Healthcare Compliance Specialist

4 weeks ago

New York, New York, United States Sligo Software Solutions Full time
Job Title: Healthcare Compliance Specialist

Job Summary:

We are seeking a highly skilled Healthcare Compliance Specialist to join our team at Sligo Software Solutions. As a Surveillance Quality Assurance Analyst, you will play a critical role 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.

Key Responsibilities:

* Evaluate compliance to applicable regulations through documentation reviews and on-site or virtual on-site visits
* 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

Requirements:

* 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

What We Offer:

* Competitive salary and benefits package
* Opportunity to work with a dynamic and growing company
* Collaborative and supportive work environment
* Professional development and growth opportunities

How to Apply:

If you are a motivated and detail-oriented individual with a passion for healthcare compliance, please submit your application, including your resume and cover letter, to [insert contact information].

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