Healthcare Compliance Specialist

5 days ago

Albany, New York, United States Sligo Software Solutions Full time

Job Summary

We are seeking a skilled Healthcare Compliance Specialist to join our team at Sligo Software Solutions. As a Surveillance Quality Assurance (QA) Analyst, you will work independently and 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.

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.

About Us

Sligo Software Solutions is a leading provider of software solutions for the healthcare industry. We are committed to delivering high-quality solutions that meet the evolving needs of our clients.

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