Help Desk Analyst - Program Compliance & Audit jobs in United States
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Staffing Solutions Organization LLC · 1 month ago

Help Desk Analyst - Program Compliance & Audit

Staffing Solutions Organization LLC (SSO) is focused on providing managed staffing and talent consulting services. They are seeking a Help Desk Analyst to ensure compliance with consumer eligibility and enrollment practices for New York State’s health insurance programs, while participating in various program integrity activities and providing technical assistance to local social service districts.

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Comp. & Benefits
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Responsibilities

Monitoring external audits and reviews, including ones conducted by the Office of State Comptroller (OSC), the Office of the Inspector General (OIG) and the federally mandated Payment Error Rate Measurement (PERM) audit. This typically involves assessing the soundness of the audit methodology, conducting independent examinations of consumer eligibility determinations and payments to ensure findings are truthful and accurate, liaising with appropriate State and federal contacts, and drafting responses to reports, follow-up questions, and requests for additional documentation
Building review protocols, establishing written procedures, designing standardized review worksheets, and developing training components specific to each new internal review project assigned to the bureau. Reviewing completed worksheets by initial and peer reviewers, performing quality control reviews, making preliminary finding determinations, drafting finding reports and preparing executive summaries
Providing technical program integrity assistance to local social service districts and other stakeholders. This includes assisting with root cause analyses, as well as collaborating with program, policy and/or systems staff to correct deficiencies identified during reviews
Providing temporary support to the other bureaus within the group, if needed

Qualification

Public health insurance programsAnalytical skillsMicrosoft OfficeElectronic data systemsVerbal communicationWritten communicationAttention to detailOrganizational skillsTeamworkTime management

Required

8 years of professional experience

Preferred

Professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus
Excellent verbal and written communication skills
Strong analytical skills and attention to detail
Strong organizational skills
Proficiency in Microsoft Office (Word, Excel, Access)
Ability to work well independently and as part of a team
Ability to manage multiple priorities in order to meet deadlines
Experience using electronic data systems, such as Medicaid Management Information Systems and health insurance eligibility systems

Benefits

Health, vision, and dental insurance
401(k) with discretionary employer match
Paid time off and holidays
Flexible spending accounts
Other Perks

Company

Staffing Solutions Organization LLC

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Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services.

Funding

Current Stage
Early Stage
Company data provided by crunchbase