Healthcare Consultant Jobs in Tallahassee, FL
US Tech Solutions, Inc.
$35 - $36
Tallahassee, FL
The Case Management Coordinator will manage a caseload of medically complex and supportive care members, ensuring appropriate services, resources, and interventions are implemented to meet their healthcare needs. This role involves telephonic and face-to-face case management, focusing on assessing, planning, implementing, and coordinating care to improve member wellness and health outcomes.
Tallahassee Memorial
Tallahassee, FL
Required Certification/License/Registry: Licensed as a registered nurse (RN) in accordance with Florida Statutes (FS), Title XXXII (Regulation of Professions and Occupations), Chapter 464 (Nursing), Part I (Nurse Practice Act) [includes multistate compact licensure] Responsibilities Your Role: Is dedicated to helping to identify, plan, and execute improvement projects by an internal consultant providing support necessary to deliver results and spread changes. TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only: Level II Trauma Center Primary Stroke Center Level III Neonatal Intensive Care Pediatric Intensive Care The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle.
Apidel Technologies
Tallahassee, FL
Case Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. 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 and resources.
Apidel Technologies
Tallahassee, FL
Case Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. 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 and resources.
Apidel Technologies
Tallahassee, FL
Case Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. 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 and resources.
Apidel Technologies
Tallahassee, FL
Case Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. 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 and resources.
Apidel Technologies
Tallahassee, FL
Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. 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 and resources.
Apidel Technologies
Tallahassee, FL
Case Management Coordinators will determine appropriate services and supports due to member\'s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member\'s overall wellness.
Lancesoft
$34.13
Tallahassee, FL
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 and resources. Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Veterans Sourcing Group
Tallahassee, FL
We're seeking aBilingual Case Management Coordinatorto support members through telephonic and in-person visits across Miami-Dade County. The ideal candidate isfluent in English and Spanish, highly organized, tech-savvy, and comfortable traveling (approx.
Baylor Scott & White Health
$31.73 - $54.9
Tallahassee, FL
The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations.
The Cigna Group
Tallahassee, FL
This role involves developing and executing strategic sales plans, building and maintaining strong relationships with key stakeholders, and ensuring the delivery of tailored solutions that meet the unique needs of our largest clients. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._.
Oracle
$22.64 - $54.13
Tallahassee, FL
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.
Humana
$94900 - $130500
Tallahassee, FL
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. This role will collaborate closely with CenterWell leadership and senior leaders across our Primary Care, Home, and Pharmacy businesses to advance delivery of personalized and integrated care that improves experience, quality, and outcomes while addressing some of the segments’ most important opportunities and challenges.
Tallahassee Memorial Healthcare
Tallahassee, Florida
Assess/plans/implements/evaluates individualized teaching plans for patients with specific learning needs with consideration of age specific needs and behaviors of the patient population served. WHO WE ARE & WHAT WE DO: Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.
Tallahassee Memorial Healthcare
Tallahassee, Florida
Assess/plans/implements/evaluates individualized teaching plans for patients with specific learning needs with consideration of age specific needs and behaviors of the patient population served. WHO WE ARE & WHAT WE DO: Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.
Baylor Scott & White Health
$31.73 - $54.9
Tallahassee, FL
Assists in investigations, audits, and risk assessments to ensure compliance with company policies and regulatory requirements, including support for regulatory inquiries and external investigations related to third-party, supply chain, and sanctions compliance. The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience.
Humana
$86300 - $118700
Tallahassee, FL
Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage strategic plan, monitoring segment-wide operational performance, and refreshing the strategy for Humana’s sales organization. Humana is seeking a team member, with prior management consulting experience or professional experience leveraging core consulting skills, to support delivering some of the Insurance segment’s highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development.
Cardinal Health
$124000 - $186150
Tallahassee, FL
Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Direct Sales is responsible for driving sales and services to new and/or existing customers through face-to-face or telephone contact to meet individual and organizational sales objectives.
Highmark Health
Tallahassee, FL
Leverage analytical experience and knowledge to drive independent medical cost analytics; develop areas of opportunity using a fact-based analysis, present medical cost analytics and insight into claim cost drivers to key business partners. Using data driven analytics, the ideal candidate will: 1) develop the value of the programs, 2) track the outcomes of the programs, and 3) provide strategic insight into areas of focus/opportunities.
Oracle
$25.48 - $60.63
Tallahassee, FL
The responsibilities include course content creation and management; delivery of instructor-led courses; assistance with certification development; and collaboration with the Model Experience team, Consulting, and Product Development teams to remain current with new Women's Health features. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle’s differing products, industries and lines of business.
Oracle
$25.48 - $60.63
Tallahassee, FL
The responsibilities include course content creation and management; delivery of instructor-led courses; assistance with certification development; and collaboration with the Model Experience team, Consulting, and Product Development teams to remain current with new Women's Health features. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle’s differing products, industries and lines of business.
Oracle
$25.48 - $60.63
Tallahassee, FL
The responsibilities include course content creation and management; delivery of instructor-led courses; assistance with certification development; and collaboration with the Model Experience team, Consulting, and Product Development teams to remain current with new Women's Health features. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle’s differing products, industries and lines of business.