Job Description

Required  Qualifications :

• 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.

Preferred Qualifications:

• Extensive knowledge of, and experience with, Home and Community-Based Services 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 the Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or the Office of Children and Families (OCFS).
• 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.
• Excellent accuracy and attention to detail.

GENESYS Consulting Services, Inc. is proud to be an equal-opportunity employer.

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