Clinical Account Consultant
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Job Description
Clinical Account Consultant managing medical programs, client presentations, and healthcare data for HCSC, a U.S. health insurer. Remote nationwide role requiring travel and overnight stays.
Responsibilities:
- Perform account management functions from the medical management perspective
- Serve as primary contact for marketing major/national and mid-market accounts regarding presentations for existing and prospective clients, medical issues, and medical management programs
- Serve as liaison between marketing and health care management
- Analyze data and interpret information for meetings, site visits, and requests for proposals
- Recommend program enhancements to health care management operations based on client feedback
- Travel, including overnight stays
Requirements:
- Registered Nurse (RN), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), or Registered Dietitian (RD) with current, unrestricted, valid license in the state of operations
- 4 years’ experience in a position requiring understanding/applications of managed care products, e.g. PPO, HMO, and CDHP
- 3 years clinical or behavioral counseling experience
- Project management experience including development, implementation and follow-up
- Knowledge of URAC, NCQA, State Department of Insurance and/or comparable regulatory standards and accreditation processes, e.g. JCAHO
- Organizational skills for maintaining a library of presentations
- Verbal and written communication skills for crafting presentations and corporate communications
- Business writing skills with ability to build customer relations
- Ability to interact with numerous internal departments and keep abreast of products and service deliverables
- PC proficiency including Microsoft Applications, especially PowerPoint and other presentation formats
- Ability to travel, including overnight stays
- Preferred: Knowledge of HCSC internal product implementation processes and national account delivery model
- Preferred: Client-facing experience
- Preferred: Knowledge of business acumen
- Preferred: Strategic clinical consultant or clinical account executive experience
- Preferred: Strategic project management experience including development, implementation, evaluation and follow-up
- Preferred: Knowledge of the Health and Wellness Marketplace and Programming
- Preferred: Prior experience participating in and supporting client RFPs
- Preferred: 3+ years’ experience as a Strategic Clinical Account Consultant/Executive in the Health and Wellness industry
- Preferred: 3+ years’ experience working with large, complex national clients
- Preferred: 3+ years' experience analyzing and presenting clinical information and program performance data and recommending course corrections
- Preferred: Experience presenting and working with major consulting firms
Benefits:
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan
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