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Senior Medical Economist (8373)

Financial Analyst | Harrisburg, PA | Contract

Job Description
Senior Medical Economist
Work Location: Harrisburg, PA

InGenesis is currently seeking an experienced Senior Medical Economist to work with our client located in Harrisburg, PA. In this role, you will provide leadership in the design and conduct of fiscal and program analyses to support medical assistance business operating decisions.

If you meet the qualifications outlined below, apply today and we’ll reach out to answer any questions you may have!

Job Duties
• Track, report, and control medical assistance costs.
• Lead analyses to support development of effective provider network management, reimbursement systems, and strategies.
• Identify abuse or waste in the medical assistance program.
• Provide cost benefit analyses for new medical assistance initiatives.
• Lead cost trend analyses by geography, services provider type, place of service, etc. to discover trends and suggest action plans.
• Perform fiscal and impact analysis of potential cost containment initiatives.
• Extract and analyze large data sets.
• Perform analyses to determine if targeted cost savings were achieved.
• Identify future savings targets
• Perform analysis of various data sets, recommend payment levels, and provide fiscal impact estimates.
• Develop and maintain healthcare payment reconciliation systems.
• Present summary level papers and Power Point presentations on analyses completed.
• Perform other duties as assigned.

Minimum Qualifications
• Master’s degree or extensive medical economist experience exceeding minimum qualifications (includes bachelor’s degree plus experience).
• 3+ years of experience performing broad base of senior level medical economic analyses.
• Working knowledge of inpatient/outpatient medical industry operations or claims analysis identifying aberrant billing patterns.
• 2+ years’ experience acting as lead worker on complex medical analyses.
• High level proficiency in SAS, SQL, data mining software, and Microsoft Office programs.
• Experience accessing, using, and analyzing complex medical information databases.
• Preferred: Working knowledge of Medicaid/Medical Assistance, a plus.