Management Consulting - Kansas City, MO, US
Consultant with extensive experience in managed care, healthcare reform, government sponsored Medicaid & Medicare Programs. Physician Organizations. Services include: conducting practice assessments, financial / claims payment review, performing insurance contract review / negotiations, identification of Quality Improvement opportunities, implementing best practices to improve Quality scores / Health Plan Quality (P4Q) Bonus compensation, identify opportunities to improve Pay-For-Performance / Profit and or Gain Sharing reimbursement, as well as assist practices to prepare for Value Based Reimbursement. Health plan operations. Services include: operations management, network development, contract management, new product design and launch, compliance review.Government Sponsored Programs: Subject Matter Expertise in Medicare and Medicaid; policy, State Medicaid Agency resource, Medicaid and Medicare MCOs, health care providersHealthcare Reform. Benefits Advisor to businesses, community groups and individuals. Training, presentations and other outreach to assist with effectively managing the maze of healthcare reform.
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