GENESYS Consulting Services, Inc.
Key Responsibilities
Evaluate child/youth’s case for compliance to applicable regulations.
Clearly communicate evaluation requirements and follow up.
Evaluate documentation against applicable 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
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 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/Desired Qualifications
Extensive knowledge of, and experience with, Home and Community‑Based Services Waiver programs, either as a provider or compliance officer.
Experience with Medicaid billing, including the use of various Electronic Health Records (EHR) systems.
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.
Experience in meeting deadlines and adhering to strict standards of performance.
GENESYS Consulting Services, Inc. is proud to be an equal‑opportunity employer.
#J-18808-Ljbffr
Evaluate child/youth’s case for compliance to applicable regulations.
Clearly communicate evaluation requirements and follow up.
Evaluate documentation against applicable 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
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 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/Desired Qualifications
Extensive knowledge of, and experience with, Home and Community‑Based Services Waiver programs, either as a provider or compliance officer.
Experience with Medicaid billing, including the use of various Electronic Health Records (EHR) systems.
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.
Experience in meeting deadlines and adhering to strict standards of performance.
GENESYS Consulting Services, Inc. is proud to be an equal‑opportunity employer.
#J-18808-Ljbffr