Quality Assurance Analyst

6 days ago

Albany, New York, United States MVP Consulting Inc Full time
Title: Quality Assurance Analyst
Duration: thru 10/31/26
Location: Albany - Hybrid (training/onboarding Onsite; may be required to work Onsite upon request
Travel: Future travel of 10% or less may be required, at Client's discretion

As a Quality Assurance Analyst, you will collaborate with client team members to assist with the Health Home Re-designation process. Your day-to-day role as a consultant will be providing quality assurance and quality improvement support including but not limited to policy and procedure reviews, patient chart reviews, documenting findings, and developing and reviewing comprehensive re-designation final reports for all health homes across New York State.

Job 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 re-designation 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.
Required Qualifications:
A minimum of a bachelor's 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.

Required Skills:
  • Working knowledge of Health Homes Redesignation program, including a good understanding of the redesignation process and requirements.
  • Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or other related systems/programs/organizations.
  • Process oriented and results-driven 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 standard.
  • Process oriented and results-driven work strategy.

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