Management Consultant Jobs

Utilization Management Nurse Consultant — CA - Work from home. Apply via Workday.

Utilization Management Nurse Consultant — KS - Work from home. Apply via Workday.

Utilization Management Nurse Consultant — KS - Work from home. Apply via Workday.

Utilization Management Nurse Consultant — OH - Work from hom. Apply via Workday.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team and play a vital role in ensuring members receive appropriate, high-quality, and cost-effective inpatient care through concurrent review and care coordination. What You'll Do Perform concurrent reviews for acute inpatient admissions and continued hospital stays Evaluate medical necessity, severity of illness, intensity of service, and level of care using evidence-based clinical criteria Collaborate with hospitals, physicians, care managers, and discharge planners to support appropriate treatment and timely transitions of care Review clinical documentation and apply health plan benefits and regulatory requirements to authorization decisions Partner with Medical Directors on complex cases and escalations Facilitate discharge planning and identify opportunities to optimize care and resource utilization Manage a high-volume caseload while meeting quality, productivity, and turnaround-time standards WHAT YOU BRING - REQUIRED Active, unrestricted RN license in your state of residence Ability to obtain and maintain additional state licensure as required 5&#43

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) Remote | Concurrent Review | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to make an impact beyond bedside care? Join our team and help ensure members receive timely, appropriate, and cost-effective healthcare services through evidence-based clinical review and decision-making. What You'll Do Review authorization requests across a broad range of medical specialties Evaluate medical necessity using clinical records, evidence-based guidelines, and benefit plan requirements Apply InterQual, MCG, or similar clinical criteria to support authorization determinations Collaborate with providers, care managers, medical directors, and interdisciplinary teams to facilitate quality care Ensure compliance with health plan policies, regulatory requirements, and clinical standards Manage a high-volume caseload while meeting productivity, quality, and turnaround-time expectations Support effective healthcare utilization and positive member outcomes WHAT YOU BRING - REQUIRED Active, unrestricted multi-state RN license in your state of residence, or the ability to obtain and maintain multi-state. Ability t

Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,500 firms in 60 countries use Addepar to manage and advise on nearly $10 trillion in assets. Its open platform integrates with 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and levels of complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, São Paulo, London, Edinburgh, Geneva, Warsaw, Dubai, Pune and Singapore. The Role Solutions Consultants/Architects are responsible for designing and implementing out-of-the-box solutions for new clients, ensuring that we are efficiently and effectively onboarding some of the world’s most sophisticated investors. They are focused on identifying how Addepar can unlock significant value for our clients’ businesses and regularly call upon their analytical skills in order to advise clients on how to model and examine their financial instruments and assets. They have a deep understanding of both finance and technology, take ownership of our clients’ happiness, and excel at project governance. Our ideal Solutions Consultant has a history of providing a superior client experience directly in investment management or in software deployments of a related domain. They are given discretion over their projects and work schedule and are expected to display a strong sense of self-reliance as well as the ability to collaborate with other Addepar resources within our Sales, Product, and Partnership organizations. They must be a strong project manager and possess an appreciation for our target markets (or hunger and willingness to learn). They also possess the technical skills to take a hands-on approach to teaching, learning,

Utilization Management (UM) Nurse Consultant - Work at Home in EST or CST Zone — . Apply via Workday.

Overview of Teneo Teneo is the global CEO advisory firm. We partner with our clients globally to do great things for a better future. Drawing upon our global team and expansive network of senior advisors, we provide advisory services across our five business segments on a stand-alone or fully integrated basis to help our clients solve complex business challenges. Our clients include a significant number of the Fortune 100 and FTSE 100, as well as other corporations, financial institutions, and organizations. Our full range of advisory services includes strategic communications, investor relations, financial transactions and restructuring, management consulting, physical and cyber risk, organizational design, board and executive search, geopolitics and government affairs, corporate governance, and ESG. The firm has more than 1,800 employees located in 50+ offices around the world. The Management Consulting Team at Teneo Our Management Consulting division focuses on answering key strategic questions for business leaders through our mix of senior experience and rigorous analysis, combined with the unique expertise that exists across Teneo. We operate across a diverse array of sectors including Consumer Goods, Healthcare, Leisure & Hospitality, Software, Transport, and TMT, amongst others. Within these markets, we provide strategic, operational, and due diligence support, advising reputable Fortune 500 and FTSE 100 firms, key public-sector organizations, and leading private equity houses. As a Senior Consultant, you will play a key role in delivering strategic, data-driven solutions for clients. Working closely with clients, senior leaders, and project teams, you will help solve complex business challenges, drive project execution, and contribute to meaningful business outcomes. Key Responsibilities: Lead workstreams and support case delivery across core consulting activities, including research, analysis, insight generation, technical execution, and overall

The Role As a Senior Consultant at Clarity Partners, you will work directly with clients, Partners and experienced colleagues to solve complex strategic and commercial challenges. From an early stage, you will take ownership of workstreams, shape analyses and recommendations, and contribute to decisions that create lasting value for private equity investors, portfolio companies and management teams. Working in small, collaborative teams, you will gain broad exposure across strategy, transactions and value creation while continuing to develop as a trusted advisor. About Clarity Partners Clarity Partners is a Nordic M&A and growth strategy advisor part of Teneo, the global CEO advisory firm. We partner with our clients to discover, unlock and accelerate value creation, bringing top-tier quality advice, delivered with flexibility to suit our clients' timelines and requirements. Our services span the full value creation lifecycle, from investment assessment and commercial due diligence through growth strategy and transformations to pre-sale support. We want to be ambitious and successful, while also always taking care of each other. What You will Do Deliver high-quality research, analysis and client insights across a range of projects. Lead workstreams and smaller engagements with support from senior colleagues. Build trusted relationships with client teams, proactively managing day-to-day interactions and escalating issues where appropriate. Develop clear, client-ready presentations and recommendations. Contribute to business development and support the continued growth of the firm. What You Can Expect Meaningful responsibility and direct client exposure from an early stage. Close collaboration with experienced colleagues and Partners in small, high-performing teams. Challenging work across strategy, transactions and value creation for leading private equity investors and companies. Continuous learning through close collaboration with experienc

Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,500 firms in 60 countries use Addepar to manage and advise on nearly $10 trillion in assets. Its open platform integrates with 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and levels of complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, São Paulo, London, Edinburgh, Geneva, Warsaw, Dubai, Pune and Singapore. The Role An ADM Solutions Consultant is responsible for facilitating the onboarding and implementation process for Addepar ADM (Alternatives Data Management). In this role you will work directly with Addepar clients guiding them through the process of onboarding alternatives data through the ADM solution. Your responsibilities will include leading ADM projects through client management, project management, solution design (where applicable), etc. Additionally, you will be responsible for ensuring the ADM solution is compatible with a client's existing Addepar solution and if not develop the necessary plan to solve for any gaps. The ideal candidate has relevant experience in a related financial domain as well as consulting, project management and technology. An ADM Solutions Consultant is expected to display a strong sense of self-reliance, leadership qualities as well as the ability to collaborate with other Addepar teams including our Data, Product, Client Management, and Sales teams. They must possess a deep understanding of our target markets and the clients we serve. They are passionate about understanding our clients needs, take a hands-on approach to solving problems, work collaboratively with internal teams and take ownership of our clie

Leite strategische Transformationen im Kreditgeschäft, indem Du Anforderungen, Zielprozesse und Stakeholder-Abstimmung auf höchstem Niveau gestaltest. Deine Rolle Als Principal Consultant – Business Analyst im Bereich Credit & Capital Management übernimmst Du die Leitung des Analyse-Workstreams in großen Transformationsprogrammen für internationale Bankkunden. Du verbindest fundierte fachliche Expertise mit Beratungsstärke, um Lösungsansätze zu definieren, bestehende Prozesse kritisch zu hinterfragen und Konsens auf Senior-Stakeholder-Ebene herzustellen. Diese Rolle eignet sich für erfahrene Fachkräfte, die sowohl strategisch als auch in der Umsetzung agieren. Deine Aufgaben Leitung der Business-Analyse in komplexen Initiativen rund um Kreditprozess-Transformation, Kapitaloptimierung und Operating Model Veränderungen Verantwortung für Anforderungsstrategie, Zielprozessdesign und Nachverfolgbarkeit über Business-, Risiko-, Operations-, Daten- und Technologieteams hinweg Moderation von Workshops mit Senior-Stakeholdern zur Priorisierung, Klärung von Anforderungen und Abstimmung von Umsetzungsentscheidungen Sicherstellung von Qualitätsstandards sowie Coaching von Business-Analysten zur Gewährleistung konsistenter Ergebnisse und Deliverables Beitrag zur Gesamtprojektumsetzung durch Lösungsdesign, Stakeholder-Management und fachliche Impulse im Bereich Kredittransformation Dein Profil Langjährige Erfahrung in Business Analyse, Beratung oder Transformationsrollen im Finanzdienstleistungsumfeld mit starkem Fokus auf Kredit- und Kapitalmanagement Tiefgehendes Verständnis von Kreditprozessen (Origination, Underwriting, Genehmigung, Betreuung, Problemkreditmanagement und regulatorisches Reporting) Fundierte Kenntnisse in Kapitalmanagement und regulatorischen Themen wie Basel, RWA, Risikovorsorge oder Stresstests Nachgewiesene Erfahrung in der Leitung von Analyse-Workstreams in groß angelegten Transformationsprogrammen sowie in der Zusammenarbeit mit Senior-Stakehol

Leiten komplexe Transformationsprogramme im Kreditgeschäft mit starker Governance, strukturierter Umsetzung und wirkungsvoller Stakeholder-Steuerung. Deine Rolle Als Principal Consultant – Project Manager im Bereich Credit & Capital Management übernimmst Du die Leitung wirkungsvoller Beratungsprojekte für führende globale Banken. Du trägst die Verantwortung für Programm-Mobilisierung, Delivery Governance, Abhängigkeitsmanagement und Stakeholder-Abstimmung in groß angelegten Transformationsinitiativen im Kreditumfeld. Die Rolle verbindet strategische Steuerung mit operativer Führung interdisziplinärer Teams. Deine Aufgaben Gesamtverantwortung für die End-to-End-Umsetzung komplexer Programme im Kredit- und Kapitalmanagement – von der Mobilisierung bis zur Implementierung Aufbau und Steuerung robuster Governance-Strukturen, Delivery-Pläne, RAID-Management und Reporting auf Management-Ebene Koordination von Business-, Technologie-, Daten-, Risiko- und Operations-Teams entlang des gesamten Kreditprozesses Steuerung von Entscheidungsprozessen, Lösungsfindung bei Herausforderungen und Sicherstellung der Stakeholder-Abstimmung in dynamischen, regulierten Umfeldern Unterstützung der Kundenführung bei Programmsteuerung, Wertrealisierung und Umsetzungsplanung zur Sicherstellung messbarer Ergebnisse Dein Profil Langjährige Erfahrung im Projekt- oder Programmmanagement im Finanzdienstleistungsumfeld, idealerweise im Kredit-, Lending- oder Risikotransformationsumfeld Fundiertes Verständnis von Kredit- und Kapitalmanagementprozessen (z. B. Origination, Underwriting, Portfolioüberwachung und regulatorische Anforderungen) Nachgewiesene Erfahrung in der Leitung groß angelegter Transformationsprogramme im Corporate-, Commercial- oder Wholesale-Banking Erfahrung mit agilen, hybriden oder klassischen Delivery-Methoden sowie in der Steuerung interdisziplinärer Teams Ausgeprägte Kommunikations-, Stakeholder-Management- und Delivery-Fähigkeiten, einschließlich Erfahrung mit Seni

Gestalte die Transformation im Kreditgeschäft durch fundierte Business-Analyse, Prozessoptimierung und wirkungsvolle Unterstützung in der Umsetzung. Deine Rolle Als Senior Consultant – Business Analyst im Bereich Credit & Capital Management übernimmst Du eine zentrale Rolle bei der Umsetzung komplexer Transformationsinitiativen für führende Finanzinstitute. Du nutzt Deine Expertise entlang des gesamten Kreditprozesses, um Anforderungen zu analysieren, Zielprozesse zu gestalten und Geschäftsanforderungen in umsetzbare Lösungen zu übersetzen. Die Rolle verbindet fachliche Analyse mit enger Zusammenarbeit über Business-, Technologie-, Risiko- und Operations-Teams hinweg. Deine Aufgaben Analyse und Dokumentation von Geschäftsanforderungen entlang der Kreditprozesse (Origination, Bewertung, Entscheidung, Abwicklung, Monitoring und Restrukturierung) Entwicklung von Fachkonzepten, Prozessmodellen, User Stories und funktionalen Spezifikationen für Initiativen im Kredit- und Kapitalmanagement Übersetzung fachlicher Anforderungen in klare technische Spezifikationen, insbesondere in den Bereichen Daten, Workflows und Systemintegration Zusammenarbeit mit interdisziplinären Teams zur Verbesserung von Effizienz, Kontrollmechanismen und Nutzererlebnis Unterstützung der Umsetzung in Wasserfall- und agilen Projekten, einschließlich Testing, UAT-Koordination und Stakeholder-Abstimmung Dein Profil Mehrjährige Erfahrung als Business Analyst im Finanzdienstleistungsumfeld, idealerweise im Kredit-, Lending- oder Firmenkundengeschäft Fundiertes Verständnis von Kreditprozessen, einschließlich Financial Spreading, Risikobewertung, Kreditgenehmigung, Sicherheiten, Limiten und Monitoring Erfahrung in Transformationsprojekten mit Fokus auf Kreditprozesse, Operating Models oder unterstützende Technologiesysteme Kenntnisse regulatorischer und risikobezogener Themen im Kredit- und Kapitalmanagement (z. B. Basel, IFRS 9, interne Kreditrichtlinien) Ausgeprägte Kommunikations-, Analyse- u

Key Attributes As a Senior Consultant, you’ll be an accomplished and effective member of the Teneo Consulting team, supporting Managers, Directors and Managing Directors in the delivery of client engagements, while leading smaller projects and discrete workstreams within larger, more complex cases. Key Responsibilities Provide high-quality case delivery support and workstream leadership across the four competency areas: Research, Analysis and Insight, Technical Skills, Case Delivery Demonstrate strong consulting skills, judgement and knowledge across all competency areas Lead discrete workstreams and manage smaller cases with support from Managers, Directors or Managing Directors Manage multiple workstreams, planning the coordinating team activities while translating project leadership requirements into deliverables, with support available from managers and the wider project team where is required as well as through coaching and mentoring channels Develops recommendations from initial hypothesis through refinement and validation Manage workstream teams on a day-to-day basis, delegating and planning delivery and providing coaching support Work independently with minimal need for support Manage day-to-day client interactions, understanding client priorities and escalating issues where appropriate Present analyses, conclusions and recommendations confidently to clients and project teams Support business development activity and contribute to wider Consulting team initiatives Build strong client relationships and actively coach ju