- Public Consulting Group (Atlanta, GA)
- …(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
- Elevance Health (Atlanta, GA)
- **Medical Director- Florida Medicaid ** Location: This position will work a hybrid model (remote and office). The Ideal candidate will must live within 50 miles of ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...**Minimum Requirements:** + Requires MD or DO and Board certification approved by one of the following certifying boards… more
- HealthEdge Software Inc (Atlanta, GA)
- **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
- Elevance Health (Atlanta, GA)
- …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