- CVS Health (Trenton, NJ)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity. Schedule ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- CVS Health (Blue Bell, PA)
- …and other key enterprise partners to support our commercial plan sponsors. The clinical program consultant fulfills the company mission of helping people on ... consultant is empowered to: + Provide progressive consultative clinical insights based on analysis of clinical ...consultative clinical insights based on analysis of clinical plan utilization and impact of member… more
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... with some onsite requirements)** **Summary** : + **The Lead Consultant , Claims & Market Data Analytics** operates in targeted...works on a team that aims to blend technical, clinical , and analytical skills to improve outcomes, optimize processes,… more
- Lincoln Financial Group (Trenton, NJ)
- …a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... industry experience preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or… more
- IQVIA (Wayne, PA)
- …trends in complex data sets. + Provide Business Consulting and Project Management : The candidate will apply consulting methodologies to deliver engagements, create ... clients, manage projects, cultivate professional relationships with client teams, and work with management to prioritize needs. As a member of the team, you will… more
- Highmark Health (Wilmington, DE)
- …creation, impact and cost control through the departmental day to day operations and clinical consultant performance in meeting or exceeding the ROI and fiscal ... the program(s), such as improvements in quality, cost and utilization through care gap closure, STARS ratings and risk...quality, process engineering training/certification is a plus + Project Management certification is a plus + Clinical … more
- ChenMed (Philadelphia, PA)
- …to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that ... mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and...Act as a health coach, rather than just a consultant for sickness, by helping patients set short and… more