Health Care Service Corporation
10,000+ employees
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
Clinical Practice Consultant
🕒 June 8
🌶️ New Mexico – Remote
💵 $70.6k - $149.6k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💼 Consultant
🦅 H1B Visa Sponsor
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Health Care Service Corporation
10,000+ employees
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
📋 Description
• Support HCSC’s quality imperatives and value-based care models and relationships by collaboratively working with assigned medical practices or individual PCPS • Participate in model/program development, clinical readiness assessments, and joint operating committees • Implement provider-based member outreach initiatives and provider supplemental data submissions • Retrieval of key medical records throughout the year • Provide ongoing and annual evaluation of the effectiveness of the overall quality improvement program.
🎯 Requirements
• Registered Nurse (RN) OR Physician's Assistant OR Nurse Practitioner with current, unrestricted license to practice in the state of operations • 4 years’ experience in health insurance, managed care or medical group insurance experience • Knowledge of federal and accreditation standards and regulations for the health insurance industry • Experience in designing clinical programs • Experience conducting presentations for member and/or provider training. • Proven ability to work collaboratively with physicians • Ability to work independently • Effective communication and written skills and ability to communicate and influence internal and external customers at all levels of the organization • PC skills and familiarity with various software packages including spreadsheets and presentations • Ability to travel including overnight stays.
🏖️ 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
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