- 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
- 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
- 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
- Public Consulting Group (Harrisburg, PA)
- …HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal ... creating or revising programs. + Experience partnering with the Centers for Medicare and Medicaid Services (CMS) for the approval of Medicaid benefits. + Strong… more
- Lancaster General Health (Lancaster, PA)
- …infection and implements actions to eliminate the source. + Acts as a consultant to nursing units and other departments in implementing isolation techniques or other ... (BSN) or higher level nursing degree is required. + Certification in Infection Prevention and Control (CIC) certification...A health care provider in good standing with Medicare, Medicaid and other federal and state health insurance programs,… 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
- UPMC (Harrisburg, PA)
- …and supplies. May act as liaison to outside vendors. + Act as a consultant to physicians in developing new strategic business opportunities and develop new outreach ... regulatory agencies or accrediting bodies (ie JCAHO, PA Department of Health, Medicaid ). + Work closely with Clinical, Administration and Information Services staff… more