Clinical Account Consultant

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $84.4k - $152.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• 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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