Senior Advisor, Vaccine & Clinical Case Management

🔥 7 minutes ago

🇺🇸 United States – Remote

💵 $91.5k - $151.8k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 11%

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BME Strategies

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2004

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

BME Strategies is a specialty Public Health consulting firm with over two decades of experience driving sustainable change rooted in community health and equity. They deliver targeted, lasting public health care solutions by partnering with state and local communities, focusing on areas such as program and project management, strategic planning, coalition building, monitoring and evaluation, and emergency preparedness. Through innovative interventions and analytics, BME Strategies aims to improve health outcomes and build healthier communities, believing that the health of a community is instrumental to its success.

📋 Description

• Lead the vision, backlog, and delivery of a vaccine management and clinical case management system for Massachusetts local health departments • Act as product owner between local public health practitioners, the Massachusetts Department of Public Health Office of Local and Regional Health, and the IT delivery team • Ensure the system supports immunization clinics, vaccine inventory and accountability, public health nursing case management, and insurance billing for clinical services • Align the system with related DPH platforms' data model, user experience and governance • Lead project design and attend to client relationships • Serve as a technical expert and/or individual contributor on specialized workstreams • Mentor junior staff through coaching and knowledge-sharing and potentially develop internal training materials • Manage projects to exemplary client satisfaction and surface business opportunities with existing clients • Contribute technical expertise to proposals and RFP responses and participate in pitching as a subject matter expert • Communicate product vision, roadmap and success measures • Translate DPH program priorities and local health department needs into product outcomes • Define requirements for clinic planning and scheduling, vaccine inventory and ordering, cold chain and temperature excursion tracking, wastage and lot management, and administration documentation • Ensure workflows support state and federal vaccine programs and data exchange with the Massachusetts Immunization Information System • Support mass vaccination and emergency response use cases, including point-of-dispensing operations • Define requirements for public health nursing case management, including intake, assessment, care plans, home visits, follow-up, referrals and case closure • Address tuberculosis, communicable disease follow-up, and maternal, child and family health visit programs • Coordinate interoperability requirements with MAVEN and other DPH systems • Define requirements for insurance eligibility verification, claims generation, coding, claim tracking, denials and reconciliation • Support billing to MassHealth, Medicare and commercial payers • Serve as primary liaison between local health departments, DPH program staff and the IT team • Lead user research, workgroups, demos and user acceptance testing with public health nurses, clinic staff and health directors • Support training, onboarding, user guides and adoption across diverse departments, with focus on rural communities • Ensure the product meets HIPAA, Massachusetts privacy requirements, clinical documentation standards and DPH data governance policies • Role expectations: 85% project work, 5% administrative work, and 10% business development work

🎯 Requirements

• Minimum 8 years experience required, including 5+ years of experience in local public health, including direct work in or with a local health department • 4+ years in a consulting firm environment • 5+ years client-facing experience, including 2+ in project leadership roles • 3+ years of supervisory or management experience, such as leading nursing staff, clinic operations or a public health program • Bachelor's degree in Nursing or Public Health • Ability to work independently and as part of a team in a fast-paced consulting environment • Alignment with BME’s shared values • Hands-on experience with immunization programs, including planning and running vaccine clinics and managing vaccine inventory and accountability • Experience in clinical or public health case management, such as communicable disease follow-up, TB case management or home visiting • Working knowledge of health insurance billing for clinical services, including eligibility, coding, claims submission and reimbursement from public and commercial payers • Experience as a public health nurse, or close working experience supervising or partnering with public health nurses • Experience translating program and user needs into requirements for a software system, data system or electronic health record • Working knowledge of HIPAA and handling of protected health information • Active Registered Nurse license in Massachusetts preferred • Experience in Massachusetts local public health and familiarity with its local governance structure, boards of health and the 351 municipalities preferred • Familiarity with MIIS, MAVEN, the DPH Vaccine Unit and state-supplied vaccine requirements preferred • Prior experience as a Product Owner, business analyst or clinical informatics lead on a public health or healthcare technology project preferred • Experience setting up or managing a billing program in a local health department, including payer contracts, roster billing and clearinghouses preferred • Experience with mass vaccination, emergency preparedness or POD operations preferred • Knowledge of health data standards, such as HL7 and FHIR, and immunization data exchange preferred • Must be located in the U.S.; BME Strategies is unable to sponsor work-related visas

🏖️ Benefits

• Full-time position based in a home office environment within the U.S. • Remote-first organization • Occasional travel to client sites, conferences, or meetings; 10-20% travel anticipated • 11 paid floating holidays each year • 4 weeks of additional PTO • Health, dental, and vision insurance, with 80% employer-paid coverage for the employee and 70% employer-paid coverage for dependents • Health FSA and dependent care FSA • 401(k) with employer match • Employer-paid short-term and long-term disability insurance • One-time technology stipend • Opportunities for professional development and career growth