- 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
- WellSense (Boston, MA)
- Sr. Provider Relations Consultant - (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide… more
- 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
- Public Consulting Group (Boston, MA)
- …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 (Boston, MA)
- …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
- Commonwealth Care Alliance (Boston, MA)
- …processes, software systems, and technology platforms that support Medicare and Medicaid Health Plans. **Supervision Exercised:** + No, this position does not ... **Working Conditions:** Standard office conditions **What We're Looking For:** **Education/ Certification Required:** + Bachelors Degree in Information Technology, Software… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …of laboratory, radiologic and other diagnostic procedures, and integration of consultant recommendations into the patient care treatment plan in collaboration with ... ACGME accredited residency in Family Medicine or Internal Medicine Licensure/ Certification /Other Requirements + Current Valid unrestricted license to practice… more