Role: Healthcare QA Analyst
Location: Albany New York
Duration: 29 Months
Duties
- Review and evaluate assigned health home policies to determine compliance based on state and federal policy requirements.
- Review and evaluate assigned health home charts to determine compliance based on state and federal requirements.
- Document review findings utilizing the processes provided.
- Prepare for and attend internal meetings to discuss review findings.
- Conduct Quality Assurance reviews on completed charts to ensure accuracy of data collected.
- Maintain internal resources utilized during the redesignation process.
- Synthesize and summarize data obtained from the Case Management Agency survey.
- Review and prepare audit tools for upcoming designation reviews.
- Analyze current processes and procedures to develop recommendations to increase efficiency.
- Collaborate with technical advisors to develop enhancements to audit tools and technology.
- Develop training materials to educate state agency staff on new processes and procedures.
Mandatory Requirements
- Experience (9 Years)
- A minimum of a bachelors degree in Public Health Social Work Healthcare with at least 2 years of related experience is required. An equivalent combination of advanced education training and experience will be considered.
Requirements
- This is an 100% Onsite
- Working knowledge of Health Homes Redesignation program including a good understanding of the redesignation process and requirements.
- Experience working with eMedNY CANSNY UASNY Medicaid Health Homes Medicaid Managed Care Organizations (MMCOs) or other related systems/programs/organizations.
- Process oriented and resultsdriven work strategy.
- Experience with multiple Electronic Health Record applications.
- Ability to work with and relate to staff and demonstrate active listening skills.
Preferred Skills:
- 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.
- Processoriented and resultsdriven work strategy.
Travel: Future travel of 10% or less may be required at the Clients discretion