Clinical Consultant - Remote

UnitedHealth Group•Boston, MA

15h•Remote

About The Position

The Clinical Consultant collaborates with sales, account management, and other business SMEs to develop and execute client-specific strategies across the Decision Support client base. This role leverages strong clinical, analytical, and industry knowledge to build relationships with senior executives and operational leaders. The goal is to understand strategic priorities and identify opportunities to leverage decision management solutions. Responsibilities include supporting pre- and post-sales activities, delivering advisory services, and contributing to product implementations from a clinical consulting perspective. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Registered Nurse with an active, current, unrestricted RN License in the U.S
10+ years of experience in care management, utilization management, and consulting
In-depth knowledge of case and care management workflows and denials
Understanding of healthcare industry trends and strategic considerations for payers and providers
Proficiency in Microsoft Office, including Excel, for building business cases and supporting consultative efforts
Demonstrated executive presence and communication skills, with experience engaging clinical and non-clinical stakeholders, including C-suite executives
Proven subject matter expertise in InterQual, MCG, or Xsolis content
Proven analytical skills to support data-driven consulting and solution optimization
Proven to take ownership of personal learning and development, independently acquiring new skills, tools, and knowledge to meet evolving role requirements
Proven to quickly adapts to new processes and responsibilities through self directed learning and effective use of available resources
Must be willing/able to travel up to 25% of the time as business needs dictate

Nice To Haves

Master’s degree
Experience with technical application implementation in the healthcare payer or provider industry

Responsibilities

Assist sales in consultative discussions and product demonstrations for strategic or top-tier accounts, especially those requiring specialized support
Contribute to the development of sales collateral and provide input on content and messaging
Conduct product and solution demonstrations and presentations to customer executives to validate ROI opportunities and review clinical workflows
Lead clinical reviews of solution blueprints to validate design and workflow impact
Support validation of client business problems and participate in the sales process with comprehensive portfolio knowledge
Maintain domain and product expertise by collaborating with clinical, services, and product teams; train others as needed
Serve as the senior clinical resource responsible for developing, completing, and presenting consulting deliverables and procedural plans
Provide both immediate solution recommendations and long-term roadmap guidance for assigned clients, collaborating with CHC resources to ensure successful delivery
Assess client risks and engage appropriate business SMEs for defined activities
Ensure clients fully understand the solution portfolio and workflows to maximize value
Partner with analytics leads to conduct value analysis and share findings with internal teams and clients