Healthcare Consultant II
SGS Consulting
Job Responsibilities: Prior experience in performing chart audits is preferred.Candidate must commit to attending all required training and conference calls assigned for the project.Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the projectMedical knowledge/terminology is required.Ability to read and interpret medical records.Professional demeanor and good work ethic.Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder. Skills: 5 or more seasons of HEDIS experience in reviewing medical records is required Education/Experience: RN/LVN with an associate or bachelor degree is preferred but not required. Successful HEDIS review experience may be substituted for licensure. #J-18808-Ljbffr SGS Consulting
- The Florida Department of Law Enforcement (FDLE) invites applications for an OPS GOVERNMENT ANALYST II unit in Tallahassee. The role focuses on data collection, management and analysis to develop surveys, automations, and interactive dashboards using Power BI, Power Automate...Suggested
- ...communities around the world. Organizations infrastructure and culture is amazing. Best place!!Job DescriptionJob Title : Peoplesoft Consultant Job Level: Mid - Senior Level Job Location: Tallahassee, FL, USAJob Description: As a peoplesoft consultant you will be upgrading...SuggestedWork experience placement
- ...actively and knowledgeably participate with their provider in healthcare decision-makingMonitoring, Evaluation and Documentation of Care... ...Required Education/Experience Bachelor's degree requiredNo nursesSocial work degree or related field. #J-18808-Ljbffr SGS ConsultingSuggestedTemporary workWork at office
- Intuitive in the United States is seeking a Technical Solution Consultant to lead the technical implementation of digital solutions across hospital systems, from pre-sales readiness to activation and long-term sustainability. The role demands strong technical aptitude,...SuggestedRemote job
$79.1k - $158.2k
...focusing on client success in utilizing Oracle's solutions. Through the use of Oracle's implementation approach and methodology, the Consultant will assist in change management, help identify opportunities for improvement, and is accountable for achieving the project’s...SuggestedTemporary workFlexible hours$49.93k - $97.36k
...current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay...Work experience placementWork at officeRemote work$120.2k - $140k
...experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Clinical Data AMS Senior Consultant you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel....Permanent employmentLocal areaRemote workVisa sponsorship$1,500 per month
...include hospitalization, cancer/intensive care, dental, vision, and accidental/disability. The Flexible Spending Program includes healthcare and dependent care accounts. A competitive Deferred Compensation Plan is also offered. The State of Florida Deferred Compensation...Full timeContract workPart timeWork at officeFlexible hours$82.5k - $166.1k
...Description *This role requires 50%-60% travel. Overview: Are you ready to take on a pivotal role in transforming healthcare systems? As a Lead Clinical Consultant, you will play a crucial part in shaping the clinical strategy for Post Go-Live (PGL) Readiness Methodology....Temporary workVisa sponsorshipFlexible hours- ...Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools...Work at officeRemote workMonday to Friday
- ...Job Description Job Description Job Title:Healthcare Consultant I - 33125,33126,33130,33135,33136 Location: Work from Home. Candidates must reside in one of these zip codes for this position caseload 33125, 33126, 33130, 33135, 33136 ). Training will be conducted...Temporary workWork at officeRemote workWork from homeMonday to Friday
$26.01 - $56.14 per hour
...members at risk for poor outcomes and coordinate referrals to additional programs and services Promote quality, cost-effective healthcare utilization and positive member outcomes Collaborate with internal and external stakeholders to support comprehensive care management...Hourly payFull timeTemporary workLocal areaRemote work$29.1 - $62.32 per hour
Behaviour Analysis Utilization Management Clinical Consultant (LBA/BCBA) 100% Remote | Florida Residents Only | Monday-Friday, 8:00 AM-... ...Qualifications Experience working within the Florida Medicaid healthcare system Managed Care experience Utilization Review or Utilization...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayAfternoon shift$60k - $65k
...Requisition No: 885871 Agency: Management Services Working Title: STATE WORKFORCE POLICY CONSULTANT - 72002427 Pay Plan: SES Position Number: 72002427 Salary: $60,000 - $65,000 Posting Closing Date: 11/03/2026 Total Compensation Estimator State...Temporary workWork at office$60k - $70k
...commensurate with experience* Remote with some travel reimbursement* Healthcare coverage, generous PTO, 401(k), paid holidays**Essential... ...scientific briefings to stay informed on emerging issues.* Consult external scientific experts on the Everglades to ensure evaluations...Permanent employmentFull timeInternshipWork at officeLocal areaRemote workRelocation- ...month. You will review evidence on Everglades restoration, engage with scientists and agencies, draft white papers, and support advocacy. The position offers full-time salary, travel reimbursement, healthcare, paid time off, a 401(k), and #J-18808-Ljbffr El BichólogoFull timeWork at officeRemote work
$60k - $70k
...with experience Remote work with some travel reimbursement Healthcare coverage, generous paid time off, 401(k), and paid holidays ResponsibilitiesScientific... ...scientific briefings to stay informed about emerging issues. Consult external Everglades scientific experts and work with the...Full timeInternshipWork at officeLocal areaRemote workRelocation- The American Heart Association is seeking a Science and Medicine Advisor (SMA) to guide physicians, scientists and allied health volunteers in developing scientific statements, guidelines, and educational programs. This role partners with internal teams to translate cardiovascular...Work from home
$105.56k - $162.55k
...Candidates will possess: Experience presenting, collaborating & consulting with a variety of stakeholders or clients across multiple... ...Preferred: Knowledge of statistical methods used in the evaluation of healthcare claims data Professional & Institutional reimbursement...Full timeContract workTemporary workRemote workShift work- CVS Health is seeking a Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) for a 100% remote role serving Florida residents. Review treatment plans, apply guidelines, and monitor services to ensure appropriate, evidence-based care. You will collaborate...Remote jobFull time
- ...evolve, the support to take on more and a team ready to back you at every stage. Your ambition has a home here. Summary: The Clinical Consultant brings a clinical perspective to employee benefits consulting. Working alongside account teams and other internal specialty...Work at officeLocal area
- Florida Department of Agriculture and Consumer Services, Office of Energy in Tallahassee, seeks a Government Analyst I to perform energy policy analysis, data collection, and program evaluation. The role supports renewable energy initiatives, energy conservation, and legislative...Work at office
- The Government Operations Consultant III supports the Bureau of Medicaid Policy at the Agency for Health Care Administration, conducting research on the Florida Medicaid program, analyzing policy impacts, and developing program policies and procedures. This role requires...Work at office
- The State of Florida Department of Management Services in Tallahassee is seeking a STATE WORKFORCE POLICY CONSULTANT to analyze workforce needs and develop HR policy across state agencies. You will serve as a trusted consultant, provide technical assistance, and prepare...
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