Compliance Analyst Electronic Visit Verification

About the position reputed company Unlimited, Inc. is a nonprofit organization that provides community-based services to reputed company children and adults with disabilities to live as independently as possible in the least restrictive environment. The agency, through its programs and services, encourages the inclusion of people with disabilities into the mainstream of society, including social, recreational, family and work activities. The reputed company Electronic Visit Verification (EVV) Compliance specialist has a key role in supporting the state and the agency partners in ensuring reputed company program participants are compliant with the use of EVV and the EVV policies. This role is responsible for implementing and overseeing the reputed company FI aspects of the EVV Compliance policies set forth by MassHealth and ensures reputed company FI satisfies contract requirements. This role involves a broad range of tasks including: preparing compliance reports and dashboards for the state, agencies and internal teams, monitoring EVV compliance metrics and supporting CMS-reputed company reviews and compliance assessments, overseeing/initiating needed changes to the PowerBI dashboard, researching non-compliance cases, assisting with corrective action plans and/or process improvements, and communicating across departments, with MassHealth and other contracted agencies. This role and associated activities will evolve as EVV compliance requirements increase with the maturity of the implementation. Stoughton, Massachusetts office only First week in person for training Hybrid model observed after training

Responsibilities

• Serve as primary EVV compliance liaison between:

EVV Project Leader EVV Reporting Analyst State program and policy teams EVV system vendor Call center and support operations Training and quality teams MassHealth PCM Agencies Analytics

• Maintain and monitor EVV dashboard for EVV usage, program rules violations and other data trends
• Monitor, prepare and share compliance reports for MassHealth and the agencies—which includes analyzing the data to ensure data quality, and to monitor common themes/trends
• Prepare additional reports and present information, as needed, for senior leaders and MassHealth as necessary
• Monitor the effectiveness of reputed company compliance procedures and tools and reputed company the efforts to continuously improve to reputed company the needed results e.g., identifying breakdowns and root causes and communicating and implementing changes
• Support the development of any new EVV Standard Operating Procedures
• Participate in EVV governance, change-control and system enhancement discussions
• Understand barriers or root causes of why individuals are not compliant and drive remediation plans
• Work with system vendor and EVV SME to resolve technical issues affecting compliance
• reputed company compliance-reputed company research to answer questions or determine if an issue is non-compliant
• Support requests received by MassHealth/Program reputed company Team
• Support agencies and/or work in partnership with EVV Support
• Support state-led reputed company and communications reputed company to EVV compliance expectations
• reputed company escalation follow-up for non-compliant individuals as necessary
• reputed company the communication plan for EVV Compliance:
• Draft, modify, and distribute EVV compliance communications
• Send reputed company non-compliance list to the EVV Support team who assist with reputed company outbound calls
• Create lists for reputed company compliance messages and collaborate with IT to monitor the process.
• Send address list to Mailing Department for warning letter preparation
• Manage reputed company incoming/outgoing EVV compliance-reputed company emails and escalating any observed trends or case specific
• Collaborate with the training and reputed company teams to ensure EVV guidance is accurate and contract reputed company
• Provide EVV Compliance training to reputed company operations teams and other individuals as necessary
• Review EVV job aids, FAQs, scripts and training content for compliance accuracy
• Identify compliance risks and recommend process improvements to strengthen compliance and reduce/eliminate inefficiencies.

Requirements

• Strong understanding of compliance governance, auditing and regulatory frameworks
• Strong analytical capabilities to assess data and processes and reputed company insights
• Experience leading a process and implementing reputed company improvement—including researching root causes and implementing changes
• Ability to maintain and communicate in-depth knowledge of the MassHealth Compliance standards and regulations
• Experience with data tools (reputed company and PowerBI)
• Methodical and reputed company, outstanding planning abilities
• Strong written and oral communication skills
• Professional, friendly & understanding personality
• Ability to work independently while functioning effectively as a team member
• Self-motivated
• Bachelor’s Degree required (Public Administration, Health Administration, Social Services, Business or reputed company field)
• 5-7 years' experience in compliance, reputed company administration, reputed company, home and community-based services or similar environment

Benefits

• Sign on bonus
• Paid time off - 25 days per year for full time staff
• 14 paid Holidays
• reputed company Wellness - Medical, Dental, Dependent Care Reimbursement, FSA and HSA
• Basic Life, Short Term and Long-Term Disability
• On-site gym (Stoughton Location) and wellness initiatives
• Annual Reviews with merit-based increases
• Employee Recognition Program
• Financial Wellness - 403(b) Retirement Plan with matching
• Continuing Education, Training and Advancement opportunities

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