Medical Analyst
Location: North Reading Massachusetts
Description: ISO is currently seeking to employ Medical Analyst right now, this occupation will be placed in Massachusetts. For complete informations about this occupation opportunity please read the description below. Founded in 2005, Crowe Paradis Services Corporation (CPSC), provides products and services that help insurers and other healthcare payers comply with Medicare requirements.
CPSC is! a highly entrepreneurial business servicing a rapidly growing healthcare niche. Our expert staff members are regarded as thought-leaders within our field. Our data and analytical capabilities aid us in providing crucial compliance services to the largest insurers, employers and companies in the world. The ideal candidate will enjoy a fast-paced, innovative environment that emphasizes individual accountability with the support of a team structure.
CPSC offers a competitive benefits package that includes medical, dental, vision, 100% paid short- and long-term disability, 401k, fitness center, and a competitive vacation program.
Crowe Paradis Services Corporation is a member of the Verisk Analytics Family of Companies. Verisk Analytics (Nasdaq: VRSK) is a leading source of information about risk. We offer risk-assessment services and decision analytics to professionals in insurance, healthcare, mortgage, government, risk management, and other fields. In the ! United States and around the world, Verisk Analytics helps cus! tomers protect people, property, and financial assets. To learn more about Verisk Analytics visit www.verisk.com .
Responsibilities:
The Medical Analyst provides comprehensive review and analysis of medical records to assess future medical care cost needs for insurance carriers.
RESPONSIBILITIES
Through a review of relevant medical files and related documentation, provides a narrative and cost projection for future treatment related to Workers Compensation and Liability injuries
Collaborates with a team of attorneys and medical professionals in identifying negotiating and documenting guidelines and cost reductions on future treatment plans
Identifies documentation applicable to rated age determinations
Uses CPSC-designed information technology tools to identify diagnoses, treatment guidelines, and prescription medication pricing, and documents the case when applicable
Provides additional analysis and medical recommendations a! s needed
Qualifications:
EDUCATION, EXPERIENCE, AND REQUIRED SKILLS:
Bachelor’s Degree
Registered Nursing license in good standing with the applicable Board of Nursing
3- 5 years nursing experience
Certification in any of the following, including but not limited to: Rehabilitation Counseling, Disability Management, Utilization Review, Life Care Planning, Medical Coding, Legal Nurse Consulting a plus
Strong interpersonal, oral, and written communication skills including report preparation preferred
Ability to work effectively both independently and as a member of a team
Ability to gather data, compile and synthesize information, including medical information, claims payment histories and billing, to identify level and types of services utilization
KEY COMPETENCIES:
Drive for Results
Managing and measuring work
Communication Skills
Customer Focus
Decision Quality
Interested c! andidates should apply on our career page, www.cpscmsa.com
Cro! we Paradis Services Corporation is an Equal Opportunity Employer
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to ISO.
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This occupation starts available on: Thu, 18 Apr 2013 19:09:53 GMT