Clinical Account Consultant - Work From Home

Health Care Service Corporation•Houston, TX

7d•Remote

About The Position

This position is responsible for performing account management functions from the medical management perspective. The role serves as the primary contact for marketing major/national and mid-market accounts, specifically for presentations to existing and prospective clients, and addressing medical issues and questions regarding medical management programs. The Clinical Account Consultant also acts as a liaison between marketing and health care management to analyze data and interpret information in preparation for meetings, site visits, and requests for proposals. Additionally, the role involves recommending program enhancements to health care management operations based on client feedback. The position requires the ability to travel, including overnight stays.

Requirements

Registered Nurse (RN) or Licensed Master Social worker (LMSW) or Licensed Professional Counselor (LPC) 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.
Business, data and analytical (Microsoft 365) background.
Travel (including overnight stays) 2 (two) times weekly.
In-office presence for meetings and client briefing (in the Houston or Richardson office – depending on candidate’s city of residence).
Site visits to Providers.
Candidates will need to be based not more than 1 (one) hour from the Houston or the Richardson office.
Interview is in-person/in-office (in the Houston or Richardson office – depending on candidate’s city of residence).

Nice To Haves

Registered Nurse (RN)
Knowledge of HCSC internal product implementation processes and national account delivery model.
Bachelor's degree.
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 in presenting and working with major consulting firms.

Responsibilities

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.
Recommending program enhancements to health care management operations based on client feedback.
Traveling, including overnight stays.