
Third Party Administrator (TPA) Services
PCG is an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans.

Solutions that enhance health and public safety services.
Helping fire and emergency medical service agencies improve operational performance, reduce costs, and deliver better outcomes to those in need.

Solutions that lead to healthier communities.
At PCG, we help our clients meet the financial, regulatory, and operational challenges of today’s changing health care landscape so they can provide the best care, most effectively, to the people they serve.
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.
News & Perspectives
National Public Health Week: Celebrating 30 Years of Public Health Progress
17 days agoThis year marks the 30th anniversary of National Public Health Week (NPHW), the theme of which is “It Starts Here.” In honor of this milestone, Public Consulting Group (PCG) celebrates the public health progress made in the last 30 years and reflects upon some key public health topics that are critical to continuing this momentum.
ReadMorePCG hosts “Translating Fire & EMS Operational Challenges into Financial Needs” Webinar
833 days agoAs more fire and EMS departments have been expressing the need for additional funding, countless have struggled through referendums and challenging budget meetings to justify every penny of increase. Public Consulting Group (PCG) is here to provide support to fire and EMS administrators on how to step back from challenges, consider the perspectives of the community, and determine how to communicate operational needs into simple and actionable requests that anyone can understand.
ReadMoreU.S. Supreme Court Ruled That HHS Wrongfully Cut Medicare Reimbursement for Certain Drugs to Hospitals Serving Low-Income Beneficiaries
1016 days agoOn Wednesday, June 15, 2022, the U.S. Supreme Court unanimously held that the U.S. Department of Health and Human Services (HHS) improperly cut more than $1 billion per year since 2018 in Medicare payments for certain drugs to hospitals serving low-income communities.
ReadMoreU.S. Supreme Court Decides That States Can Seek Reimbursement for Future Medical Expenses from Medicaid Beneficiaries’ Injury Settlements
1025 days agoOn June 6, 2022, the U.S. Supreme Court held, in a seven-to-two decision, that the Medicaid statute permits a state to seek reimbursement from settlement payments allocated for future medical care.
ReadMoreU.S. Supreme Court Declines to Hear Appeal by UnitedHealth Group, Inc. Requiring Return of Medicare Overpayments Based on Faulty Diagnoses
1038 days agoOn Tuesday, June 21, 2022, the U.S. Supreme Court rejected an appeal by UnitedHealth Group, Inc., leaving in place a federal rule requiring Medicare Advantage plans to return overpayments based upon wrongful diagnoses.
ReadMorePCG Awarded CMS Quality Improvement Organization-like Recertification
1116 days agoPublic Consulting Group (PCG) is proud to announce its five-year recertification as a Quality Improvement Organization-like (QIO-like) entity by the Centers for Medicare and Medicaid Services (CMS). A QIO-like entity consists of health quality experts, clinicians, and consumers who work together to improve the quality of care delivered to Medicare and Medicaid beneficiaries.
ReadMoreMeet Our Team

Rupam Chokshi
Associate Solutions Manager / Human Services
Rupam Chokshi is a seasoned product leader accomplished in managing a portfolio of digital products spread across all stages of the product lifecycle.
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Kathy Fallon
Practice Area Director / Human Services
Ms. Fallon has worked in government and government consulting for more than 32 years and has expertise across state and local human service programs. She has been at PCG since 1998 and currently oversees the firm's human services division...
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Tim Gillespie
Associate Manager / Education
Mr. Gillespie has more than 12 years of experience working with public sector clients and school districts throughout the country. As an Associate Manager with PCG, Mr. Gillespie supervises...
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Dr. Jack McLaughlin
Manager / Education
Dr. McLaughlin comes from a proud family tradition of service in public education. He has served as school teacher and chief administrator in New York and California. In California, he served as...
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Heather Gann
Associate Manager / Human Services
Heather Gann is an associate manager for Early Childhood Education (ECE) in Human Services. She joined PCG in 2014 with over 15 years of experience in the field. In her current role, Heather manages all sectors of early childhood—from home visitation to state-funded pre-kindergarten (Pre-K)...
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James Dachos
Manager / Health
Mr. Dachos, a Manager in our Healthcare Financing Solutions division, has over 12 years of Medicaid and Healthcare experience with PCG. He leads PCG’s Emergency Medical Services (EMS) division...
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Gary Garofalo
Chief Operating Officer / Corporate
Mr. Garofalo brings a strong record of leadership in the application of analytics, metrics, and business intelligence. He has more than 35 years of experience managing consulting services operations and facilitating growth in large organizations. As Executive Vice President of MAXIMUS Inc., Garofalo served as leader in strategic direction and executive oversight, and in delivering business solutions for health and human services operations programs. Mr. Garofalo earned his bachelor’s degree in Computer Science from the University of Maryland and his master’s degree in Computer Science from George Washington University.
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Rachel Rosenberg-White
Director / Technology Consulting
Rachel Rosenberg-White joined PCG in 2024 and serves as a Director for the Technology Consulting team. She is responsible for business and staff development, client relationship management, and service delivery of technology consulting services across California’s public sector. With over 25 years of experience, Rachel has helped clients achieve operational excellence through strategic technology solutions, managing large-scale and complex IT projects in both the public and private sectors.
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Kris Marshall
Director / Technology Consulting
Kris Marshall joined PCG in 2011 and serves as a director within the Technology Consulting team. In this role, Kris is responsible for leading Centers for Medicare and Medicaid Services (CMS) certification management and supporting the firm’s Independent Verification and Validation (IV&V) services across the country...
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Alissa Narode
Associate Manager / Health
An Associate Manager with the firm’s Health Care Financing Solutions team, Alissa Narode has extensive experience overseeing Medicaid rate setting and rate study projects at the state, county, and provider levels.
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Christopher Connor
Associate Practice Area Director / Education
Mr. Connor is a shareholder at PCG and assists with management of the Education practice area. He has been with PCG for more than 25 years and brings a wealth of experience in Medicaid reimbursement, case management solutions, technical implementations, and consulting engagements.
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Nick Loret de Mola
Director / Technology Consulting
Nick Loret de Mola joined PCG in 2023 and serves as a Director for the Technology Consulting team. In this role, Nick is responsible for managing multiple contracts with the state of California and driving growth for PCG’s Project Assurance Major Business Line and Project Management Office (PMO) Service Line...
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Deborah Joffe
Associate Manager / Human Services
Deborah Joffe, PMP, is an Associate Manager at PCG. Ms. Joffe has extensive experience leading consulting jobs for human services agencies around the country, including engagements providing...
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Rich Albertoni
Manager / Health
Mr. Albertoni has 16 years of experience working in state public health programming and Medicaid. He has held leadership positions in eligibility, budget and finance, and benefits and waivers.
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Edward Forth
Chief Information Officer / Corporate Technology
Mr. Forth has more than 27 years of technology and management experience. He joined PCG in 2012 and currently provides transformational technology leadership for PCG's corporate services...
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Tracy Bell
Senior Advisor / Human Services
Mr. Bell joined PCG in November 2018 with over 15 years of experience in human services. He currently serves as a senior advisor for employment and income maintenance services within Human Services. In this role, he focuses on health and human services strategies and solutions for state and local governments...

Tony Ong
Business Development Manager / Human Services
Tony Ong believes in better government. As the leader of Public Consulting Group's (PCG) business development in the human services sector, Tony is driving the development of...
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Florie Wong
Manager / Education
Florie Wong is an Associate Manager with PCG's education division and has been working in the education field for over 16 years. She holds a Bachelor of Arts degree in Business Administration from Framingham...
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