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Healthcare Risk Management Specialist/ Public Health risk Analyst

22nd Century Technologies, Inc.
Pay Rate: $30-$43/hour on W2
United States, Pennsylvania, Harrisburg
Mar 18, 2026
Job Title: Healthcare Risk Management Specialist/ Public Health risk Analyst Duration: 12+months . Location: Harrisburg, PA 17101 Pay Rate: $30-$43/hour on W2 Shift Details- Shifts Full time: 8am to 5pm - 2 days in office with 3 days telework. Job Description: Perform case reviews and record reviews in order to provide consultation and technical assistance to Managed Care Organizations (MCO), Service Coordination Entities (SCE), Providers, and other agencies to assist with mitigation of participant risk. Serve as liaison between state protective service agencies, MCOs, SCEs and the internal Critical Incident Management staff in coordinating case reviews and determining whether deficiencies exist in order to implement corrective actions. Manage protective services report of need notifications related to program participants and providers enrolled with the OLTL. Coordinate information sharing with appropriate parties, provide technical assistance to other agencies, and ensure resolution of high profile and sentinel events. Assist the clinical staff/registered nurses in the completion of mortality reviews by requesting and researching case-specific information, reviewing documentation from MCOs, SCEs, or providers, and tracking all activities to ensure appropriate follow up. Complete trend analyses, collect and compile completed mortality reviews aggregated by calendar year to compare findings with the national health statistics for mortality and the Department of Health mortality health statistics and develop and implement preventative training program proposals to address impactful negative findings from trend analysis and mortality reviews. Work with law enforcement agencies including the Office of the Attorney General to explain program policies, regulations, and standards. Coordinate notification to appropriate authorities related to incidents of abuse and neglect of care-dependent persons. Perform data integrity activities and coordinate record correction activities for MCOs, SCEs, and providers. Participate in information system technology requirement and design sessions. Perform user acceptance testing of IT applications Conduct data analytic activities by analyzing and evaluating incident report data and developing comprehensive reports. Develop, update, and refresh data reports ongoingUtilize program office applications and databases such as Enterprise Incident Management (EIM), Home and Community Services Information System (HCSIS), WellSky, and Client Information System (CIS/eCIS), in order to manage oversight and monitoring activities. Utilize Excel and other statistical software, Word, and Power Point. Apply project management principles to further project and initiatives as assigned. Required Experience: Be knowledgeable of medical conditions and terminology. Be knowledgeable of physical disabilities, associated limitations to Activities of Daily Living (ADLs), Instrumental ADLs, and relevant supports. Understand OLTL Medicaid Waivers and Act 150 program, regulations, policies, and procedures. Be technology-savvy and able to work remotely using videoconference and telephonic platforms. The Critical Incident Management Team is currently on part time teleworking status. Be able to work independently, self-initiator. Organize and deliver presentations. Ability to prioritize tasks. Possess advanced critical thinking and problem-solving skills. Be able to effectively communicate both orally and in writing. Understand and interpret local, federal, and state laws as relevant. Possess working knowledge of or advanced ability to learn Microsoft Office suite, Home and Community Services Information System (HCSIS), WellSky, and Client information system (CIS/e-CIS). Travel independently with overnight stays, without available public transportation Required knowledge and experience regarding: Participant risk. What places participants at risk; how it is discerned; what risk management is; relationship between individual cases and risk management, how risk management would be applied in individual cases: how it would be applied systemically, population-based evidence. Basic knowledge of statistics and statistical analysis Basic knowledge of epidemiology How to chart/graph data Advanced computer skills including use of Microsoft Office software and statistical software Advanced critical thinking and problem-solving skills. Bachelor's degree in human services or business area or 3-years' experience in a related field. Minimum of one (1) years' experience with Incident Management/Risk Management, quantitative analysis and reporting is preferred.