Clinical Account Consultant - Work from Home

Health Care Service Corporation; Richardson (TX); Hybrid; USD 84,000 - 152,000; Full time

Job summary

HCSC is seeking a remote Strategic Clinical Account Consultant to manage national and mid-market accounts from a medical management perspective. You will respond to client inquiries, craft presentations, and liaise between marketing and health care management to analyze data for meetings and RFPs.

The role requires 4+ years in managed care, 3+ years clinical counseling, and licensure in the relevant state. Significant travel may be required.

Qualifications

• Licensed professional in the state of operations (RN, LMSW, LPC or RD) with current, unrestricted license.
• Minimum 4 years’ experience in managed care products (PPO, HMO, CDHP).
• 3 years clinical or behavioral counseling experience.
• Experience in project management from development to follow-up.
• Familiarity with URAC, NCQA or accreditation standards.

Responsibilities

• Act as primary contact for marketing major/national and mid-market accounts.
• Prepare presentations and respond to client medical management questions.
• Coordinate between marketing and health care management to analyze data.
• Travel for site visits and proposals as needed.

Skills

Managed care knowledge

Presentation skills

Verbal and written communication

Project management

Interdepartmental collaboration

PowerPoint proficiency

Travel readiness

Education

RN/LMSW/LPC/RD license

Tools

PowerPoint

MS Office

Job description

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.

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.

Compensation: $84,400.00 - $152,300.00

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

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.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards