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.

Book A Call
Rows of plants sprouting out of the soil

Foundation

Need Help with participating in Medicaid, Medicare programs?

We guide providers in Medicaid and Medicare program enrollment and managed care plan credentialing and contracting. We help you create an operating plan to serve community members who have federal and state health insurance plans.

  • Medicaid & Medicare Provider Enrollment and Credentialing

  • Managed Care Contracting and Compliance

  • Workflow Co-development and Staff Support

A greenhouse with mature plants and flowers

Infrastructure

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

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

  • Revenue Cycle Optimization

  • Standard Operating Procedures for Compliance & Care Coordination

  • Workforce Recruitment, Retention & Leadership Coaching

Bridge over water in woods during the fall

Impact

Looking to Build Stronger Partnerships and Improve Care Transitions?

We deepen your understanding of community needs, co-design transitions of care, and develop a population health strategy.

  • Community & Environmental Health Assessments

  • Social Impact Strategy & Network Development

  • Care Transitions & Referral Program Design

team-meeting-full-of-happy-young-adults.jpg

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.

Learn more

  • 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. We help providers reduce denials, improve cash flow, and maximize revenue potential while maintaining compliance with Medicaid, Medicare, and commercial payers.

    • Claims submission, tracking, and denial management

    • Coding and documentation guidance to optimize reimbursement

    • Revenue cycle optimization for financial sustainability