- 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
- 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
- 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 ... Medicine or Internal Medicine + MSN - Family Nurse Practitioner Licensure/ Certification /Other Requirements + Current Valid unrestricted license to practice Medicine… more
- Fallon Health (Worcester, MA)
- …for our members with a special focus on those who qualify for Medicare and Medicaid . We also serve as a provider of care through our Program of All-Inclusive Care ... training and consultation + Serves as a behavioral health consultant to the Fallon Health Clinical Integration Team +...as a LICSW and/or LMHC ; reliable transportation + Certification in Case Management a plus + Satisfactory Criminal… more
- Aveanna (Worcester, MA)
- …staff, health care team members, and family. + Serves as a resource consultant for clinical staff. + Provide physicians and Aveanna with written evaluation of ... practice in the state of practice + Current CPR certification + One (1) year of recent experience as...acute care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Elevance Health (Smithfield, RI)
- …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