Surveillance Quality Assurance Analyst (Auditor)
Location: Role based in NYC, remote work allowed, but 75% travel will be required for this role.
As a Surveillance Quality Assurance (QA) Analyst, you will work independently, as well as collaborate with team members to support our clients in evaluating the performance of Social Adult Day Cares (SADC) across New York State and their compliance with the Home and Community Based Services (HCBS) regulations. Your day-to-day role will be to assess compliance through documentation reviews and on-site or virtual on-site visits. This role will be based in NYC, and the ability to travel up to 75% of the time is required.
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 HCBS Compliance reviews.
- Any other tasks as requested by the client.
Required Skills:
- 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.
Preferred Skills:
- Knowledge of, and experience with interpreting state and federal regulations, and enforcing compliance activities of third parties.
- Experience working with NYS 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.
Regards
Vinay S
...@themesoft.com