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    Quality Assurance Analyst - New York, United States - iT Resource Solutions,inc

    iT Resource Solutions,inc
    iT Resource Solutions,inc New York, United States

    4 weeks ago

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    Description

    Location: Albany – Hybrid – Most training/onboarding is conducted onsite. Candidate may be required to work onsite upon request.

    Travel: Future travel of 10% or less may be required, at Client's discretion

    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.
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