Senior Advisor, Vaccine & Clinical Case Management

BME Strategies

2d • $91,520 - $151,840 • Remote

About The Position

Founded in 2004, BME Strategies is a Massachusetts-based consulting firm specializing in the design, implementation, and evaluation of public health programs for local, regional, and state government partners. Our work supports evidence-based, community-driven solutions that strengthen public health systems and advance equity across the communities we serve. At BME, our clients are on the front lines of Public Health. Priorities may shift but our commitment to supporting our partners does not. We take pride in having multi-year, multi-project engagements, often working closely as an extension of their staff. Our success comes from our shared values: a bias toward action; optimistically collaborative; willingness to navigate ambiguity; minimal ego - no job is too small or big; pursuing the equitable solution; always learning, and; committed to quality at every stage.

The Senior Advisor, Vaccine & Clinical Case Management will act as a product owner and lead the vision, backlog, and delivery of a new vaccine management and clinical case management system for Massachusetts local health departments. The role sits between local public health practitioners, the Massachusetts Department of Public Health (DPH) Office of Local and Regional Health, and the IT delivery team. The system will support immunization clinics, vaccine inventory and accountability, public health nursing case management, and insurance billing for clinical services. It must align with related DPH platforms' data model, user experience and governance so local health departments experience one coherent set of tools. The ideal candidate has worked inside a local health department and knows firsthand how public health nurses, clinic coordinators, and health directors do their work.

The Massachusetts Department of Public Health (DPH), Office of Local and Regional Health, is building a statewide vaccine management and clinical case management system for the Commonwealth's 351 local health departments. The goal is to develop one modern, secure system that supports clinical public health work from start to finish.

The system will help local health departments:
Run immunization programs by planning clinics, scheduling patients, documenting vaccine administration and reporting to the Massachusetts Immunization Information System (MIIS).
Manage vaccine supply through inventory, ordering, lot tracking, cold chain monitoring and accountability for state-supplied vaccines.
Coordinate nursing case management for tuberculosis, communicable disease follow-up and home visiting, including intake, care plans, visits, referrals and case closure.
Bill for clinical services by verifying insurance, generating claims and tracking reimbursement from MassHealth, Medicare and commercial payers.
Report and use data with dashboards and reports for local, regional and state users.
The system is being designed with local public health, not just for it. Public health nurses, clinic staff, and health directors will shape requirements, test features, and guide rollout. The result should reduce administrative burden, strengthen data quality and help departments sustain clinical services across communities of every size with a particular focus on ensuring any solution is effectively implemented in rural communities.

Requirements

• Minimum 8 years experience required, including 5+ years of experience in local public health, including direct work in or with a local health department.
• 4+ years in a consulting firm environment
• 5+ years client-facing experience, including 2+ in project leadership roles
• 3+ years of supervisory or management experience, such as leading nursing staff, clinic operations or a public health program.
• Bachelor's degree in Nursing or Public Health.
• Ability to work independently and as part of a team in a fast-paced consulting environment.
• Hands-on experience with immunization programs, including planning and running vaccine clinics and managing vaccine inventory and accountability.
• Experience in clinical or public health case management, such as communicable disease follow-up, TB case management or home visiting.
• Working knowledge of health insurance billing for clinical services, including eligibility, coding, claims submission and reimbursement from public and commercial payers.
• Experience as a public health nurse, or close working experience supervising or partnering with public health nurses.
• Experience translating program and user needs into requirements for a software system, data system or electronic health record.
• Working knowledge of HIPAA and handling of protected health information.

Nice To Haves

• A Master's degree in Public Health or a related field is a bonus, but not required. Candidates with Bachelor's degrees are encouraged to apply.
• Alignment with BME’s shared values.
• Active Registered Nurse license in Massachusetts
• Experience in Massachusetts local public health and familiarity with its local governance structure, boards of health and the 351 municipalities.
• Familiarity with MIIS, MAVEN, the DPH Vaccine Unit and state-supplied vaccine requirements.
• Prior experience as a Product Owner, business analyst or clinical informatics lead on a public health or healthcare technology project.
• Experience setting up or managing a billing program in a local health department, including payer contracts, roster billing and clearinghouses.
• Experience with mass vaccination, emergency preparedness or POD operations.
• Knowledge of health data standards (e.g., HL7, FHIR) and immunization data exchange.

Responsibilities

• Leads project design and attends to client relationships
• May serve as a technical expert and/or individual contributor on highly specialized workstreams
• Dedicated subject matter expert; recognized within the firm as a resource in this area
• Mentorship Potential: recognized technical mentor; supports junior staff development through coaching and knowledge-sharing; may develop internal training materials or resources
• Business Development: manages projects to exemplary client satisfaction; surfaces business opportunities with existing clients to leadership; contributes technical expertise to proposals and RFP responses; participates in pitching as a subject matter expert
• Communicate the product vision, roadmap and success measures for vaccine management and clinical case management.
• Translate DPH program priorities and local health department needs into clear product outcomes.
• Define requirements for clinic planning and scheduling, vaccine inventory and ordering, cold chain and temperature excursion tracking, wastage and lot management, and administration documentation.
• Ensure workflows support state and federal vaccine programs (e.g., state-supplied and Vaccines for Children vaccine accountability) and data exchange with the Massachusetts Immunization Information System (MIIS).
• Support mass vaccination and emergency response use cases, including point-of-dispensing (POD) operations.
• Define requirements for public health nursing case management, including intake, assessment, care plans, home visits, follow-up, referrals and case closure.
• Address priority program areas such as tuberculosis (latent and active), communicable disease follow-up, and maternal, child and family health visits.
• Coordinate requirements for interoperability with MAVEN and other DPH systems where appropriate.
• Define requirements for insurance eligibility verification, claims generation (including roster billing), coding (CPT, ICD-10), claim tracking, denials and reconciliation.
• Support billing to MassHealth, Medicare and commercial payers, and help local health
• Serve as the primary liaison between local health departments, DPH program staff and the IT team.
• Lead user research, workgroups, demos and user acceptance testing with public health nurses, clinic staff and health directors.
• Support training, onboarding, user guides and adoption across diverse departments, from small rural towns to large cities with a focus on addressing barriers to adoption in rural communities .
• Ensure the product meets HIPAA, Massachusetts privacy requirements, clinical documentation standards and DPH data governance policies.

Benefits

• 11 paid floating holidays each year, plus 4 weeks of additional PTO, giving employees flexibility to take time off when it matters most.
• Health, dental, and vision insurance, with 80% employer-paid coverage for the employee & 70% employer-paid coverage for dependents
• Health FSA and dependent care FSA
• 401(k) with employer match
• Employer-paid short-term and long-term disability insurance
• One-time technology stipend
• Opportunities for professional development and career growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior