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Healthcare Consultant II

Remote:

Full Remote

Contract:

Full time

Experience:

Junior (1-2 years)

Work from:

Illinois (USA), United States

Offer summary

Qualifications:

High School Diploma or GED, Minimum 1 year relevant experience.

Key responsabilities:

Determine medical necessity/appropriateness
Facilitate optimal outcomes
Identify and follow through with quality/compliance opportunities
Educate/empower customers for compliance/satisfaction
Optimize total costs and policy implementation/evaluation

ICONMA Human Resources, Staffing & Recruiting Large https://www.iconma.com/

1001 - 5000 Employees

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Job description

Your missions

Healthcare Consultant II

Location: Remote/ Zip Codes 60015, 60048, 60061, 60089 - Lake County / North Cook county.
Duration: 6 Months

Description:
Position Summary:
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues

Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities .
May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level

Verify able High School Diploma or GED Required: Yes

Duties:
Determines medical necessity/ appropriateness
Facilitates optimal outcomes
Identifies and follow through with continuous quality/ compliance opportunities .
May also include identification of aberrance's and initiation of corrective action
Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy
Optimize total costs
Implementation and evaluation of policy based on usage and program directives
Educate/empower colleagues at all levels to enable decision making at most appropriate level

Experience:
Minimum 1 year of relevant experience

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

Required profile

Experience

Level of experience: Junior (1-2 years)

Industry :

Human Resources, Staffing & Recruiting

Spoken language(s):

Check out the description to know which languages are mandatory.

Hard Skills

Contract Negotiation Contract Review Contract Drafting

Soft Skills

Detail-Oriented
verbal-communication-skills
Self-Motivation
analytical-skills

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