Medical Economist- Associate- Expert
3 weeks ago
Medical Economist- Associate- Expert
**Pay Rate:** $39 / hour
Minimum Qualifications
Possess Bachelor's Degree, and
At least two (2) years of experience doing medical economic analyses
A working knowledge of inpatient and outpatient medical industry operations or claims analysis to identify aberrant billing patterns
High level proficiency in: SAS, SQL, data mining software and Microsoft Office Suite, including Access Excel, Power Point and Word
Experience in accessing. using and analyzing complex medical information databases
(A good working knowledge of Medicaid/Medical Assistance a plus, but not required)
'
Role Description:
Assist in the design and conduct of:
Fiscal and program analyses to support Pennsylvania Medical Assistance Program decision-making processes.
Analyses to support medical assistance business operating decisions and for tracking, reporting and controlling of Medical Assistance costs.
Analyses to support the development of effective provider network management and reimbursement strategies or identification of abuse or waste in the Medical Assistance program.
Cost benefit analyses for new Medical Assistance initiatives
Medical Assistance cost trend analyses by geography, services provider type, place of service and other factors to Client trends and suggest action plans.
Fiscal and impact analysis of potential cost containment initiatives.
Large data set analyses to determine whether targeted cost savings were achieved or to identify future savings targets
Analyses of various data sets to recommend payment levels and provide fiscal impact estimates
Development and maintenance of healthcare payment reconciliation systems
Participate in meetings to advise Commonwealth staff on work results.
Prepare summary level papers and defend analyses completed.
\#IndeedStaffHigh
Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability
-
Psychiatrist NDC- Expert
3 weeks ago
Harrisburg, United States Staff Today Inc. (STI) Full timePsychiatrist NDC- Expert Pay Rate: $110 / hour Minimum Qualifications Physician shall possess an unrestricted license to practice medicine within the Commonwealth of Pennsylvania. Physician shall be certified by the American Board of Medical Specialties or the American Osteopathic Association for his or her area of medical specialty and currently be in...
-
Psychiatrist NDC- Expert
3 weeks ago
Harrisburg, United States Health Advocates Network Full timePsychiatrist NDC- Expert **Pay Rate:** $110 / hour Minimum Qualifications Physician shall possess an unrestricted license to practice medicine within the Commonwealth of Pennsylvania. Physician shall be certified by the American Board of Medical Specialties or the American Osteopathic Association for his or her area of medical specialty and currently be...
-
Warehouse Associate
4 days ago
Harrisburg, United States Active Medical Inc Full timeWarehouse Associate - Active Medical - Harrisburg, PA Associate will be responsible for shipping and receiving in addition to organizing small warehouse. Part time or full time 401K eligible after 12 months $20/hour recblid 3q8rxisj8el55cn3cycukb2b4o9eqh
-
Dental Hygienist-NDC- Expert
2 days ago
Harrisburg, United States Staff Today Inc. (STI) Full timeDental Hygienist-NDC- Expert Pay Rate: $34 / hour Minimum Qualifications Possess a current active Dental Hygienist license; Demonstrate an understanding of utilization review processes. Basic computer skills to include, but not limited to, Microsoft Office Products. Role Description: Process dental prior authorization and program exception requests that...
-
Senior Medical Lab Tech
3 weeks ago
Harrisburg, United States University of Pittsburgh Medical Center Full timePurpose: The Senior Med Lab Tech will assure compliance with the UPMC mission and values for providing service excellence. Provide authority, responsibility and accountability for the accurate performance of laboratory testing of a routine and advanced nature. These tests are used in the diagnosis and treatment of patients and in the evaluation of a...
-
Dental Hygienist-NDC- Expert
4 days ago
Harrisburg, United States Staff Today Inc Full timeDental Hygienist-NDC- Expert Pay Rate: $34 / hour Minimum Qualifications Possess a current active Dental Hygienist license; Demonstrate an understanding of utilization review processes. Basic computer skills to include, but not limited to, Microsoft Office Products. Role Description: Process dental prior authorization and program exception requests that...
-
Dental Hygienist-NDC- Expert
4 days ago
Harrisburg, United States Health Advocates Network Full timeDental Hygienist-NDC- Expert Pay Rate: $34 / hour Minimum Qualifications Possess a current active Dental Hygienist license; Demonstrate an understanding of utilization review processes. Basic computer skills to include, but not limited to, Microsoft Office Products. Role Description: Process dental prior authorization and program exception requests...
-
Dental Hygienist-NDC- Expert
2 days ago
Harrisburg, United States Health Advocates Network Full timeDental Hygienist-NDC- Expert **Pay Rate:** $34 / hour Minimum Qualifications Possess a current active Dental Hygienist license; Demonstrate an understanding of utilization review processes. Basic computer skills to include, but not limited to, Microsoft Office Products. Role Description: Process dental prior authorization and program exception...
-
Medical Sales Representative
1 month ago
Harrisburg, United States Novus Surgical Full time**Job Details** - Title:Technology Associate for Novus Surgical, LLC - City:Greater Harrisburg Area, York, Hershey, Hanover, Chambersburg, Gettysburg, Carlisle, Lancaster - State:PA - Country:United States - Company:Novus Surgical, LLC **Description** Novus Surgical, Inc. is seeking highly self-motivated technology associate to join our fast-paced,...
-
PSERS Psychiatrist
2 days ago
Harrisburg, United States Health Advocates Network Full time*** Psychiatrist - NDC-Expert **Pay Rate:** $157 / hour Psychiatrist - Non-Direct Care Minimum Qualifications Must hold a valid license from and be in good standing with the Pennsylvania State Board of Medicine. Must be able to review disability annuity applications and attendant medical records and other documentation, testify, consult and provide...
-
Primary Care Physician
1 week ago
Harrisburg, United States Health Advocates Network Full timePrimary Care Physician (PCP) NDC- Expert Pay Rate: $130 / hour *1099 Independent Contractor Evaluations conducted by primary care physician. Maximum hours per year of 10-12 hours annually Minimum Qualifications Be board certified in family practice medicine. Possess an active Pennsylvania medical license. If feasible, be in active clinical practice in...
-
Primary Care Physician
3 weeks ago
Harrisburg, United States Health Advocates Network Full timePrimary Care Physician (PCP) NDC- Expert **Pay Rate:** $130 / hour *1099 Independent Contractor Evaluations conducted by primary care physician. Maximum hours per year of 10-12 hours annually Minimum Qualifications Be board certified in family practice medicine. Possess an active Pennsylvania medical license. If feasible, be in active clinical...
-
Sales Associate
3 weeks ago
Harrisburg, United States Capitol City Pawn Full timeJob DescriptionJob DescriptionJob Summary:We are seeking a highly motivated and customer-oriented individual to join our team as a Pawnshop Sales Associate. As a Sales Associate, you will play a crucial role in providing exceptional customer service, assessing the value of items, negotiating prices, and maintaining accurate records. This is a fantastic...
-
Sales Associate
3 weeks ago
Harrisburg, United States Capitol City Pawn Full timeJob DescriptionJob DescriptionJob Summary:We are seeking a highly motivated and customer-oriented individual to join our team as a Pawnshop Sales Associate. As a Sales Associate, you will play a crucial role in providing exceptional customer service, assessing the value of items, negotiating prices, and maintaining accurate records. This is a fantastic...
-
Sr. Medical Laboratory Scientist
3 weeks ago
Harrisburg, United States University of Pittsburgh Medical Center Full timePurpose of the Sr Medical Laboratory Scientist: Assure compliance with the UPMC mission and values for providing service excellence. Provide authority, responsibility and accountability for the accurate performance of laboratory testing of a routine and advanced nature. These tests are used in the diagnosis and treatment of patients and in the evaluation of...
-
Associate Medical Director
3 weeks ago
Harrisburg, United States Hospice of Central PA - Harrisburg Full timeJob DescriptionJob DescriptionOversee, coordinate and review the medical care provided to hospice patients in order to ensure pain and symptom management control, minimize the risk of polypharmacy and assure patient goals of care are in line with hospice philosophy. Certify and recertify client eligibility for hospice care in accordance with applicable...
-
Associate Medical Director
4 weeks ago
Harrisburg, United States Hospice of Central PA - Harrisburg Full timeJob DescriptionJob DescriptionOversee, coordinate and review the medical care provided to hospice patients in order to ensure pain and symptom management control, minimize the risk of polypharmacy and assure patient goals of care are in line with hospice philosophy. Certify and recertify client eligibility for hospice care in accordance with applicable...
-
Senior Medical Lab Tech
3 weeks ago
Harrisburg, United States UPMC Full time**Purpose:** The Senior Med Lab Tech will assure compliance with the UPMC mission and values for providing service excellence. Provide authority, responsibility and accountability for the accurate performance of laboratory testing of a routine and advanced nature. These tests are used in the diagnosis and treatment of patients and in the evaluation of a...
-
Medical Policy Consultant
1 day ago
Harrisburg, United States Elevance Health Full timeMedical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50...
-
Sr. Medical Laboratory Scientist
3 weeks ago
Harrisburg, United States UPMC Full time**Purpose of the Sr Medical Laboratory Scientist:** Assure compliance with the UPMC mission and values for providing service excellence. Provide authority, responsibility and accountability for the accurate performance of laboratory testing of a routine and advanced nature. These tests are used in the diagnosis and treatment of patients and in the...