Health Care Compliance Analyst
UNIVERSAL Technologies is seeking a Health Care Compliance Analyst for a remote role with travel based in Albany, NY. Candidates with an active LinkedIn profile are preferred. The selected consultant will support healthcare quality oversight initiatives by evaluating program compliance, reviewing documentation, and analyzing operational performance related to Medicaid waiver programs. This role requires strong analytical skills, experience with healthcare compliance or auditing, and the ability to collaborate with stakeholders while supporting program quality and regulatory adherence.
• Project is approximately 8 months. This role may include travel across New York State including New York City.
WHO WE ARE
UNIVERSAL Technologies is a certified Women-Owned Business Enterprise (M/WBE) specializing in IT consulting and professional services. We provide experienced technology and business professionals to government agencies and private-sector clients, delivering cost-effective solutions that drive innovation and operational excellence.
WHAT WE OFFER
At UNIVERSAL Technologies, we offer consultants the opportunity to contribute to meaningful initiatives that support public-sector programs and community services. Our team members collaborate with experienced professionals while gaining exposure to projects that improve operational performance, compliance, and service delivery across government and healthcare environments.
MANDATORY SKILLS / EXPERIENCE
• Bachelor’s degree in Public Health, Healthcare Management, Psychology, Human Services, or a related field.
• Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, Medicaid Provider, or similar role responsible for compliance oversight, chart reviews, or quality assurance activities.
• Experience with Medicaid fee-for-service and/or Managed Care billing processes.
• Proficiency with Microsoft Office tools including Excel, Word, Outlook, PowerPoint, Visio, and SharePoint.
• Strong analytical and problem-solving skills with the ability to evaluate data and make evidence-based decisions.
• Experience conducting compliance audits, chart reviews, or quality assurance evaluations within healthcare or Medicaid-related programs.
• Knowledge of and extensive experience with Home and Community-Based Services (HCBS) Waiver programs, including the 1915(c) NYS Children’s Waiver, either as a provider or compliance professional.
• Experience working with systems or programs such as eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or similar healthcare platforms.
• Experience with NYS Medicaid billing processes and Electronic Health Records (EHR) systems.
• Familiarity with New York State agencies or programs such as the Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Family Services (OCFS).
• Ability to manage time independently while meeting deadlines and maintaining high performance standards.
• Strong interpersonal and communication skills with the ability to collaborate effectively with staff, management, and external stakeholders.
• Detail-oriented with strong accuracy, documentation, and reporting capabilities.
• Ability to work independently and within a team environment while maintaining strong customer service standards.
SCOPE OF SERVICES
• Evaluate child and youth records for compliance with applicable State and Federal regulations related to healthcare and Medicaid waiver programs.
• Review documentation, collect supporting evidence, and assess records to ensure regulatory compliance and quality of care standards.
• Convert hard copy documentation to electronic format and securely transmit files using approved secure file transfer methods.
• Document, summarize, and communicate compliance findings related to program performance and regulatory adherence.
• Identify trends in non-compliance and provide timely recommendations to project management to support program improvements.
• Assist with the development and operationalization of project processes and procedures supporting quality assurance initiatives.
• Support internal and external reporting requirements by collecting, analyzing, and presenting compliance and performance data.
• Build and maintain strong relationships with stakeholders while delivering high levels of customer service and program support.
• Travel to provider locations throughout New York State to perform case reviews and conduct compliance evaluations when required.
UNIVERSAL Technologies is an equal opportunity employer.
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• Project is approximately 8 months. This role may include travel across New York State including New York City.
WHO WE ARE
UNIVERSAL Technologies is a certified Women-Owned Business Enterprise (M/WBE) specializing in IT consulting and professional services. We provide experienced technology and business professionals to government agencies and private-sector clients, delivering cost-effective solutions that drive innovation and operational excellence.
WHAT WE OFFER
At UNIVERSAL Technologies, we offer consultants the opportunity to contribute to meaningful initiatives that support public-sector programs and community services. Our team members collaborate with experienced professionals while gaining exposure to projects that improve operational performance, compliance, and service delivery across government and healthcare environments.
MANDATORY SKILLS / EXPERIENCE
• Bachelor’s degree in Public Health, Healthcare Management, Psychology, Human Services, or a related field.
• Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, Medicaid Provider, or similar role responsible for compliance oversight, chart reviews, or quality assurance activities.
• Experience with Medicaid fee-for-service and/or Managed Care billing processes.
• Proficiency with Microsoft Office tools including Excel, Word, Outlook, PowerPoint, Visio, and SharePoint.
• Strong analytical and problem-solving skills with the ability to evaluate data and make evidence-based decisions.
• Experience conducting compliance audits, chart reviews, or quality assurance evaluations within healthcare or Medicaid-related programs.
• Knowledge of and extensive experience with Home and Community-Based Services (HCBS) Waiver programs, including the 1915(c) NYS Children’s Waiver, either as a provider or compliance professional.
• Experience working with systems or programs such as eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or similar healthcare platforms.
• Experience with NYS Medicaid billing processes and Electronic Health Records (EHR) systems.
• Familiarity with New York State agencies or programs such as the Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Family Services (OCFS).
• Ability to manage time independently while meeting deadlines and maintaining high performance standards.
• Strong interpersonal and communication skills with the ability to collaborate effectively with staff, management, and external stakeholders.
• Detail-oriented with strong accuracy, documentation, and reporting capabilities.
• Ability to work independently and within a team environment while maintaining strong customer service standards.
SCOPE OF SERVICES
• Evaluate child and youth records for compliance with applicable State and Federal regulations related to healthcare and Medicaid waiver programs.
• Review documentation, collect supporting evidence, and assess records to ensure regulatory compliance and quality of care standards.
• Convert hard copy documentation to electronic format and securely transmit files using approved secure file transfer methods.
• Document, summarize, and communicate compliance findings related to program performance and regulatory adherence.
• Identify trends in non-compliance and provide timely recommendations to project management to support program improvements.
• Assist with the development and operationalization of project processes and procedures supporting quality assurance initiatives.
• Support internal and external reporting requirements by collecting, analyzing, and presenting compliance and performance data.
• Build and maintain strong relationships with stakeholders while delivering high levels of customer service and program support.
• Travel to provider locations throughout New York State to perform case reviews and conduct compliance evaluations when required.
UNIVERSAL Technologies is an equal opportunity employer.
Apply tot his job
Apply To this Job