Fraud Analyst Jobs in Georgetown, KY (NOW HIRING)

Position Summary:

Necco has an opportunity for a career as Safety Analyst. This role will provide the most value to the company by identifying areas of safety and risk within all company functions and services. The Safety Analyst will work in collaboration with operations for resolution of safety concerns and serve as a consultant and subject matter expert in service-related processes to help prevent safety and risk- related reoccurrence.

You should be accurately described as:

A happy warrior who thrives on leading from the front with strategic thinking. A solid communicator in search of decisions that deliver real results. A problem-solver, financial steward, and one who excels at collaboration. Ridiculously passionate about the company’s success, growth, and program quality.

The candidate selected will be responsible for the following:

Quality, Safety and Risk Management

· Complete timely and accurate holistic file reviews in accordance with governing bodies

· Report to proper authority any incidence of non-compliance, suspicion of abuse or neglect, fraud, or any reportable offense as outlined in internal policy and procedure

· Ensure current policies and procedures in accordance with standards of governing bodies

· Manage all compliance documentation and tools as they relate to storage, edits, dissemination, and training

· Work with Contract Licensing Specialist to ensure timely and accurate submission of all license and certification applications

· Ensure the timely submission and completion of all items identified within a corrective action plan as well as inclusion of key players involved

· Maintain current knowledge and ensure compliance with statutes, rules, regulations, and any other guidelines applicable to Necco operations

· Maintain confidentiality in accordance with HIPPA regulations

· Monitor data insights through the utilization of performance dashboards

· Provide results of internal reviews to stakeholders

Technical Capacity

· Manage the external review process through coordination of systems access, equipment, communication, and follow-up

· Provide results of internal reviews to stakeholders

· Collaborate with staff to ensure all documentation is present and develop action items to address findings related to internal and external reviews

· Provide training and communication and guidance on “The Necco Way” through EHR workflows

· Collaborate with Necco staff to ensure standards are understood and reflected in quality of service delivery

· Serve as a subject matter expert as it relates to safety and risk management

· Prepare recommendations for implementation of new systems, procedures, or organizational changes

· Other duties as assigned by supervisor

Corporate Citizen

· Practice Ruthless Pragmatism

· Engage in peer to peer feedback

· Know and Live the Necco Corporate Culture Principles

· Embody the 3 essential virtues of Humble, Hungry and Smart

· Drive your Individual Performance Scorecard

· Adhere to and contribute to the Necco meeting structure

Position Qualifications

· Bachelor’s Degree, Master’s preferred in Human Services or related field

· 3 years of experience preferred in administrative or human services field

· Knowledge of and ability to navigate rules, regulations, accreditation standards and licensing requirements

· Have an understanding of Behavioral Health services and Medicaid Billable Services.

· Valid driver’s license

· 100/300/100 Auto Insurance Coverage

· Training and Travel willingness

· Outstanding Customer Service

· Organizational communication skills

· Must be self-directed

· Successful completion of all required criminal background checks

· Must possess the skills to navigate and execute software programs (i.e Microsoft Office, Database, Electronic Health Record, Dashboard)

At Necco, we value diversity and are committed to creating an inclusive and equitable work environment. We embrace individuals of diverse backgrounds, experiences, and perspectives. We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization. We are dedicated to providing equal opportunities for employment and advancement to all qualified individuals, and we encourage applicants of all backgrounds to apply.