Are you a registered nurse interested in preventing and detecting fraud and abuse within the PA Medical Assistance Program? The Bureau of Program Integrity currently has an open position in the Division of Provider Review, School Based Access, Ambulance and Pharmacy Review Section.
Through retrospective medical record reviews and claims analysis, the RN will identify potential fraud, waste and abuse and cite appropriate MA regulation violations to ensure appropriate high quality medical care is administered. Effective verbal and written communication as well as comprehension of regulations and policies are essential to notify providers, stakeholders and administrative law judges of the retrospective review findings.
Additional details regarding the duties of this position may be found in the position description.
Work hours and additional information:
Qualifications:
Veterans: Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans’ Preference tab or contact us at [email protected].
Telecommunications Relay Service (TRS): 711 (hearing and speech disabilities or other individuals).
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
Learn more about our Total Rewards by watching this short video!
Health & Wellness
We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*
Compensation & Financial Planning
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.
Work/Life Balance
We know there’s more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, six weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*
Values and Culture
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.
Employee Perks
Sometimes, it is the little “extras” that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.
For more information on all of these Total Rewards benefits, please visit www.employment.pa.gov and click on the benefits box.
br{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Behind every great deal at ALDI are people working to bring it all together. Our...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Start your career today…… DHL currently has an opening for a PT Field Services Clerical...
Apply For This JobThe Dispatch Specialist is responsible for managing dispatch functions for crisis line services. The Dispatch Specialist is responsible for facilitating,...
Apply For This JobAuto req ID: 324808BR Job Summary IMMEDIATE OPENINGS! Come for a job and stay for a career! FedEx Ground is...
Apply For This JobThis job was posted by https://www.vermontjoblink.com : For more information, please see: https://www.vermontjoblink.com/jobs/1052032 Overview The AOT Audit Bureau is seeking...
Apply For This JobSummary: Responsible for monitoring assigned patients within the hospital. May assist with meals and alerting staff to patients’ needs. Requirements:...
Apply For This Job