Clinical Product Consultant – Utilization Management

Vaga não está no LinkedIn

🕒 Junho 30

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Waystar

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🏥 Saúde

☁️ SaaS

🤖 Inteligência Artificial

🔥 Investimento no último ano

💰 $709.200.000 Post-IPO Secondary - Waystar em 2025-09

Healthcare • SaaS • Artificial Intelligence

A Waystar é uma empresa de software de ciclo de receita em saúde, movida por IA, que fornece uma plataforma unificada, baseada na nuvem, para simplificar pagamentos de saúde e automatizar o ciclo de receita de ponta a ponta para provedores de saúde. Sua plataforma abrange liberação financeira (verificação de elegibilidade, estimativa do paciente, autorizações prévias), cuidado financeiro ao paciente, integridade clínica e captura de receita (detecção de anomalias de cobrança e DRG), gerenciamento de pagamento de reivindicações e pagadores, recuperação de negações, e análises e relatórios, com integrações a EHRs e sistemas de pagadores. A Waystar atende hospitais, sistemas de saúde, práticas médicas e especializadas, centros de cirurgia ambulatorial e outras organizações de provedores, alavancando IA agente, generativa e preditiva para acelerar o reembolso, reduzir negações e melhorar a visibilidade financeira e experiências de pagamento do paciente.

Descrição

• Collaborate with the product and services teams to execute our strategic plan for AwareUM. • Audit for product accuracy and effectiveness, communicating with product for change as identified • Assess effectiveness of AwareUM technology in creating efficient workflow for UM nurses • Deliver on go-forward product milestones balancing client requests with investment in new capabilities that deliver on the vision for the product • Collaborate with the UM growth team and support a smooth sales delivery process that results in achievement of targeted growth expectations • Collaborate with the CX team to create a seamless, integrated, and consistent user experience • Actively manage the client experience to deliver on implementation milestones, manage client support requests and expectations and monitor client successful use of the product

🎯 Requisitos

• Bachelor of Science in Nursing (BSN) or equivalent (with RN licensure) • 8+ years of clinical experience in acute care setting • 2+ years of experience in utilization management • Knowledge and understanding of Utilization Management, Quality Management, Care Management, and/or Chronic Condition Management within hospital systems, post-acute providers, and/or payers. • Demonstrates an understanding of evolving reimbursement models, including commercial payers, Medicaid, and Medicare. • Demonstrates an understanding of CMS and payer regulations as it pertains to patient status and care management • Works effectively on a multidisciplinary team. • Demonstrates flexible, positive, clear interpersonal and communication skills with ability to facilitate the exchange of information with internal and external clients • Ability to work remotely, effectively, and efficiently • Proven history of collaborative, team-focused approach • Excellent oral and written communication skills • Ability to travel 20-50% of the time, to domestic locations for client or business meets. • Preferred Requirements: Experience leading a Utilization Management team in an acute care setting • Active and current Utilization and/or Case Management Certification • 2-3 years’ experience with MCG and/or InterQual products and services. • Experience in the software training and education for health-care related products preferred • Knowledge of core software applications including google, excel, power point

🏖️ Benefícios

• Competitive total rewards (base salary + bonus, if applicable) • Customizable benefits package (3 medical plans with Health Saving Account company match) • Generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays • Flexible time off for our exempt team members + 13 paid holidays • Paid parental leave (including maternity + paternity leave) • Education assistance opportunities and free LinkedIn Learning access • Free mental health and family planning programs, including adoption assistance and fertility support • 401(K) program with company match • Pet insurance • Employee resource groups