- 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
- HealthEdge Software Inc (Harrisburg, PA)
- **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
- 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
- Commonwealth of Pennsylvania (PA)
- …Qualifications training and Test (SMQT) provided by the Centers for Medicare and Medicaid Services or an equivalent certifying body for the discipline, within one ... state and federal laws, rules, and regulations concerning operational licensure/ certification requirements for health care facilities. Levels of Performance Select… more