What are the responsibilities and job description for the Medical Economist- Executive (718179) position at TulaRay?
Minimum Qualifications:
Licensure/certification requirements: Master's Degree Experience required:
At least five (5) years of experience doing a broad base of senior level medical economic analyses.
Thorough knowledge of inpatient and outpatient medical industry operations.
At least three (3) years' experience acting as program or project manager.
High level proficiency in: SAS, SQL, data mining software and Microsoft Office Suite, including Access Excel, Power Point and Word.
Solid 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:
Provide high level executive fiscal and program analyses to support Pennsylvania Medical Assistance Program executive staff in their decision-making processes.
Provide executive level analysis to support medical assistance business operating decisions and for reporting and controlling of Medical Assistance costs.
Manage analyses to support the development of effective provider network management, cost containment and reimbursement strategies.
Lead the conduct of cost benefit analyses for new Medical Assistance initiatives
Manage the design and completion of Medical Assistance cost trend analyses by geography, services provider type, place of service and other factors to discover trends, forecast utilization impacts and suggest action plans.
Lead ad hoc teams in the fiscal and impact analysis of potential cost containment initiatives.
Participate in executive level meetings to advise senior level managers on work results.
Present executive level papers, Power Point presentations and oral presentations on analyses completed.
Lead multi-discipline teams in the development of data bases for medical utilization and/or case management systems
About Us:
TulaRay partners with clients to create staffing solutions that meet unique organizational needs. Our services are designed to reduce administrative burdens, protect your brand, and improve assignment time-to-fill. We believe that mutually successful client relationships are built on lasting quality and exceptional customer service. We pride ourselves on our uncompromising commitment to high-quality emergency management & healthcare personnel, while ensuring that our clients are taken care of with personalized attention. TulaRay manages total compliance and respectfully supports hundreds of professionals and patient-centered programs.
TulaRay is proud to be an affirmative action employer and is committed to providing equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you have a disability or special need that requires accommodation, please let us know by visiting our website at tularay.com
