Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Healthcare Consultant II in Tallahassee, FL vacancy
  • 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

    Florida

    Tallahassee, FL
    2 days ago
  •  ...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... 
    Suggested
    Work experience placement

    Roljobs Technology Services

    Tallahassee, FL
    4 days ago
  •  ...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 Consulting
    Suggested
    Temporary work
    Work at office

    SGS Consulting

    Tallahassee, FL
    5 days ago
  • 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,... 
    Suggested
    Remote job

    Intuitive

    Tallahassee, FL
    4 days ago
  • $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... 
    Suggested
    Temporary work
    Flexible hours

    Oracle

    Tallahassee, FL
    3 days ago
  • $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 placement
    Work at office
    Remote work

    Molina Healthcare

    Tallahassee, FL
    3 days ago
  • $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 employment
    Local area
    Remote work
    Visa sponsorship

    Deloitte

    Tallahassee, FL
    2 days ago
  • $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 time
    Contract work
    Part time
    Work at office
    Flexible hours

    Florida Legislature

    Tallahassee, FL
    5 days ago
  • $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 work
    Visa sponsorship
    Flexible hours

    Oracle

    Tallahassee, FL
    4 days ago
  •  ...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 office
    Remote work
    Monday to Friday

    Apidel Technologies

    Tallahassee, FL
    12 days ago
  •  ...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 work
    Work at office
    Remote work
    Work from home
    Monday to Friday

    Apidel Technologies

    Tallahassee, FL
    26 days ago
  • $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 pay
    Full time
    Temporary work
    Local area
    Remote work

    CVS Health

    Tallahassee, FL
    2 days ago
  • $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 pay
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Remote work
    Monday to Friday
    Afternoon shift

    4062 Aetna Resources, LLC

    Tallahassee, FL
    2 days ago
  • $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 work
    Work at office

    State of Florida

    Tallahassee, FL
    3 days ago
  • $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 employment
    Full time
    Internship
    Work at office
    Local area
    Remote work
    Relocation

    Conservation Maven

    Tallahassee, FL
    5 days ago
  •  ...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 Bichólogo
    Full time
    Work at office
    Remote work

    El Bichólogo

    Tallahassee, FL
    5 days ago
  • $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 time
    Internship
    Work at office
    Local area
    Remote work
    Relocation

    El Bichólogo

    Tallahassee, FL
    5 days ago
  • 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

    American Heart Association

    Tallahassee, FL
    5 days ago
  • $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 time
    Contract work
    Temporary work
    Remote work
    Shift work

    Sentara Health

    Tallahassee, FL
    9 hours ago
  • 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 job
    Full time

    CVS Health Corporation

    Tallahassee, FL
    2 days ago
  •  ...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 office
    Local area

    HUB International

    Tallahassee, FL
    4 days ago
  • 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

    Florida

    Tallahassee, FL
    2 days ago
  • 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

    Business and Financial Operations

    Tallahassee, FL
    1 day ago
  • 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... 

    Florida

    Tallahassee, FL
    18 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Healthcare Consultant II. Be the first to apply!