Top 889 Senior systems consultant Jobs in Pennsylvania

Senior Clinical Consultant (Remote)
Guardian Life Insurance Company —Home, PA
- $68,970 - $113,310 a year
- Email
- Remote
- Microsoft Word
- Nursing
- US work authorization
- Disability insurance
Senior Consultant - National Markets
Highmark Inc. —Pennsylvania
- $118,400 - $196,800 a year
- Full-time
- Remote
- Sales
- Research
- Office
- Health insurance
4h
Clinical Transformation Consultant - Central PA/Lehigh Valley
Highmark Inc. —Pennsylvania
- $79,300 - $127,100 a year
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Public speaking
- Opportunities for advancement
Enterprise Implementation Consultant
Samsara —Philadelphia, PA
- $88,979 - $134,590 a year
- Mid-level
- Bachelor's degree
- Travel
- Parental leave
7d
Senior Manager, Strategic Business Consultant - Supplemental Health
CVS Health —Harrisburg, PA
- $67,900 - $182,549 a year
- Full-time
- 7 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Process Improvement Consultant Senior- Retail Bank Operations
PNC Financial Services Group —Pittsburgh, PA
- $81,000 - $141,700 a year
- Full-time
- 5 years
- Bachelor's degree
- Mentoring
- Wellness program
- Health savings account
Senior Bus Analytics Consultant
PNC Financial Services Group —Pittsburgh, PA
- $60,000 - $150,000 a year
- Full-time
- 3 years
- Analysis skills
- Bachelor's degree
- Wellness program
- Health savings account
Senior Outsourced Bookkeeping Solutions
CITRIN COOPERMAN ADVISORS LLC —Philadelphia, PA
- $70,000 - $125,000 a year
- Full-time
- Remote
- 3 years
- Finance
- Bachelor's degree
- Opportunities for advancement
Senior Retirement Service Consultant
Ascensus —Dresher, PA
- $60,000 - $80,000 a year
- Extended hours
- Microsoft Excel
- Research
- Analysis skills
- Health insurance
- Dental insurance
SAP PP Senior Consultant
Clarkston Consulting —Philadelphia, PA
- Full-time
- Hybrid work
- Computer science
- Computer Science
- Analysis skills
- Paid parental leave
- Paid holidays
Quick Apply
Senior Claims Consultant
Patriot Growth Insurance Services, LLC —Media, PA
- $85,000 - $110,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Analysis skills
- Paid parental leave
- Disability insurance
Quick Apply
7d
Senior Consultant, Risk Management
Deloitte —Pittsburgh, PA
- Weekends as needed
- Microsoft Excel
- Marketing
- Research
Retail (eCommerce) Senior Consultant
Clarkston Consulting —Philadelphia, PA
- Full-time
- Hybrid work
- Writing skills
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
9d
Lead Consultant, Strategic Decision Support - Market
Penn Medicine —Philadelphia, PA
- 8 hour shift
- Remote
- 5 years
- Master's degree
- Analysis skills
- Tuition reimbursement
Quick Apply
Senior Consultant - Clinical Documentation Specialist
Deloitte —Philadelphia, PA
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Business Strategy Senior Consultant
Deloitte —Pittsburgh, PA
- $128,000 - $252,500 a year
- Full-time
- Up to 50% travel
- Bachelor's degree
- Travel
8d
Strategy & Transformation Senior Consultant
Deloitte —Pittsburgh, PA
- $93,000 - $171,300 a year
- Full-time
- 5 years
- Analysis skills
- Bachelor's degree
Management Consulting - Health Consultant
Accenture —Philadelphia, PA
- $59,100 - $205,800 a year
- Full-time
- System design
- 3 years
- Master's degree
- Paid holidays
- Disability insurance
Strategy Director - Hybrid (PA/NJ/DE)
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- 5 years
- Office
- Analysis skills
Business Systems Analyst Consultant
PNC Financial Services Group —Pittsburgh, PA
- $75,000 - $137,500 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Wellness program
- Health savings account

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Senior Clinical Consultant (Remote)

Guardian Life Insurance Company -
Home, PA

Apply Now

Job Details

Full-time
$68,970 - $113,310 a year

Benefits

Disability insurance

Qualifications

Microsoft Word
Appeals
Direct patient care
Customer communication
Presentation software
Coaching
Medical claims processing software
Disability insurance knowledge
Medical insurance appeals management
Disability determination
Patient treatment
Insurance claims appeal handling

Full Job Description

The Senior Clinical Consultant will work in partnership with Clinical and Vocational Leaders to provide ongoing coaching and oversight to Clinical Consultants and will serve as clinical subject matter expert in all lines of business (STD/LTD/Appeals) and products, action planning management, and Guardian systems. This incumbent will have a strong clinical and client focus to assist in ensuring the fair and accurate assessments of medically supported functional abilities. They will assist in cultivating talent and foster an environment of continuous learning. They will promote organizational excellence by demonstrating leadership, problem-solving behaviors, and viewing challenges as opportunities. This individual will work with the Clinical Team Manager to drive performance and ensure the team meets their goals. They will effectively communicate & explain departmental initiatives and changes as they relate to organizational goals & strategies. They will assist the Clinical Team Manager in managing and resolving issues that come up related to clinical processes, claim management activities, customer inquiries, and quality.

