Remote Opportunity with CVS Healthcare Consultant II
Remote Opportunity with CVS Healthcare Consultant II
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Job Description
Location: Columbus OH 43215 (Field-Based Remote within OH)
Duration: 3-month contract with potential for extension
Pay Rate: $42/hr (W2)
Shift: Monday Friday 8:00 AM 5:00 PM EST
This role is primarily work-from-home (WFH) and candidates can be sourced from anywhere in Ohio. Minimal travel may be required later in the year and any travel would be based on the candidates home location.
As a Healthcare Consultant III you will provide comprehensive healthcare management services to support appropriate treatment manage costs and improve clinical program efficiency.
Key Responsibilities:-
Determine medical necessity and appropriateness of services
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Facilitate optimal health outcomes for patients
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Identify and implement continuous quality/compliance improvements
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Recognize clinical aberrations and assist with corrective actions
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Educate and empower customers to improve satisfaction and advocacy
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Optimize total healthcare costs
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Support policy implementation and evaluation based on data and directives
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Minimum of 5 years of relevant healthcare or clinical consulting experience
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Masters Degree in Social Work (MSW)
Employment Type
Full-time
