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Full-Time

Compliance & Risk Analyst

Confirmed live in the last 24 hours

FreedomCare

FreedomCare

501-1,000 employees

Home care services for Medicaid beneficiaries

Social Impact

Compensation Overview

$70k - $80kAnnually

Mid, Senior

Remote in USA

Category
Risk & Compliance
Legal & Compliance
Requirements
  • Strong working knowledge of auditing procedures; prior 3-4 years of applying such guidelines for overall compliance with a large scope preferrable in the healthcare sector, healthcare/hospital facility/system, or Insurance provider.
  • Strong working knowledge of billing and diagnosis codes that would permit proper auditing of reimbursement payments, insurance billing and claims for a healthcare services/products provider.
  • Minimum of 5 years of experience with progressively increasing responsibility (coaching employees on guidelines, functions, etc.).
  • Prior working experience driving change.
  • New program/system implementation experience.
  • Must possess a compliance mindset with a high level of attention to detail, a proven ability to understand compliance regulations and an understanding of how those regulations apply to specific situations.
  • Documented ability and success in working cross-functionally to attain/maintain compliance with guidelines and regulations.
  • Background in creating training modules which support a variety of audiences within an organization.
  • Experience driving results in a direct and dotted line reporting environment.
  • Active participation in audit responses with established success rates.
Responsibilities
  • This position will assist in building both initial and annual training programs for caregivers in each state in which FreedomCare operates. The role will be responsible for helping to build out training programs, monitoring adherence to training requirements, and reporting to the Compliance Managers & General Managers of each state when caregivers are at risk of non-compliance. This position will also be the main point of contact for audit responses regarding training programs.
  • This role will be primary in reporting functions for state required in-home visits. This will involve consistently monitoring upcoming home visits and identifying trends to report to the Compliance Managers & General Managers of each state when the company is at risk of non-compliance. This position will also be the main point of contact for audit responses regarding in-home visit percentages.
  • This role will assist in monitoring open complaints and critical incident reports to maintain compliance with closing cases within a timely period that will either be defined by the state guidelines or within 72 business hours.
  • This position will identify trends and report to the Compliance Managers & General Managers of each state if the company is at risk of non-compliance. This position will also be the main point of contact for audit responses regarding complaint and incident reporting.
  • Physical site visits to audit compliance with policies and guidelines regarding state-required postings.
  • Conduct regular and retrospective audits in new and existing states to ensure consistent adherence to compliance guidelines.
  • Support the Compliance Department in preparing for and managing internal, external, Medicaid, and State audits and inspections.
  • Function as a key liaison in audit readiness and response strategies, improving compliance controls based on audit outcomes.
  • Responsible for helping build out state-specific training when gaps are identified.
  • Responsible for training the General Managers in each state on new/updated requirements and how to enroll all necessary team members in required training.
  • Collaborate with General Managers and staff to identify caregiver compliance training needs, focusing on specific gaps identified through audits and operational feedback.
  • Identify gaps in training programs for front line operations team members considering state-specific requirements and changes in healthcare regulations.
  • Lead the effort to document all training identified and implemented while ensuring it is standardized with the Learning, Training and Development and Compliance departments as necessary.
  • Monitor and evaluate the effectiveness of training sessions, ensuring continuous improvement in compliance adherence by auditing service records and providing feedback during early stages of launching in a new state.

FreedomCare provides home care services specifically for Medicaid beneficiaries in New York. The company allows clients to hire family members or friends as caregivers, which creates a more personalized and trusted care experience. Clients can choose caregivers from their own circle, including children, relatives, or spouses, ensuring they receive assistance from someone they know and trust. FreedomCare's business model is funded by Medicaid, and it facilitates the hiring and payment process for caregivers, ensuring they receive immediate compensation after their shifts. This prompt payment system helps caregivers maintain financial stability. Unlike traditional home care services, FreedomCare focuses on personal connections and flexibility in caregiver selection, aiming to enhance the quality of care for clients while supporting caregivers financially.

Company Stage

N/A

Total Funding

$75K

Headquarters

North New Hyde Park, New York

Founded

2016

Simplify Jobs

Simplify's Take

What believers are saying

  • The unique model of hiring trusted family members or friends as caregivers can lead to higher satisfaction and better care outcomes for clients.
  • Immediate payment for caregivers can attract a more reliable and motivated workforce, enhancing the overall quality of care.
  • FreedomCare's partnership with Medicaid ensures a stable revenue stream and potential for expansion into other states with similar Medicaid programs.

What critics are saying

  • The company's focus on Medicaid beneficiaries in New York limits its market reach and may hinder growth opportunities.
  • Regulatory changes in Medicaid funding or policies could impact FreedomCare's business model and financial stability.

What makes FreedomCare unique

  • FreedomCare allows Medicaid beneficiaries to hire family members or friends as caregivers, offering a personalized care experience that is rare in the home care industry.
  • The immediate payment system for caregivers ensures financial stability and motivation, setting FreedomCare apart from competitors who may have delayed payment cycles.
  • By focusing exclusively on Medicaid recipients in New York, FreedomCare has tailored its services to meet the specific needs and regulations of this demographic, unlike broader home care providers.