Sr. Consultant

HEALTHSTREAM INC•Nashville, TN

1d•$89,637 - $111,456•Remote

About The Position

We are seeking an experienced and detail-oriented consultant to support healthcare organizations utilizing the solutions within our SaaS-based platform, which support the overarching Peer Review/Professional Practice Evaluation (PPE) processes for managing the providers’ competency lifecycle. This role serves as a subject matter expert for provider Peer Review/PPE processes, including Clinical Privileging, Focused Professional Practice Evaluation (FPPE) for New Privileges, Ongoing Professional Practice Evaluation (OPPE), Focused Professional Practice Evaluation (FPPE) for Cause, and Case Review workflows. The ideal candidate is a Medical Services Professional (MSP) and/or Professional in Healthcare Quality who combines extensive Peer Review/PPE experience with strong regulatory and accreditation knowledge to guide clients in implementing best practices, optimizing workflows, and ensuring regulatory and accreditation alignment within the platform. This position works collaboratively with healthcare leaders, physicians, medical staff offices, quality departments, technical/EHR resources, medical coding professionals, implementation teams, and product stakeholders to drive successful adoption and continuous improvement initiatives.

Requirements

Bachelor degree in related discipline; or equivalent professional experience in Peer Review/PPE processes.
Nursing (BSN), Healthcare Administration, Public Health, Information Technology or related field preferred.
A minimum of 7+ years’ industry experience, specifically in Peer Review/PPE.
Certified Professional in Healthcare Quality (CPHQ) preferred.
Certified Provider Credentialing Specialist (CPCS) preferred.
Certified Professional Medical Services Management (CPMSM) preferred.
Prior consulting or client-facing experience strongly preferred.
Extremely well organized, direct, honest, patient, and reliable.
Pragmatic problem solver, strategic thinker, and creative troubleshooter.
Energetic leader with solid people and rapport building skills.
Independent, decisive and self-confident professional who excels under pressure.
Excellent verbal, written communication skills; professional poise.
Excellent computer skills and an affinity for technology.
Requires initiative, flexibility, excellent interpersonal skills, and the ability to work well with all levels of internal management and staff, as well as with clients at all levels of the client organization.
Ability to establish, maintain relationships and manage communications effectively with clients, consultants, and Provider Solutions teams.
Manages activities for multiple concurrent projects with multiple clients with appropriate prioritization and focus.
Ability to understand client goals, manage their expectations, and recognize additional opportunities for assistance via company products/services.
Ability to demonstrate industry knowledge and knowledge of the challenges faced by our clients.
This position is primarily sedentary in a normal office environment. Extensive computer usage and use of the phone. Could lift up to 20 lbs.

Nice To Haves

Certified Professional in Healthcare Quality (CPHQ)
Certified Provider Credentialing Specialist (CPCS)
Certified Professional Medical Services Management (CPMSM)
Prior consulting or client-facing experience

Responsibilities

Adhering to all HealthStream security policies, procedures, and assigned training.
Serving as a clinical solutions consultant and subject matter expert for Peer Review/PPE, including Clinical Privileging, FPPE for New Privileges, OPPE, FPPE for Cause, and Case Review processes within the SaaS platform.
Assisting healthcare clients with workflow design, implementation, and optimization of provider Peer Review/PPE programs.
Interpreting and applying regulatory and accreditation standards from organizations such as: Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC), Det Norske Veritas (DNV), Accreditation Association for Ambulatory HealthCare (AAAHC), Accreditation Commission on Healthcare (ACHC), State and organizational Peer Review/Professional Practice Evaluation (PPE) standards.
Assisting clients with developing and implementing clinical privilege forms and quality metrics related to provider privileges.
Guiding clients through the patient data validation process, including review of coding attribution and alignment with coding in privilege forms.
Collaborating with physician leadership, medical staff offices, quality departments, and clinical teams to assess processes and identify operational and performance improvement initiatives.
Providing education, training, and ongoing support to platform users and client stakeholders.
Translating clinical and operational requirements into platform recommendations and enhancement feedback for internal product teams.
Analyzing privileging process, clinical quality data and performance metrics trends to support informed decision-making.
Developing documentation, including best practice recommendations for workflow guides, training materials, and webinar and conference presentations.
Participating in client meetings, implementation calls, and strategic advisory sessions.
Maintaining current industry knowledge of Peer Review/PPE processes, standards, methodologies, and best practices.