Clinical Advisor (Remote)

CareFirst BlueCross BlueShield; Owings Mills (MD); Remote; USD 70,000 - 110,000; Full time

Job summary

An established industry player is seeking a Clinical Advisor to educate clients and partners on effective care management strategies. This role involves analyzing population health data, making strategic recommendations, and presenting solutions that enhance employee health and welfare. The ideal candidate will possess strong analytical skills and the ability to communicate effectively at all levels of the organization. With approximately 50% travel required, this position offers a dynamic work environment where you can make a significant impact on health outcomes and business growth. If you are passionate about improving healthcare delivery, this opportunity is perfect for you.

Qualifications

• 4 Jahre Erfahrung in einer klinischen Umgebung erforderlich.
• 2 Jahre Erfahrung in der Gesundheitsdatenanalyse erforderlich.

Responsibilities

• Analyse von Gesundheitsdaten und finanziellen Trends zur Unterstützung von Kunden.
• Entwicklung von Geschäftsfällen zur Demonstration des Wertes von Programmen.

Skills

Datenanalyse

Präsentationsfähigkeiten

Kritisches Denken

Kommunikationsfähigkeiten

Projektleitung

Education

Bachelor-Abschluss

MSN, MBA oder MPH (bevorzugt)

Job description

The Clinical Advisor's role is to educate clients, brokers, consultants, and internal employees about the organization's approach to managing care delivery. They articulate value using data and make recommendations to help clients meet their corporate goals related to employee health and welfare. The Clinical Advisor serves as a subject matter expert and strategic partner for the Sales team, attending client meetings to review health outcomes and costs.

Essential Functions:

1. Analyze population health data, financial trends, and market opportunities within existing and prospective customer accounts.
2. Develop business case studies and reports demonstrating the value of care management and wellness programs.
3. Make strategic recommendations to retain and grow business with key accounts and their brokers/consultants.
4. Present and demonstrate the value proposition and ROI of solutions to clients and prospects in a consultative manner.
5. Consult on cost control and quality improvement strategies for employee populations.
6. Review and analyze member data to highlight the value of care management efforts, identify care gaps, and make program referrals.
7. Collaborate with internal teams to create and implement sales strategies aligned with clinical goals.

Qualification Requirements:

• Education: Bachelor's Degree or equivalent relevant work experience (additional 4 years).
• Licenses/Certifications: RN - Registered Nurse with State or Compact Licensure.
• Experience: 4 years in a clinical setting; 2 years in healthcare data analysis.
• Preferred Qualifications: Graduate degree (MSN, MBA, MPH), knowledge of health plan sales or account management, experience in a health plan environment.

Knowledge, Skills, and Abilities:

• Effective presentation skills both onsite and virtual.
• Deep understanding of current trends in care management.
• Ability to influence at all organizational levels, including executives.
• Critical thinking, data analysis, and interpretation skills.
• Project leadership and departmental resourcefulness.
• Excellent verbal and written communication skills.
• Ability to thrive in a fast-paced environment with changing priorities.

Travel Requirements:

Approximately 50% travel within Maryland, DC, and Virginia.

Department:

CareFirst BlueCross BlueShield is committed to equal employment opportunity for all qualified applicants, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran or disability status, or genetic information.