Remote Opportunity with CVS - Healthcare Consultant II Job at Relig Staffing, Inc., Columbus, OH

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  • Relig Staffing, Inc.
  • Columbus, OH

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

Position Summary:

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 candidate's 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

  • Facilitate optimal health outcomes for patients

  • Identify and implement continuous quality/compliance improvements

  • Recognize clinical aberrations and assist with corrective actions

  • Educate and empower customers to improve satisfaction and advocacy

  • Optimize total healthcare costs

  • Support policy implementation and evaluation based on data and directives

Required Experience:
  • Minimum of 5 years of relevant healthcare or clinical consulting experience

Education:
  • Master's Degree in Social Work (MSW)

Job Tags

Contract work, Work from home, Shift work, Monday to Friday,

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