Business Consultant Clinical SME

Job Description

The Business Consultant Clinical SME is responsible for supporting the implementation of new clients as well as ongoing client production support for the MHK CareProminence solution suite. Bringing prior experience as a nurse, this role serves as the bridge between the client and the MHK customer operations teams for implementation, production support, development, configuration, quality assurance, product documentation, and compliance. This role also provides product design direction throughout the customer lifecycle to ensure a consistent customer experience while maintaining the integrity of the MHK solution design for the customer. The ideal candidate has the passion and desire to foster highly satisfied customers, improve the product line, advance their own knowledge, and help remove impediments so the team can consistently move forward.

Responsibilities :

• Support client implementations and production support of MHK software solutions for Utilization Management, Care Management, Medical Appeals & Grievances (MHK clinical solutions) as a subject matter expert to ensure the success of our clients.
• Define product content, workflows and service level agreements required to meet client requirements, as well as the regulatory and accreditation requirements of the industry.
• Work closely with internal release management, development, IT / Operations, compliance and other departments for timely implementation of new platform feature enhancements, continued product support and product innovation.
• Understand client business processes to successfully implement MHK Module of Excellence standard solutions.
• Document and maintain use case requirements to test accurate system functionality testing.
• Conduct end to end module testing for MHK clinical solutions to ensure accurate functionality prior to releasing to internal models and / or new revision releases.
• Identify problems within the MHK clinical solutions and communicate them through established change management process.
• Provide solutions approvals as required by the release management process.
• Perform other duties as assigned by the Manager.

Required Qualifications :

Preferred Qualifications :

Education / Licensure :

Additional Requirements :

At MHK we help health plans and pharmacy benefit managers deliver optimal care management across every member's health journey. We do this through state-of-the-art technology that provides critical insights from member enrollment and maintenance through every stage of care and compliance.

COMMITMENT TO DIVERSITY & INCLUSION :

We are committed to cultivating and preserving a culture of inclusion and connectedness through collaboration. We grow and learn better together with a diverse team of employees. We welcome the unique contributions and the different perspectives of a diverse team. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

If you need a reasonable accommodation for any part of the employment process, please contact us by email at careers@mhk.com and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

For more information, please visit Know Your Rights , Pay Transparency , and MHK EEO / AA Statement

Benefits Snapshot :

Paid Time Off