What are the responsibilities and job description for the Clinical Account Consultant position at Health Care Service Corporation?
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Job Summary
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. Ability to travel, including overnight stays.
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’ 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.
PREFERRED JOB REQUIREMENTS :
Client-facing experience.
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.
Knowledge of HCSC internal product implementation processes and national account delivery model.
This is a Telecommute (Remote) role : Must reside within 250 miles of the office within the posted state.
Sponsorship is not available.
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Pay Transparency Statement :
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement :
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
82,700.00 - $149,300.00
Salary : $82,700 - $149,300
