Health Care Compliance Analyst
Posted Today by 1764658572
Negotiable
Outside
Remote
USA
Summary: UNIVERSAL Technologies is seeking a Health Care Compliance Analyst for a remote role with travel across New York State. The candidate will support the evaluation and performance review of the 1915(c) Children's Waiver, requiring strong analytical and compliance review experience in healthcare settings. Excellent communication and attention to detail are essential, along with the ability to maintain relationships with stakeholders. Some travel, including to New York City, is expected.
Key Responsibilities:
- Evaluate child/youth cases for compliance with applicable regulations.
- Communicate evaluation requirements clearly and follow up as needed.
- Assess documentation against State and Federal regulations.
- Collect data and documentation to support compliance findings.
- Use technology to convert hard copy documents to digital format and submit via secure transfer.
- Record, summarize, and communicate compliance findings for the Children's Transformation Program.
- Assist in identifying trends in non-compliance and make timely recommendations to project management.
- Assist with operationalizing project processes and procedures.
- Support all internal and external reporting activities.
- Build and maintain strong stakeholder relationships to ensure high-quality customer service.
- Travel to provider sites across New York State to perform case reviews.
Key Skills:
- Bachelor's degree in public health, healthcare management, psychology, human services, or related field.
- Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, Medicaid Provider, or similar role responsible for oversight, compliance audits, chart reviews, or ensuring quality of care.
- Experience with Medicaid fee-for-service and/or Managed Care billing.
- Extensive knowledge or experience with Home and Community-Based Services Waiver programs, including the 1915(c) NYS Children's Waiver (provider or compliance officer experience preferred).
- Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or related systems/programs.
- Experience with NYS Medicaid billing, including use of Electronic Health Records (EHR) systems.
- Experience working with OMH, OPWDD, or OCFS.
- Experience conducting compliance audits or chart reviews.
- Ability to work with and relate to staff at all levels; strong active listening skills.
- Process-oriented, results-driven work style.
- Ability to work independently and collaboratively within a team.
- Strong customer service skills with excellent verbal and written communication abilities.
- High accuracy, exceptional attention to detail, and consistent adherence to deadlines and performance standards.
- Proficiency in MS Excel, Word, Outlook, Visio, PowerPoint, and SharePoint.
- Equivalent combinations of education, training, and experience may be considered.
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
UNIVERSAL Technologies is seeking a Health Care Compliance Analyst for a remote role with travel. The right candidate will support the evaluation and performance review of the 1915(c) Childrens Waiver across New York State. The ideal candidate will bring strong analytical, regulatory, and compliance review experience within healthcare or human services settings. This role requires excellent communication, attention to detail, and the ability to work independently while maintaining strong relationships with stakeholders. Some travel across New York State, including New York City, may be required.
***This role will be based in our Albany office. This role may include travel across New York State including New York City.
WHO WE ARE
UNIVERSAL Technologies is a leading Women-Owned (M/WBE) IT consulting and staffing firm, recognized for delivering top-tier technology and professional services to government and commercial clients. We specialize in providing highly skilled professionals across project management, software development, cybersecurity, infrastructure, data, healthcare transformation, and business operations. Our team is committed to excellence, innovation, and meaningful client partnerships that drive impactful results.
WHAT WE OFFER
- Competitive hourly rates
- Medical, dental, and vision insurance
- Paid time off (PTO)
- 401(k)
- Transit and parking benefits
MANDATORY SKILLS/EXPERIENCE
Note: Candidates who do not meet the mandatory requirements will not be considered.
- Bachelors degree in public health, healthcare management, psychology, human services, or related field.
- Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager, Medicaid Provider, or similar role responsible for oversight, compliance audits, chart reviews, or ensuring quality of care.
- Experience with Medicaid fee-for-service and/or Managed Care billing.
- Extensive knowledge or experience with Home and Community-Based Services Waiver programs, including the 1915(c) NYS Childrens Waiver (provider or compliance officer experience preferred).
- Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or related systems/programs.
- Experience with NYS Medicaid billing, including use of Electronic Health Records (EHR) systems.
- Experience working with OMH, OPWDD, or OCFS.
- Experience conducting compliance audits or chart reviews.
- Ability to work with and relate to staff at all levels; strong active listening skills.
- Process-oriented, results-driven work style.
- Ability to work independently and collaboratively within a team.
- Strong customer service skills with excellent verbal and written communication abilities.
- High accuracy, exceptional attention to detail, and consistent adherence to deadlines and performance standards.
- Proficiency in MS Excel, Word, Outlook, Visio, PowerPoint, and SharePoint.
- Equivalent combinations of education, training, and experience may be considered.
SCOPE OF SERVICES
- Evaluate child/youth cases for compliance with applicable regulations.
- Communicate evaluation requirements clearly and follow up as needed.
- Assess documentation against State and Federal regulations.
- Collect data and documentation to support compliance findings.
- Use technology to convert hard copy documents to digital format and submit via secure transfer.
- Record, summarize, and communicate compliance findings for the Childrens Transformation Program.
- Assist in identifying trends in non-compliance and make timely recommendations to project management.
UNIVERSAL Technologies is an equal opportunity employer.