Quality Assurance Analyst - Amtex Enterprises - Remote | Dice.com

Amtex Enterprises

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Quality Assurance Analyst

Remote • Posted 1 day ago • Updated 1 day ago

Contract W2

No Travel Required

Remote

Depends on Experience

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Job Details

Skills

("Quality Assurance Analyst" OR "Compliance Analyst" OR "Healthcare Compliance") AND (Medicaid)

Summary

Job Title: Quality Assurance Analyst.

Location: Albany, NY – Remote with travel.

Key Responsibilities:

Evaluate child/youth’s case for compliance to applicable regulations.
Clearly communicate evaluation requirements and follow up.
Evaluate documentation against applicable State/Federal regulations.
Collect data and documentation to support compliance findings.
Utilize technology to convert hard copy documentation to electronic and submit via secure file transfer.
Record, summarize, and communicate compliance findings for the Children’s Transformation Program.
Assist in determining trends in non-compliance.
Make appropriate and timely recommendations to project management.
Assist with the ongoing operationalization of project’s processes and procedures.
Assist with all internal and external reporting.
Build and maintain relationships with stakeholders to provide a high level of customer service.
Traveling to provider sites to perform case reviews.

Required Qualifications:

Bachelor’s degree in public health, healthcare management, psychology, human services, or related field.
A minimum of 2 years of 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.
An equivalent combination of advanced education, training, and experience will be considered.
Experience with Medicaid fee-for-service and/or Managed Care billing.
Proficiency in MS Excel, MS Word, MS Outlook, MS Visio, MS PowerPoint and MS SharePoint.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10113037
Position Id: 359-14401-
Posted 1 day ago

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Job Details

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