- Public Consulting Group (Springfield, IL)
- …(CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight ... changing, and PCG is at the forefront. We are looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid… more
- HealthEdge Software Inc (Springfield, IL)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... products (from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan operations… more
- CVS Health (Springfield, IL)
- …work schedule may include weekends, holidays and evening hours. The UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, ... Microsoft Office applications (Outlook, Teams, Excel)Preferred Qualifications - Experience Medicare/ Medicaid populations - MCG experience - Managed care experience -… more
- Public Consulting Group (Springfield, IL)
- …HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal ... creating or revising programs. + Experience partnering with the Centers for Medicare and Medicaid Services (CMS) for the approval of Medicaid benefits. + Strong… more