Technical Analyst- Financial Consultant
City-State LLC Atlanta, GA
- Expired: November 21, 2020. Applications are no longer accepted.
Job Description:City-State, LLC is currently recruiting for a Technical Analyst- Financial Consultant for AECOM/NIOSH. TECHNICAL ANALYST - Financial Consultant (CLIN 0040) NIOSH - World Trade Center Health Program (WTCHP) Work Location - Off Site Full time (40 hours per week) Benefits Offered Travel Required Base Hourly Rate - $40.00 - $45.00 Start Date - January 4, 2021 (or ASAP) EXPERIENCE Candidate should possess 5+ years of experience in business/infrastructure management, BS/MS in business/infrastructure management or engineering and 5+ years of experience in auditing contracts. BACKGROUND On January 2, 2011, the President signed Public Law No.
111-347, the James Zadroga 9/11 Health and Compensation Act ("Zadroga Act"), providing a longer-term solution to care for the World Trade Center (WTC) responders and survivors. Title I of the Zadroga Act amended the Public Health Service Act to add Title XXXIII, which authorized the WTC Health Program as a federal health care program... within the Department of Health and Human Services, for eligible responders and survivors of the terrorist attacks of 9/11.
See "James Zadroga 9/11 Health and Compensation Act of 2010," Public Law 111-347, as amended by Public Law 114-113 (codified at 42 U.S.C. 300mm -300mm-61). The Zadroga Act can be found at: https://www.govinfo.gov/content/pkg/PLAW-111publ347/pdf/PLAW-111publ347.pdf The Zadroga Act encompasses myriad responsibilities associated with the administration and performance needed to enroll, initially evaluate, medically monitor, and manage covered health conditions for eligible individuals through diagnostic and treatment services.
Responsibilities include the construction of a comprehensive medical and pharmaceutical benefit program consistent with a limited care model (similar in constraints to a worker compensation model), while requiring the flexibility to engage with advocates and stakeholders. To align with legal requirements, the WTC Health Program promulgated regulations guiding program implementation and created member-based health benefit plans restricted to the conditions certified by the WTC Health Program Administrator for coverage. In addition, a new business processing component was developed to adjudicate and pay medical and pharmacy claims from enrolled providers for allowable services authorized by Clinical Centers of Excellence (CCEs) to manage the care of a restricted set of health conditions for eligible program members.
Required administrative processes included procedures for appeals related to denials of program enrollment, health condition certification, or treatment bills. The WTC Health Program had to be operational within 6 months of the passage of the authorizing legislation - by July 1, 2011. In Spring 2011, the CDC awarded contracts to seven Clinical Centers of Excellence (as defined in subsection (b)(1)(A)) for the following tasks: ''SEC.
3305. CLINICAL CENTERS OF EXCELLENCE AND DATA CENTERS. ''(a) IN GENERAL.
''(A) for the provision of monitoring and treatment benefits and initial health evaluation benefits under sub- title B; ''(B) for the provision of outreach activities to individuals eligible for such monitoring and treatment benefits, for initial health evaluation benefits, and for follow up to individuals who are enrolled in the monitoring program; ''(C) for the provision of counseling for benefits under subtitle B, with respect to WTC-related health conditions, for individuals eligible for such benefits; ''(D) for the provision of counseling for benefits for WTC-related health conditions that may be available under workers' compensation or other benefit programs for work-related injuries or illnesses, health insurance, disability insurance, or other insurance plans or through public or private social service agencies and assisting eligible individuals in applying for such benefits; ''(E) for the provision of translational and interpretive services for program participants who are not English lan