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Title posted on Jobillico - Medical Consultant (Medicare Programs-Monitoring)
Posted on June 05, 2024 by Employer details Medavie Blue Cross
Job details
<div> <span><p><span>For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada?s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada?s Top 100 Employers, Canada?s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company. <br> <br> Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We?re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization. <br> Together with Medavie Health Services, we are part of Medavie - a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.</span></p> <p> </p> <div> <span><span><b>Job Title:</b></span></span> <span><span>Medical Consultant (Medicare Programs-Monitoring)</span></span> <br> <span><span><b>Department:</b></span></span> <span><span>Medicare Programs </span></span> <br> <span><span><b>Competition:</b></span></span> <div> <span><span>87139</span></span> <br> </div> <br> <span><span><b>Internal/External:</b></span></span> <span><span>Internal/ External</span></span> <br> <span><span><b>Employment Type:</b></span></span> <span><span>External Consultant - Part-Time Hours</span></span> <br> <span><span><b>Location:</b></span></span> <span><span>Dartmouth, NS Office -Hybrid work available must be able to work in-office when required</span></span> <br> <span><span><b>Salary:</b></span></span> <span><span>Competitive Compensation</span></span> <br> <span><span><b>Reports To:</b></span></span> <span><span>Manager, Nova Scotia Provincial Programs</span></span> <br> <br> </div> <p> </p> <p> </p> <p> </p> <p><span><b>Role Summary:</b><br> We are currently accepting applications for an external Medical Consultant to join the Medicare Programs Team on a part time basis. The successful candidate will work with the Medicare Programs Team and will be responsible for supporting the MSI post- payment monitoring function. The Medical Consultant will provide the medical link between paying agency and providers. In collaboration with the MSI Audit Team, they will advise key stakeholders of Medavie Blue Cross and the Department of Health and Wellness of Nova Scotia on MSI Monitoring related matters including the development of policies and procedures.</span></p> <p> </p> <p><span><b>As an MSI Monitoring Medical Consultant, your key responsibilities will include:</b><br> ? Support a team of Medicare Auditors whose primary focus is to conduct billing audits.<br> ? Support the evaluation of select alternative funding contracts, includes interviews with providers and other parties.<br> ? Assist in the development of the annual audit plan, procedures to enhance monitoring operations.<br> ? Participate and provide feedback into the development of risk analysis strategies to utilize departmental resources efficiently.<br> ? Communicate with providers, Nova Scotia residents, Department of Health and Wellness, Doctors Nova Scotia, law enforcement, other government agencies in relation to MSI audit.<br> ? Provide feedback and billing guidance to the audit team and physicians as required, in relation to billing audit results. This feedback can include face to face meetings to discuss audit findings.<br> ? Support the development of Physician Education on the NS fee code and guidelines. Provide education to physician as requested through presentations and feedback through post payment audit results. <br> ? Participate in various meetings with the Department of Health and Wellness and other stakeholders as req- LocationDartmouth, NS
- SalaryNot available
- Start date Starts as soon as possible
- vacancies 1 vacancy
- Source Jobillico #13950813
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