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Medical Consulting Jobs (NOW HIRING)

As a medical sales consulting company, we equate success with the steady introduction of truly innovative solutions to help drive revenue and patient retention to health care providers. At C-Med ...

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Medical Consulting information

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$31K

$148.2K

$399K

How much do medical consulting jobs pay per year?

As of Sep 4, 2026, the average yearly pay for medical consulting in the United States is $148,159.00, according to ZipRecruiter salary data. Most workers in this role earn between $97,500.00 and $181,500.00 per year, depending on experience, location, and employer.

What is medical consulting?

Medical consulting involves providing expert advice and guidance to healthcare organizations, clinics, hospitals, or pharmaceutical companies to improve their operations, patient care, compliance, and overall efficiency. Medical consultants analyze current practices, identify areas for improvement, and recommend solutions based on industry best practices and regulations. They may also assist with implementing new technologies, optimizing workflows, or ensuring compliance with healthcare laws and standards. This role often requires a strong background in medicine, healthcare management, or related fields.

What are the key skills and qualifications needed to thrive as a medical consultant, and why are they important?

To thrive as a Medical Consultant, you need a strong background in medicine or healthcare, often supported by an advanced degree (MD, DO, or relevant master's) and experience in clinical practice or healthcare administration. Familiarity with healthcare data analytics tools, electronic medical record (EMR) systems, and relevant certifications like board licensure or management credentials is common. Exceptional communication, problem-solving, and strategic thinking set standout consultants apart when advising clients and leading projects. These competencies are crucial for delivering actionable insights, building client trust, and driving improvements in patient care and organizational efficiency.

How do medical consultants typically collaborate with healthcare providers and administrative staff to implement their recommendations?

Medical consultants usually work closely with both clinical and administrative teams to ensure their recommendations are practical and tailored to the organization's needs. This often involves conducting onsite assessments, leading training sessions, and facilitating meetings to discuss proposed changes. They may also monitor progress and troubleshoot challenges during the implementation phase, fostering open communication among all stakeholders. Successful collaboration requires adaptability, strong interpersonal skills, and a clear understanding of both clinical workflows and operational processes.

What is the difference between Medical Consulting vs Medical Coding?

AspectMedical ConsultingMedical Coding
Required CredentialsMedical degree, industry experience, certifications like CCM or CMCCertification such as CPC, CCS, or CCS-P, often with coding credentials
Work EnvironmentConsulting firms, healthcare organizations, hospitalsHealthcare facilities, billing companies, insurance companies
Employer & Industry UsageUsed for strategic advice, process improvement, complianceUsed for accurate billing, reimbursement, and record-keeping

Medical Consulting involves providing strategic advice and expertise to healthcare organizations, often requiring medical degrees and industry experience. Medical Coding focuses on translating medical diagnoses and procedures into standardized codes for billing and documentation, requiring coding certifications. While both roles are vital in healthcare, Medical Consulting emphasizes strategic and operational support, whereas Medical Coding centers on accurate record-keeping and billing processes.

How to become a medical consulting?

To become a medical consultant, typically a healthcare professional such as a physician, nurse, or healthcare administrator gains relevant experience and knowledge in the medical field. Many roles require a strong understanding of medical practices, often supported by certifications or advanced degrees, and excellent communication skills to advise clients or organizations effectively.

What do medical consultants do?

Medical consultants provide expert advice to healthcare organizations, insurance companies, or legal teams on medical cases, policies, or procedures. They review medical records, offer opinions on diagnoses or treatments, and may assist in developing clinical protocols, often requiring relevant medical licenses and strong communication skills.
More about Medical Consulting jobs

What cities are hiring for Medical Consulting jobs?

Cities with the most Medical Consulting job openings:

What states have the most Medical Consulting jobs?

States with the most job openings for Medical Consulting jobs include:

What job categories do people searching Medical Consulting jobs look for?

The top searched job categories for Medical Consulting jobs are:

Infographic showing various Medical Consulting job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $148,159 per year, or $71.2 per hour.

Medical Consulting Group - Payer Contracting Specialist

Medical Consulting Group, LLC

Springfield, MO โ€ข On-site

$75 - $100/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Key responsibilities

  • Negotiate, renew, and renegotiate payer contracts on behalf of physician practices and ambulatory surgery centers.

  • Analyze contract language, reimbursement rates, and schedules to identify improvement opportunities and risks.

  • Build and maintain long-term relationships with payer representatives, provider relations contacts, and clients.


Job description

Medical Consulting Group โ€“ Payer Contracting Specialist

Medical Consulting Group (MCG) is a leading ophthalmology consulting firm headquartered in Springfield, Missouri. We partner with physician practices, ambulatory surgery centers, and healthcare industry partners across the country to optimize revenue cycle performance, streamline payer relationships, and drive sustainable growth. Our team of experienced consultants brings deep expertise in payer contracting, ambulatory surgery center and practice management โ€” helping clients navigate an everโ€‘evolving healthcare landscape with confidence.

Ideal Candidate

We are seeking a skilled and motivated Payer Contracting Specialist to join our growing team in Springfield, MO. In this fullโ€‘time, onโ€‘site role, you will serve as a key resource for MCG clients โ€” negotiating favorable payer contracts and building strong relationships with both commercial and government payers on behalf of the practices and ambulatory surgery centers we serve.

The ideal candidate brings 3โ€“5 years of handsโ€‘on experience in payer contracting from either the payer or provider prospective, a solid understanding of reimbursement methodologies, and a proven track record of achieving optimal contract terms for healthcare providers. If you thrive in a clientโ€‘facing, detailโ€‘oriented environment, we want to hear from you.

Key Responsibilities Payer Contract Negotiation
  • Negotiate, renew, and renegotiate payer contracts on behalf of physician practices and ambulatory surgery centers.
  • Analyze contract language, reimbursement rates, and reimbursement schedules to identify improvement opportunities and risks.
  • Develop and present contract proposals to payers; track and document negotiation outcomes and timelines.
  • Stay current on industry trends, CMS updates, and payer policy changes that may impact contract terms or reimbursement.
  • Coordinate with clients to align contract strategy with their financial goals and ophthalmologyโ€‘specific needs.
Client & Payer Relationship Management
  • Build and maintain productive, longโ€‘term relationships with payer representatives, provider relations contacts, and MCG clients.
  • Serve as a trusted advisor to clients on payerโ€‘related matters, providing clear guidance and actionable recommendations.
  • Conduct regular checkโ€‘ins with clients to review contract performance, address concerns, and identify new contracting opportunities.
  • Collaborate crossโ€‘functionally with billing, coding, and revenue cycle team members to support holistic client outcomes.
  • Prepare and deliver reports and presentations summarizing contract performance, benchmarks, and strategic recommendations.
Qualifications Required
  • 3โ€“5 years of experience in payer contracting or commercial payer reimbursement management.
  • Demonstrated experience negotiating contracts with commercial payers (e.g., BCBS, UnitedHealthcare, Aetna, Cigna).
  • Solid understanding of fee schedules, reimbursement methodologies, and contract language.
  • Excellent written and verbal communication skills, with the ability to present complex information clearly.
  • Strong organizational skills and the ability to manage multiple clients and priorities simultaneously.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Preferred
  • Bachelor's degree in Healthcare Administration, Business, or a related field.
  • Experience working within a consulting firm or multiโ€‘client environment.
  • Knowledge of Medicare and Medicaid contracting and enrollment requirements.
  • Familiarity with practice management systems and revenue cycle software.
What We Offer
  • Competitive salary commensurate with experience.
  • Comprehensive benefits package including health, dental, and vision insurance.
  • SIMPLE IRA with company match.
  • Generous paid time off and paid holidays.
  • A collaborative, missionโ€‘driven team environment in a growing consulting practice.
  • Opportunity to make a meaningful impact on the healthcare providers and communities MCG serves.
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