You are:

A highly motivated and reliable individual who can work with varying levels of supervision – independently or collaboratively. You are detail-oriented and a decisive decision maker who can manage multiple priorities at the same time with a positive attitude.

You have:

A minimum of 5 years of (STD, LTD, Appeals) claim experience, minimum of 2 years disability experience

A minimum of 5 years in direct patient care settings

BSN and CCM preferred

Excellent verbal and written communication skills and presentation skills

Ability to exercise independent & sound judgment in decision making

Strong problem-solving, analytical, clinical, and information research skills

Excellent time management & organizational skills

Demonstrated ability to multi-task with the ability to manage continually changing priorities and the ability to prioritize work based on customer service needs and departmental regulations

The ability to remain flexible due to changing business needs

Proven ability to mentor and coach

Proficiency in MS Word, Excel, PowerPoint, DCMS, Claim Facts, and iProcess

You will:

Train and mentor all new Clinical Consultants

Provide ongoing training, coaching and development to all Clinical Consultant members

Organize and present at least one Clinical Training session for the Claims teams over the course of a year

Work with Team Manager to delegate, distribute, and monitor workloads within the department to meet departmental regulations, improve efficiency and reduce or eliminate backlogs

Assist Team Manager when needed to monitor caseloads, productivity, and participate in calibration sessions with our Clinical CMA and provide feedback to leadership and team members

Oversee external vendor utilization within team

Leverage knowledge and skills to flex and assist the overall team meet its goals, (i.e., assist with STD/LTD/ Appeals, flex and assist if needed)

Collaborate with claims partners to resolve conflicts and establish procedures that promote clinical claim management accuracy and improved customer service

Address escalated customer inquiries and formal complaints. Senior BHCM will also be first point of contact for SI or mental health crisis calls.

Support training initiatives by identifying knowledge gaps and providing ideas for improvement

Support Clinicians in developing efficient desk & time management skills

Collaborate with peers and leadership to ensure consistency with mentoring and coaching

Co-facilitate team meetings to share best practices, workflow changes, trends, and insights in alignment with Group benefits strategies

Provide desk coverage for leadership as needed
When not engaged in the above activities are expected to meet the same metrics and performance objectives as a Clinical Consultant

Reporting Relationships

As our Senior Clinical Consultant, you will report to a Clinical and Vocational Team Manager, who reports to the Head of Disability Clinical and Vocational Organization

Location

Flexible – work primarily from home. May be expected to come into a Guardian work location occasionally, as determined by their people leader.

Travel

Occasional 0-10% of the time.

Salary Range:

$68,970.00 - $113,310.00

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits. Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected]. Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site.

Visa Sponsorship

Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future.

Notice Regarding Guardian’s Use of Artificial Intelligence in Recruitment

As part of Guardian’s job application process, Guardian may use artificial intelligence tools (“AI Tools") to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian’s jobs website (Careers at Guardian at https://www.guardianlife.com/careers). At Guardian, we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues.

Please be aware that if you apply for a specific position with Guardian, you will have the choice of opting out of Guardian’s use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation, within ten business days of your position application, you must email your request to [email protected], making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardian’s document retention policy, a copy of which you may request via [email protected].

Additionally, at applicable times, Guardian will make public the most recent bias audit results for such AI tools, which may be found here.

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.

Apply Now

Refine Your Search

senior systems consultant jobs in pennsylvania

Senior Clinical Consultant (Remote)

Senior Consultant - National Markets

Clinical Transformation Consultant - Central PA/Lehigh Valley

Enterprise Implementation Consultant

Senior Manager, Strategic Business Consultant - Supplemental Health

Process Improvement Consultant Senior- Retail Bank Operations

Senior Bus Analytics Consultant

Senior Outsourced Bookkeeping Solutions

Senior Retirement Service Consultant

SAP PP Senior Consultant

Senior Claims Consultant

Senior Consultant, Risk Management

Retail (eCommerce) Senior Consultant

Lead Consultant, Strategic Decision Support - Market

Senior Consultant - Clinical Documentation Specialist

Business Strategy Senior Consultant

Strategy & Transformation Senior Consultant

Management Consulting - Health Consultant

Strategy Director - Hybrid (PA/NJ/DE)

Business Systems Analyst Consultant

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