Clinical Account Consultant

Hcsc Chicago , IL 60602

Posted 2 days ago

Job ID: KB-1034258

Description:

This position will ideally be based in Chicago or Downers Grove and has the ability to work from home 1 or 2 days a week after training as business needs allow.

BASIC FUNCTION:

This position is responsible for 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; and recommending program enhancements to Health Care Management Operations based on client feedback.

JOB 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 of experience in a position which requires understanding/applications of managed care products, e.g. PPO, HMO, CDHP, Population Health and Wellness Programs.

  • 3 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 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 presentations including developing corporate communications/ presentations and delivering sensitive and complex information to clients and consultants.

  • 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 (Word, Excel, Outlook, and PowerPoint) with emphasis on developing PowerPoint presentations and other presentation formats.

  • Ability to travel, including overnight stays. Overnight travel not expected to exceed 20%, 30% during 3 month annual review season.

PREFERRED JOB REQUIREMENTS:

  • Registered Nurse (RN) preferred.

  • Knowledge of HCSC internal product implementation processes and national account delivery model.

  • 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 presenting and working with major consulting firms.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Requirements:

Expertise Nursing, Sales & Account Management Job Type Full-Time Regular Location IL - Downers Grove, IL - Chicago


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Clinical Account Consultant

Hcsc