Are you an experienced medical economist looking to make a meaningful impact in healthcare? CAP Global Works, LLC, is seeking a skilled Medical Economist Senior to join our team. This intermediate-level role offers the opportunity to lead complex analyses and support critical initiatives for the Pennsylvania Medical Assistance Program. If you’re ready to bring your expertise to a dynamic and collaborative environment, we’d love to hear from you!
As a Medical Economist Senior, you’ll play a key role in shaping healthcare operations and strategies. Your responsibilities will include:
-
Conducting fiscal and program analyses to support the Pennsylvania Medical Assistance Program.
- Analyzing costs, business operations, and financial controls to identify areas for improvement.
- Supporting provider network and reimbursement strategies.
- Identifying opportunities to prevent fraud, waste, and abuse in healthcare systems.
- Performing cost-benefit analyses for new initiatives and evaluating cost containment opportunities.
- Analyzing trends by provider, geography, and service type.
- Managing large healthcare datasets and maintaining payment reconciliation systems.
- Developing payment recommendations and fiscal impact estimates.
- Preparing executive-level reports and presentations to inform decision-making.
We’re seeking candidates with the following qualifications and skills:
- Master’s Degree preferred, OR
- Bachelor’s Degree with extensive related medical economics experience.
- At least three (3) years of senior-level medical economic analysis.
- A minimum of two (2) years leading complex medical analysis projects.
- Proven experience with healthcare operations, claims analysis, and identifying billing trends.
- Familiarity with large healthcare databases; Medicaid experience is preferred but not required.
- Proficiency in SAS, SQL, and data mining software.
- Advanced knowledge of Microsoft Access, Excel, PowerPoint, and Word.
- Schedule: 8:30 AM – 4:30 PM, Monday through Friday.
- Location: Secretary’s Office, 625 Forster Street, Harrisburg, PA 17120.
At CAP Global Works, LLC, we pride ourselves on fostering a professional yet approachable environment where talented individuals can thrive. As part of our team, you’ll have the opportunity to work independently while also collaborating on impactful projects. Your contributions will directly influence healthcare strategies and outcomes, making a real difference in the lives of others.
If you meet the qualifications and are excited about this opportunity, we encourage you to apply today! Join CAP Global Works, LLC, and take the next step in your career as a Medical Economist Senior.
