• Medicaid Certification

    Public Consulting Group (Boston, MA)
    …(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
    Public Consulting Group (10/16/24)
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  • Business Consultant

    HealthEdge Software Inc (Boston, MA)
    **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
    HealthEdge Software Inc (12/18/24)
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  • Physician

    Centers for Medicare & Medicaid Services (Boston, MA)
    …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI). As a ... new care models and payment approaches that serve Medicare, Medicaid and CHIP beneficiaries, and enhance the quality of...Serves as an advisor and a nationally recognized medical consultant to CMS and CMMI leadership concerning the development… more
    Centers for Medicare & Medicaid Services (12/19/24)
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  • Process Improvement Director-HEDIS

    Elevance Health (Woburn, MA)
    …metrics to track performance and goal achievement. + Serves as internal consultant relative to continuous improvement initiatives. + Identifies and develops plans to ... and process improvement structure strongly preferred. + Six Sigma Black Belt certification preferred. + Certified Professional Coder (CPC) and or professional coding… more
    Elevance Health (12/21/24)
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