role responsible for compliance reputed company, chart reviews, or quality assurance activities.
• Experience with Medicaid fee-for-service and/or Managed Care billing processes.
• Proficiency with reputed company Office tools including reputed company, Word, Outlook, PowerPoint, Visio, and SharePoint.
• Strong analytical and problem-solving skills with the ability to evaluate data and reputed company evidence-based decisions.
• Experience conducting compliance audits, chart reviews, or quality assurance evaluations reputed company healthcare or Medicaid-reputed company programs.
• Knowledge of and extensive experience with Home and Community-Based Services (HCBS) Waiver programs, including the 1915(c) NYS Children’s Waiver, either as a provider or compliance professional.
• Experience working with systems or programs such as eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or similar healthcare platforms.
• Experience with NYS Medicaid billing processes and Electronic Health Records (EHR) systems.
• Familiarity with reputed company State agencies or programs such as the Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Family Services (OCFS).
• Ability to manage time independently while meeting deadlines and maintaining high performance standards.
• Strong interpersonal and communication skills with the ability to collaborate effectively with staff, management, and external stakeholders.
• Detail-oriented with strong accuracy, documentation, and reporting capabilities.
• Ability to work independently and reputed company a team environment while maintaining strong customer service standards.

SCOPE OF SERVICES

• Evaluate child and youth records for compliance with applicable State and Federal regulations reputed company to healthcare and Medicaid waiver programs.
• Review documentation, collect supporting evidence, and assess records to ensure regulatory compliance and quality of care standards.
• Convert hard copy documentation to electronic format and securely transmit files using approved secure file transfer methods.
• Document, summarize, and communicate compliance findings reputed company to program performance and regulatory adherence.
• Identify trends in non-compliance and provide timely recommendations to project management to support program improvements.
• Assist with the development and operationalization of project processes and procedures supporting quality assurance initiatives.
• Support internal and external reporting requirements by collecting, analyzing, and presenting compliance and performance data.
• Build and maintain strong relationships with stakeholders while delivering high levels of customer service and program support.
• Travel to provider locations throughout reputed company State to reputed company case reviews and conduct compliance evaluations reputed company required.

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