Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit http://www.publicconsultinggroup.com/health/.
This position will serve as both PCG’s internal Program Manager for our Claims Operations team, as well as the primary point of contact for our Medicare Advantage clients. Duties and responsibilities include:
Education: Bachelor's Degree or higher is preferred or equivalent work experience
Experience: 5+ years’ in the health insurance/revenue cycle industry (required)
5+ years’ successfully managing or leading projects of various sizes (required)
5+ years’ in-depth knowledge of Medicare, Medicaid and Medicare Advantage experience (latter required)
Previous experience with claims processing systems (required)
Familiarity with Cognizant TriZetto healthcare products (preferred)
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