• Medicaid Certification

    Public Consulting Group (Harrisburg, PA)
    …(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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  • Medicare Advantage Quality Consultant

    Highmark Health (Harrisburg, PA)
    …job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support ... to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control… more
    Highmark Health (10/24/24)
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  • Actuarial Consultant

    Public Consulting Group (Harrisburg, PA)
    …carry out related project work across multiple public health care projects, including Medicaid programs + Serve as a subject matter expert in health care finance, ... benchmarking, financial management/analysis including experience projections, and administration + Medicaid actuarial experience (any state program, health insurer or… more
    Public Consulting Group (08/23/24)
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  • Director, Lead 340B Consultant

    Cardinal Health (Harrisburg, PA)
    …within our Innovative Delivery Solutions (IDS) business. The Lead 340B Consultant role is essential to achieve financials and meet contractual obligations ... related field or equivalent work experience preferred + Apexus 340B University Certification or Apexus Advanced 340B Operations Certificate is highly preferred +… more
    Cardinal Health (10/25/24)
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  • Manager Provider Government Programs

    Highmark Health (Camp Hill, PA)
    …impact and cost control through the departmental day to day operations and clinical consultant performance in meeting or exceeding the ROI and fiscal targets as set ... by Highmark, cost and utilization and quality results in Medicare STARS, Medicaid HEDIS and risk revenue government programs. This includes accountability for team… more
    Highmark Health (11/04/24)
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