Clinical Consultant
Hearst HealthTampa, Florida, United States
Posted December 3, 2025
Full Time
About the Company
At MHK we help health plans and pharmacy benefit managers deliver optimal care management across every member’s health journey.
Job Description
The Clinical Consultant is a senior clinical and operational expert with deep experience across the integrated spectrum of Care Management services, including Care Management (CM), Utilization Management (UM) and Complaints, Appeals & Grievances (CAG).
Requirements
- 5+ years in clinical consulting, healthcare technology, or solution implementation preferred
- Strong knowledge of regulatory requirements, payer workflows, and clinical quality programs (HEDIS, Stars preferred)
- Proven ability to influence senior stakeholders, lead complex engagements, and drive measurable operational improvements
Benefits
- Medical, vision, and dental plans for full time employees
- 401(k) offered with a generous match
- Paid Time Off
- 15 Company Paid Holidays
- Short Term and Long Term disability
- Basic Term Life and AD&D Insurance
