- Public Consulting Group (Columbus, OH)
- …(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 (Columbus, OH)
- **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
- Molina Healthcare (Columbus, OH)
- …urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract ... Belt PMI - Project Management Professional (PMP) Agile Product Owner Design Thinking Certification **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
- Cleveland Clinic (Akron, OH)
- …data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality ... in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid ) surveys process, preferably in a leadership/coordination role + Certified Patient… more
- Elevance Health (Mason, OH)
- …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
- Cleveland Clinic (Mayfield Heights, OH)
- …Joint Commission (TJC), Ohio Department of Health (ODH) and Center for Medicare and Medicaid Services (CMS). + Act as the primary resource for staff to facilitate ... overall operations of programs. + Act as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies. + Educate and disseminate… more