Medical Economist- Executive

22nd Century Technologies, Inc.

Harrisburg, PA

Apply

JOB DETAILS

SKILLS

Administrative Skills, Analysis Skills, Billing, Computer Skills, Consulting, Contract Management, Cost Analysis, Cost Control, Data Analysis, Data Collection, Data Mining, Data Warehousing, Economics, Geography, Leadership, Legal, Medical Ethics, Medical Records, Microsoft Office, Needs Assessment, Nursing, Regulations, Reimbursement, Reporting Skills, Willing to Travel, Word Processing

LOCATION

Harrisburg, PA

POSTED

19 days ago

EXECUTIVE MEDICAL ECONOMIST WORK STATEMENT

This position will serve as a Executive Medical Economist with intermediate skills for the Client, Office of Administration, Bureau of Program Integrity (BPI). The contractor must possess a Master's degree or extensive medical analysis experience exceeding the minimum qualifications.

The skill category for Intermediate- The resource is able to successfully complete tasks as requested. Help from an expert may be required from time to time, but the resource can usually perform the skill independently.

The contractor will:

be available approximately 37.5 hours per week;

access and analyze data to effectively identify aberrant billing practices;

prepare queries to retrieve data for use in the detection of fraud and abuse for medical claims;

summarize and analyze data as directed;

create computerized data collection processes and create reporting for them;

participate in preparing detailed medical cost analyses to assist management in creating cost effective, clinically sound programming;

consult with program and department leadership regarding medical containment strategies;

consult with other medical economists to create synergy in analytical efforts;

consult with other professionals including physicians, nurses, executives, and data experts to help them determine their needs and/or how to approach analyses;

participate in analysis of cost trends by geography, services and provider, place of service and other factors to Client patterns and suggest action plans if warranted; and

possess computer skills, including familiarity with Microsoft Office programs, data mining tools, and data warehousing;

The contractor must possess the following essential skills to be considered for this position:

1. Experience in the detection of fraud and abuse

2. Familiar with word processing

3. Experience with spreadsheet

4. Experience with desktop data bases

5. Experience with data extraction

6. Experience with data analysis

7. Understand the concept of data summarization

8. Demonstrate good interpersonal skills

The contractor will be provided with a desk, computer, phone, and all items necessary for him/her to complete assignments.

On a scheduled basis, the Contractor will complete and forward original time and attendance sheets to the contract manager for confirmation of hours. The contract manager will verify the contractor's hours by signing the time sheets and will forward sheets to vendor. Time and attendance sheets will contain the following information:

1. Contractor's name;

2. Hours worked;

3. Start and end time; and

4. Time of break and work periods

Payment shall be made after services are actually rendered by the contractor. If the contractor is unable to appear at the scheduled work site at the pre-determined times, notification must be made to the contract manager either prior to the date or on the date of absence.

The Department anticipates that, on an infrequent basis, the contractor may have to travel on behalf of the Department. Advance notice will be provided of the need to travel. Reimbursement for travel required by the Department will be made in accordance with the Commonwealth of Pennsylvania's travel regulations. Travel to and from the designated work site is considered commuting and does not qualify for mileage reimbursement.

The contractor acknowledges that, in performing consultative services, he/she will be made privy to information of a confidential nature, including but not limited to information regarding the medical history of a client. The contractor hereby covenants to maintain the confidentiality of all such information, to the extent required by law and medical ethics. The contractor shall only disclose such confidential information to other medical experts to the extent necessary to provide the consultative services contemplated herein and only after prior notice to the Department of intent to so disclose.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

About the Company

22nd Century Technologies, Inc.

22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies’ delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.

Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

COMPANY SIZE

100 to 499 employees

INDUSTRY

Computer/IT Services

FOUNDED

1997

WEBSITE

https://www.tscti.com/careers-0

Resume Resources

Free Resume Templates Free Resume Builder