We Meet You Where you Are

Pivot First Consulting & Management provides tailored solutions to help organizations build sustainable, mission-driven community health programs. We guide you through Medicaid and Medicare program participation while centering community impact.

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Foundation

Need Help with participating in Medicaid and Medicare programs?

We provide guidance on Medicaid and Medicare program enrollment and participation. We provide strategic planning and project management of processes that help your organization’s growth and ability to serve more people.

  • Medicaid & Medicare Provider Enrollment and Credentialing

  • Managed Care Contracting and Provider Compliance

  • Workflow Co-Development and Staff Training

  • Compliance and Audit-Ready Systems Design

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Infrastructure

Ready to Strengthen Your Team, Streamline Operations, and Grow Sustainably?

We support you in achieving financial sustainability, improving care coordination, and nurturing a mission and values driven team.

  • Revenue Cycle Assessments and Optimization

  • Standard Operating Procedures for Compliance, Care Management, Community Health Improvement, and Growth

  • Workforce Recruitment, Retention & Leadership Coaching

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Impact

Looking to Build Stronger Partnerships and Improve Care Transitions?

We help you better understand your community’s needs and strengths, co-design smoother transitions of care, and build a informed population health strategy.

  • Community & Environmental Health Assessments

  • Social Impact Strategy

  • Transitions of Care Design

  • Network Development

Enhanced Services

Projects may be augmented with services that provide targeted support to help you generate funding, build team cohesion, gain strategic data insights, and expand impact.

  • Strengthen your financial sustainability and donor engagement with expert fundraising support. We help clients identify funding opportunities, build strong donor pipelines, and craft compelling proposals that align with your priorities.

    • Fundraising strategy development to drive long-term growth

    • Donor pipeline development to sustain development efforts

    • Prospect research to identify high-impact funding sources

    • Grant writing for federal, state, and private funding

    • Customer relationship management design and implementation for donor tracking

    • Creation of donor communications and engagement materials

  • Nurture your organization’s leadership with tailored coaching and development programs. We provide one-on-one and team-based coaching to build awareness on leadership styles, managing change, and building team cohesion.

    • Leadership training for executives and emerging leaders

    • Coaching on mission-driven decision-making and change management

    • Retention strategies that prioritize employee well-being and engagement

  • Leverage insights and advanced analytics to optimize revenue cycle performance, operational efficiency, and data-driven decision-making. Our team provides revenue cycle business intelligence solutions tailored to healthcare organizations, with expertise in Epic Cogito, BI reporting, data management, and predictive analytics.

    • We help providers streamline Epic workflows and optimize system functionality.

    • We develop custom dashboards to track revenue trends, denials, and key financial metrics.

    • We use predictive analytics to identify patterns, forecast financial performance, and support decision-making.

    • Our data integrity support ensures clean, accurate, and reliable reporting.

  • Ensure timely and accurate reimbursement with expert medical billing and claims management assessment and strategy. Reduce denials, improve cash flow, and maximize revenue potential while maintaining payor compliance. We help you understand and design systems for:

    • Claims submission, tracking, and denial management

    • Coding and documentation guidance to optimize reimbursement

    • Revenue cycle optimization for financial sustainability