This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
Bachelor’s degree in public health, healthcare management, psychology, human services, 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
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
Strong analytical and problem-solving abilities
able to evaluate data and make sound, evidence-based decisions
Nice to have:
Extensive knowledge of, and experience with, Home and Community-Based Services (HCBS) Waiver programs, including the 1915(c) NYS Children’s Waiver, either as a provider or compliance officer
Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or other related programs/systems
Experience with NYS Medicaid billing, including the use of various Electronic Health Records (EHR) systems
Experience working with Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Families (OCFS)
Ability to manage time independently while meeting deadlines and adhering to high performance standards
Experience with compliance audits or chart reviews
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
Exceptional customer service relationship techniques, including superior verbal and written communication skills