Job Description

About Us:

NYSTEC is a nonprofit technology consulting company, advising agencies, organizations, institutions, and businesses since 1996. We’re independent and vendor-neutral, so we have our clients’ best interests at heart. At NYSTEC, we know that we succeed when individuals and teams flourish personally and professionally, so our benefits and perks support that mindset.

About the Role:

As a consultant - surveillance quality assurance (QA) analyst, you will work independently, as well as collaborate with team members to support our clients in evaluating the performance of social adult day cares (SADC) across New York State and their compliance with the Home and Community Based Services (HCBS) Program regulations. Serving as a surveillance QA analyst, your day-to-day role as a NYSTEC consultant will be to assess compliance through documentation reviews and virtual on-site visits. The functions of the position are performed remote.

Key Responsibilities

• Evaluate SADC compliance with applicable regulations through documentation and observation.

• Clearly communicate evaluation requirements and follow up in writing.
• Review and evaluate documentation against applicable state/federal regulations.
• Collect data and documentation to support compliance findings.
• Use technology to convert hard copy documentation to electronic.
• Use a secure file transfer system to send/receive documentation.
• Record, summarize, and convey compliance findings through written communication for the SADC program.
• Assist in determining trends in noncompliance.
• Make appropriate and timely recommendations to the lead/project manager.

• Assist with the ongoing functioning of the project’s processes and procedures.
• Assist with all internal and external reporting as needed and related to SADC HCBS compliance reviews.
• Any other tasks as requested by the client.

About You:

Required Qualifications

• A minimum of two 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.
• Exceptional verbal and written communication skills, customer service relationship techniques, and accuracy and attention to detail.
• Experience with monitoring or auditing program compliance.
• Experience in meeting deadlines and adhering to strict standards of performance.
• Ability to handle and balance multiple, competing priorities and tasks in a fast-paced environment.
• Proficiency in the Microsoft suite of products, including Excel, Word, Outlook, Visio, PowerPoint, and SharePoint.

Preferred Qualifications

• Knowledge of, and experience with, interpreting state and federal regulations and with enforcing the compliance activities of third parties.
• Experience working with the New York State Department of Health (NYSDOH), New York State Office of Mental Health (OMH), New York State Office for People with Developmental Disabilities (OPWDD), or the New York State Office of Children and Family Services (OCFS).
• 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.

Education and Experience

• A minimum of a bachelor’s degree in public health, healthcare management, psychology, human services, or a related field and at least two years of related experience, as defined above, is preferred. An equivalent combination of advanced education, training, and experience will be considered.

The pay range for this position is $60,406.00 to $82,959.80 per year.

It is NYSTEC's policy to provide equal employment opportunity (EEO) to all individuals, regardless of actual or perceived race, color, creed, religion, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), age, national origin, ancestry, citizenship status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, military service and veteran status, sexual orientation, marital status, or any other characteristic protected by local, state, or federal laws and ordinances. NYSTEC is strongly committed to this policy and believes in the concept and spirit of the law.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please contact recruitment@nystec.com if you require a reasonable accommodation to apply for or to perform this job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Applicants must be authorized to work in the United States without the need for visa sponsorship now or in the future.

Learn more about NYSTEC by visiting www.nystec.com.

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