Healthcare Compliance Analyst (Remote with travel)

Healthcare Compliance Analyst ( Remote with travel) Greetings from Sligo Software Solutions, Inc. This is John from SLIGO. This job requires an urgent requirement for a Healthcare Compliance Analyst position with our client. Job Details Title: Healthcare Compliance Analyst ( Remote with travel) Location: Albany, New York (remote with travel) Duration: 12 Months Client: NY State Job ID: SLG-19-11445 Respond by: 12/05/25 5:00 PM Travel Requirements

• Travel may be required up to 25% of the time, including overnight stays sometimes the entire work week.
• Expense budget available for travel costs. Expense invoices due within 7 days of travel.
• Remote work allowed when not traveling. Description

As a Quality Assurance Analyst in the Quality Systems Transformation practice, you will collaborate with team members to conceptualize, deliver, and support our clients through today's ever-changing healthcare landscape. Serving as a Quality Assurance Analyst, your day-to-day role as a consultant will be to provide analysis expertise to evaluate the performance of the 1915(c) Children’s Waiver across New York State. This role will be based in our Albany office and may include travel across New York State including New York City. Duties

• Evaluate child/youth case for compliance with applicable regulations.
• Clearly communicate evaluation requirements and follow up.
• Evaluate documentation against applicable State/Federal 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 for the Children’s Transformation Program.
• Assist in determining trends in non-compliance.
• Make appropriate and timely recommendations to project management.
• Assist with the ongoing operationalization of project processes and procedures.
• Assist with all internal and external reporting.
• Build and maintain relationships with stakeholders to provide a high level of customer service.
• Travel to provider sites to perform case reviews. Mandatory Requirements
• Experience: 6+ years

Requirements

• Bachelor’s degree in public health, healthcare management, psychology, human services, or related field.
• Minimum 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.
• Equivalent combination of advanced education, training, and experience considered.
• Experience with Medicaid fee-for-service and/or Managed Care billing.
• Proficiency in MS Excel, Word, Outlook, Visio, PowerPoint, and SharePoint. Preferred/Desired 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 Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or 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.
• Experience in meeting deadlines and adhering to strict standards of performance. Seniority Level

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