Top 325 Clinical consultant Jobs in Colorado

Clinical Data Audit Consultant
Health Net —Colorado
- $33.71 - $60.67 an hour
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Health insurance
7d
Physician Opportunities - Part Time
Summit Medical Consultants LLC —Colorado Springs, CO
- Up to $315,000 a year
- Part-time
- Medicine
- Skilled nursing facility
- Nursing home
- Relocation assistance
- Flexible schedule
Quick Apply
Physician Opportunities
Summit Medical Consultants LLC —Colorado Springs, CO
- $300,000 - $350,000 a year
- Weekends as needed
- Medicine
- Skilled nursing facility
- Nursing home
- Health savings account
- Relocation assistance
Quick Apply
Physician Opportunities
Summit Medical Consultants LLC —Grand Junction, CO
- $275,000 - $310,000 a year
- Weekends as needed
- Medicine
- Skilled nursing facility
- Internal Medicine
- Health savings account
- Relocation assistance
Quick Apply
Psych NP - Southern Colorado
Summit Medical Consultants —Colorado Springs, CO
- $100,000 - $120,000 a year
- Part-time
- Nursing
- Psychiatry
- RN License
- Paid holidays
- Health insurance
Quick Apply
PM&R Physician opportunity
Summit Medical Consultants —Colorado Springs, CO
- $250,000 - $300,000 a year
- Full-time
- Medicine
- Skilled nursing facility
- BC/BE
- Mileage reimbursement
- Health insurance
Quick Apply
Advanced Practice Provider (PA/FNP)
Peak Family Medicine —Montrose, CO
- $100,000 - $140,000 a year
- 8 hour shift
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
Physician Opportunities
Summit Medical Consultants LLC —Denver, CO
- $275,000 - $300,000 a year
- 8 hour shift
- Medicine
- Skilled nursing facility
- Doctoral degree
- Health savings account
- Relocation assistance
Quick Apply
IFS Psychotherapist
Insight Counseling & Wellness Center —Denver, CO
- $47 - $67 an hour
- Full-time
- Hybrid work
- Background check
- Private practice
- Licensed Clinical Social Worker
- Health savings account
- Paid holidays
Quick Apply
Family Nurse Practitioner
Jefferson Center for Mental Health —Lakewood, CO
- $70.08 an hour
- Weekends as needed
- Nursing
- Vital signs
- Urgent Care
Quick Apply
3d
Nurse Practitioner & Physician Assistant Opportunity
Summit Medical Consultants LLC —Denver, CO
- $100,000 - $120,000 a year
- 8 hour shift
- Skilled nursing facility
- BLS Certification
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Medical Assistant
Aspen Internal Medicine Consultants —Aspen, CO
- $26 - $30 an hour
- Urgently hiring
- Private practice
- Internal Medicine
- High school diploma or GED
- Free parking
- Paid training
Quick Apply
Registered Nurse - Acute Care Campus - Nights
AllHealth Network —Littleton, CO
- $40 - $46 an hour
- Full-time
- Acute care
- Spanish
- Nursing
- AD&D insurance
- Paid holidays
Quick Apply
Physician Opportunities
Summit Medical Consultants LLC —Loveland, CO
- $275,000 - $300,000 a year
- Weekends as needed
- Medicine
- Skilled nursing facility
- Nursing home
- Health savings account
- Relocation assistance
Quick Apply
Nurse Practitioner & Physician Assistant Opportunity
Summit Medical Consultants LLC —Greeley, CO
- $100,000 - $120,000 a year
- 8 hour shift
- Skilled nursing facility
- BLS Certification
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Clinical Technician
Colorado Eye Consultants —Littleton, CO
- $20 - $24 an hour
- Full-time
- Private practice
- Customer service
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
ASC Administrator
Clinical Management Consultants —Fruita, CO
- $137,040 - $180,710 a year
- Full-time
- Management
- Senior level
- Health insurance
- Retirement plan
Manager of Imaging Radiology
Clinical Management Consultants —Breckenridge, CO
- $94,850 - $124,300 a year
- Full-time
- Management
- Hospital
- Patient care
- Health insurance
- Paid time off
Phlebotomist
Colorado Eye Consultants —Littleton, CO
- $19 - $22 an hour
- Full-time
- Private practice
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
RN Internal Traveler - NICU
Boulder Community Health —Boulder, CO
- $85 - $95 an hour
- 12 hour shift
- Nursing
- Patient monitoring
- RN License
- Wellness program
- Health insurance

