About The Position

This position performs account management functions from the medical management perspective. The Clinical Account Consultant serves as the primary contact for marketing major/national and mid-market accounts on presentations for existing and prospective clients, medical issues, and questions about medical management programs. The role acts as a liaison between marketing and health care management to analyze data and interpret information for meetings, site visits, and requests for proposals. It also recommends program enhancements to health care management operations based on client feedback. The role requires travel, including overnight stays, and may be performed remotely from anywhere within the continental United States except California, New York, Alaska, and Hawaii.

Requirements

  • Current, unrestricted, valid state-of-operations license as a Registered Nurse (RN), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), or Registered Dietitian (RD).
  • Four years of experience in a position requiring understanding or application of managed care products such as PPO, HMO, and CDHP.
  • Three years of 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, such as JCAHO.
  • Organizational skills for maintaining a library of presentations.
  • Verbal and written communication skills for crafting presentations, including corporate communications and presentations.
  • Business writing skills and 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, particularly PowerPoint and other presentation formats.
  • Ability to travel, including overnight stays.

Nice To Haves

  • Knowledge of HCSC internal product implementation processes and national account delivery model.
  • Client-facing experience.
  • Knowledge of business acumen.
  • Experience as a 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 ability to interact with numerous internal departments and keep abreast of products and service deliverables.
  • Prior experience participating in and supporting client RFPs.
  • Three or more years of experience as a Strategic Clinical Account Consultant/Executive in the Health and Wellness industry.
  • Three or more years of experience working with large, complex national clients.
  • Three or more years of experience analyzing and presenting clinical information and program performance data and recommending course corrections.
  • Experience presenting and working with major consulting firms.

Responsibilities

  • Serve as the primary medical management contact for marketing major/national and mid-market accounts.
  • Present to existing and prospective clients and address medical issues and questions about medical management programs.
  • Liaise between marketing and health care management to 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 as needed, including overnight stays.

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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