Required Skills

eMedNY CANS-NY UAS-NY Medicaid Health Homes Medicaid Managed

Work Authorization

  • US Citizen

  • Green Card

  • EAD (OPT/CPT/GC/H4)

  • H1B Work Permit

Preferred Employment

  • Corp-Corp

Employment Type

  • Consulting/Contract

education qualification

  • UG :- - Not Required

  • PG :- - Not Required

Other Information

  • No of position :- ( 1 )

  • Post :- 24th Jun 2022

JOB DETAIL

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.

Mandatory Requirements

Experience (9+ Years)

Requirements

This is an 100% Onsite

A minimum of a bachelor’s degree in healthcare or public health study

At least 2 years of related experience.

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.

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.

Experience in meeting deadlines and adhering to strict standard.

Process oriented and results-driven work strategy.

 

Company Information