Clinical Account Consultant - Work from Home

HCSC

Houston (TX)

Remote

USD 84,000 - 152,000

Full time

3 days ago
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Job summary

Health Care Service Corporation in Houston seeks an experienced account manager focused on medical management for national and mid-market accounts. You will coordinate presentations, analyze data for client meetings and RFPs, and work as a liaison between marketing and health care management to drive program enhancements.

Travel, including overnight stays, is required. The role requires clinical or behavioral counseling experience and strong project management, with fluency in PowerPoint and

Qualifications

  • Licensed in the state of operations (RN/LMSW/LPC/RD).
  • 4 years of experience in roles involving managed care products (PPO/HMO/CDHP).
  • 3 years of clinical or behavioral counseling experience.
  • Project management experience including development, implementation and follow-up.
  • Knowledge of URAC, NCQA, State Dept. of Insurance or similar accreditation bodies.
  • Strong organizational skills for managing a library of presentations.
  • Excellent verbal and written communication; ability to craft corporate communications/presentations.
  • Business writing skills and ability to build customer relations.
  • Ability to interact with multiple internal departments and keep up with products and service deliverables.
  • Proficiency in Microsoft Office with emphasis on PowerPoint slides.

Responsibilities

  • Manage accounts from a medical management perspective and serve as primary contact for marketing major/national and mid-market accounts.
  • Prepare presentations for existing and prospective clients, and for meetings, site visits, and RFPs.
  • Coordinate between marketing and health care management; analyze data and interpret information for strategic discussions.
  • Recommend program enhancements to health care management operations based on client feedback.
  • Willingness to travel, including overnight stays.

Skills

RN/LMSW/LPC/RD license
Managed care knowledge
Clinical/behavioral counseling
Project management
Verbal and written communication
PowerPoint presentations
Microsoft Office proficiency

Tools

PowerPoint
Microsoft Office

Job description

Remote

Houston (8101 W. Sam Houston Parkway S.)

TX - Richardson

R0056392

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for performing account management functions from the medical management perspective; serving as primary contact for marketing major/national and mid-market accounts specific to presentations for existing and prospective clients, medical issues and questions on medical management programs; serving as liaison between marketing and health care management to analyze data and interpret information in preparation for meetings, site visits, and requests for proposals; and recommending program enhancements to health care management operations based on client feedback. Ability to travel, including overnight stays.

JOB REQUIREMENTS:
  • Registered Nurse (RN) or 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 which requires 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 standards and accreditation processes of comparable regulatory bodies, i.e. JCAHO.
  • Organizational skills for maintaining a library of presentations.
  • Verbal and written communication skills for crafting presentation including developing corporate communications/ presentations.
  • 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 to include Microsoft Applications with emphasis on developing PowerPoint presentations and other presentation formats.
  • Ability to travel, including overnight stays.
PREFERRED JOB REQUIREMENTS:
  • Knowledge of HCSC internal product implementation processes and national account delivery model.
  • Client-facing experience.
  • Knowledge of Business Acumen.
  • Experience in role as strategic clinical consultant or clinical account executive.
  • Strategic project management experience including development, implementation, evaluation and follow-up.
  • Knowledge of the Health and Wellness Marketplace and Programming.
  • Strong organizational skills and the ability to interact with numerous internal departments and keep abreast of products and service deliverables.
  • Prior experience participating in and supporting RFPs for clients.
  • 3+ years’ experience as a Strategic Clinical Account Consultant/Executive in the Health and Wellness industry.
  • 3+ years’ experience working with large, complex national clients.
  • 3+ years' experience analyzing and presenting clinical information and program performance data and recommended course corrections.
  • Experience presenting and working with major consulting firms.
This is a Telecommute (Remote) role.

#LI-LO1

#LI-REMOTE

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$84,400.00 - $152,300.00

Exact compensation may vary based on skills, experience, and location.

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,

Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

© Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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