- 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
- 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
- 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
- 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
- Highmark Health (Harrisburg, 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
- Lancaster General Health (Lancaster, PA)
- …considered secondary to the primary duties listed above:** + Serve as a consultant for physicians regarding decisions in patient care which can benefit from his/her ... Board of Pediatrics or the American Board of Pediatrics. + Sub-specialty certification in Maternal Fetal Medicine or active candidate + Required Course(s)/Training:… more