Hi Friends,
Please send resumes to *[email protected] *or can reach me at * 972-746-4355 * * * * * *Duration: 3-6 Months* *Location: Baltimore, MD (Locals only)* Design algorythyms and data models to monitor Medicaid waste and fraud abuse. SQL and Medicaid claims exp strongly preferred. The Healthcare business of Client is seeking an analytic consultant withMedicaid experience to provide insight into the design and development of algorithms used to detect incorrect or fraudulent Medicaid payments to healthcare providers. The successful candidate will have an extensive background in analytics, Medicaid and healthcare information, be proficient in utilizing information technology systems to locate and examine healthcare claims data, and be familiar with Medicaid policy. The candidate must also have the ability to work both independently and collaborative as part of a team. Qualifications: - Bachelor's degree in healthcare or an analytical field (i.e., Public Health Administration, Statistics, Biostatistics, Applied Mathematics, Psychology, Sociology, etc.). Degrees in both healthcare and analytics are a plus. - 3 years of experience working with healthcare information. - 3 years of direct Medicaid experience (either working for a Medicaid agency or working with a company or healthcare provider on the correct coding and billing of Medicaid claims and adherence to Medicaid policy). - 3+ years of experience examining healthcare claims. - Proven task management skills. - Strong analytical skills. - 3+ years of experience utilizing information technology systems (i.e., healthcare claims databases, etc.) to retrieve and examine healthcare claims data. - Excellent writing and oral presentation skills. - Familiarity with medical coding (i.e., ICD-9, CPT, CDT, HCPCS, etc.) is a plus. - Extreme attention to detail. - Experience in detecting incorrect or fraudulent healthcare payments a plus. - Proficient in Microsoft Word, Excel, and Outlook. Experience with SAS, SQL, SharePoint, or Oracle databases a plus. - A professional healthcare license (RN, LPC, MD, etc.) is a plus, but not required. - Willingness to travel. Responsibilities: - Review Medicaid claims data to assure that the claims: (1) are compliant with applicable Medicaid policy; and (2) are otherwise correct. - Review the design and development of algorithms to identify ways to detect more incorrect and/or fraudulent Medicaid claims and remove claims which are allowable under Medicaid policy from the algorithm’s results. - Draft reports and analyses regarding healthcare data and information. - Conduct quality assurance of all work products produced and those of peers. - Identify opportunities for the creation of algorithms and data models to detect incorrect or fraudulent Medicaid billings. - Execute task leadership and sub-task management on small to mid-size projects; complete assignments on time. - Interact with clients in a professional manner and respond quickly to client requests. - Interact with project team in a collegial and professional manner. - Help foster teamwork to complete designated tasks. Thanks & Regards, *Srikanth K* *American Softech Inc.,* Direct : 972-746-4355 Ext : (972) 746 4350 ext 1005 Fax : (972) 600 - 8569 Email : [email protected] www.amsoftech.com -- You received this message because you are subscribed to the Google Groups "Dot Net Discussions" group. To post to this group, send email to [email protected]. To unsubscribe from this group, send email to [email protected]. For more options, visit this group at http://groups.google.com/group/dot-net-discussions?hl=en.
