Job Duties:

• Review and evaluate assigned health home policies to determine compliance based on state and federal policy requirements
• Review and evaluate assigned health home charts to determine compliance based on state and federal requirements.
• Document review findings utilizing the processes provided.
• Prepare for and attend internal meetings to discuss review findings.
• Conduct Quality Assurance reviews on completed charts to ensure accuracy of data collected.
• Maintain internal resources utilized during the re-designation process.
• Synthesize and summarize data obtained from the Case Management Agency survey.
• Review and prepare audit tools for upcoming designation reviews.
• Analyze current processes and procedures to develop recommendations to increase efficiency.
• Collaborate with technical advisors to develop enhancements to audit tools and technology.
• Develop training materials to educate state agency staff on new processes and procedures.

Required Skills:

• Working knowledge of Health Homes Redesignation program, including a good understanding of the redesignation process and requirements.
• Experience working with eMedNY, CANS-NY, UAS-NY, Medicaid Health Homes, Medicaid Managed Care Organizations (MMCOs), or other related systems/programs/organizations.
• Process oriented and results-driven work strategy.
• Experience with multiple Electronic Health Record applications.
• Ability to work with and relate to staff and demonstrate active listening skills.

Preferred Skills:

• 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 standard.
• Process oriented and results-driven work strategy.