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clinical consultant jobs near colorado

Clinical Data Audit Consultant

Health Net -
Colorado

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Job Details

Full-time
$33.71 - $60.67 an hour
7 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Clinical case management

Full Job Description

Position Purpose: The Clinical Data and Audit Consultant is responsible for the clinical content component of all data collection, account implementations, and audit activities for Clinical Operations to ensure high-quality tracking and performance of the service teams.

Key Details: Registered Nurse - Must be currently licensed in CA. Pacific Time Zone Work Hours

The Consultant gathers and analyzes data, creates workflows, coordinates internal and external audits, and analyzes and documents business processes to meet all clinical, procedural, account, and regulatory requirements.

Demonstrates regular, reliable and predictable attendance.
Leads various data analysis projects to examine and define potential clinically related issues and track productivity and quality measures
Reviews, analyzes, and interprets data for required HEDIS, URAC, NCQA compliance, and related reporting for clinical service teams
Interprets clinical data that does not conform to established/approved, required specifications, including Unity Reports, and assists in corrective action processes
Addresses and participates in training of clinical staff resulting from data tracking and analysis efforts
Identifies, evaluates, recommends and documents clinical business needs and objectives, operational processes and procedures, problems and requirements
Produces documentation, including project plans, analytical reports, decision backup, information research reports, training plans, business justifications, graphics, workflow and business process models
Recommends operational and process improvements based on efficiencies and available technologies
Maintains a repository of performance and audit metrics, and generates management reports illustrating statistical data, text, workflows, and graphics
Conducts secondary research using a variety of publications, services and health statistic databases
May also be assigned lower level management functions and back up supervisors on clinical team
Works with other departments to identify and document business requirements, workflow, policies and procedures
Organizes and compiles cases for all External Health Net, NCQA, URAC, and Account Audits
Participates in Quarterly Health Net Regulatory Audit meetings to assist Clinical Directors
Supports Clinical Supervisors in tracking of monthly Care Manager audit results
Works with Data Analysis Department to design data pulls
Assists with generating HLOC and Outpatient Cost of Care and Target Outlier Reports including trend analysis
Supports staffing analysis with current and forecasted requirements
Investigates current regulations, interprets findings, and makes recommendations to Healthcare Services teams
Conducts complex trend analysis and, based on analysis, creates Corrective Action Plans, and presents recommendations to business teams across department to improve performance

Other duties as required
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:

BA/BS in Psychology, Nursing or other related clinical field; Masters in Social Work, Counseling, Nursing, or related field preferred
Three to five years case management or related clinical experience
Two to three years experience conducting business studies, recommending solutions and/or business analysis, preferably in Healthcare

License/Certification: Licensed Clinician and/or RN required. Must have and maintain current, valid and unrestricted clinical license.

Pay Range: $33.71 - $60.67 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

clinical consultant jobs in colorado

Clinical Data Audit Consultant

Physician Opportunities - Part Time

Physician Opportunities

Physician Opportunities

Psych NP - Southern Colorado

PM&R Physician opportunity

Advanced Practice Provider (PA/FNP)

Physician Opportunities

IFS Psychotherapist

Family Nurse Practitioner

Nurse Practitioner & Physician Assistant Opportunity

Medical Assistant

Registered Nurse - Acute Care Campus - Nights

Physician Opportunities

Nurse Practitioner & Physician Assistant Opportunity

Clinical Technician

ASC Administrator

Manager of Imaging Radiology

Phlebotomist

RN Internal Traveler - NICU

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