Clinical Consulting Manager - RN (Up to 80% Travel)

Company: Change Healthcare
Location: Little Rock
Posted on: January 26, 2023

Job Description:

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Work Location:--- Remote - U.S.Position:Clinical consultants have at least 15 years experience in healthcare including managed care and provider organizations. We offer a full spectrum of consulting services that range from care management system implementations to quality improvement and accreditation initiatives. We are a "roll up our sleeves" kind of practice, working with our customers to innovate, solve problems, and improve performance by bringing the right expertise and knowledge to their organization.

Core Responsibilities:

+ Consulting Managers advise clients, and manage client and internal projects, and deliver consulting level deliverables

+ Business development by identify sales opportunities with new clients and Identify additional opportunities in existing clients

+ Work directly with a V.P. to develop their service line or focus area from a business development, staffing, and methodology perspective

+ Responsible for Service delivery

+ Participate as needed, in Change Healthcare Company planning and management meetings

+ Sr. level consultants manage client related projects Client Management to include:

+ Develop/manage relationship with senior management

+ Product monthly status reports

+ Participate in the sales process (SOW, resource requests, project budget and other documents as needed)

+ Internal Meetings - participate in management meetings and company calls and meetings

+ Participate as needed, in service line or focus area bus development and methodology -Focus on a broad set of service or focus areas

+ May work as a Sr PM, PD, Sr BA, Sr TA dependent on projects.

Requirements: Clinician (RN, BSN is preferred; MSW meeting job description requirements will also be considered.) Minimum of 5-10 years experience in medical management (Payer and /or Provider). Experience providing clinical consulting is a plus. Knowledge and experience in working with Medicare and Medicaid is required; specific familiarity with Medi-Cal and Medicaid programs in DE, PA, FL or TX is preferred. Familiarity with system configuration and implementation of care management applications is essential. Knowledge of interfaces with core claims systems such as QNXT, Facets, HealthEdge or Epic is a key consideration. Preferred Qualifications:

+ Recent experience (3+ years) providing clinical consulting.

+ Knowledge and experience in working with Medicare and Medicaid is required

+ Familiarity with system configuration and implementation of care management applications (Epic/Tapestry/Healthy Planet, ZeOmega, Clinical Care Advance, Guiding Care, Essette, MD Flow or similar medical management platform is essential.

+ Knowledge of core claims systems such as QNXT, Facets, HealthEdge or Epic and how to configure their interfaces with care management applications is a key consideration.

+ Demonstrated proficiency in care management, clinical quality, HEDIS, CAHPS knowledge and expertise.

Working Conditions/Physical Requirements:--- General office demandsTravel:--- Travel to client sites varies by customer expectations. Prior to COVID19, role required up to 80% travel. Post COVID19, many of the managed care customers are remote and are requiring 0-25% onsite time.--- Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for monthly reimbursement.Unique Benefits*:--- Flexible work environments--- Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets--- Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships--- Employee wellbeing programs and generous health plans--- Educational assistance programs--- US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions--- Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies--- Learn more at https://careers.changehealthcare.com*Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.

Diversity, Equity & Inclusion :

---At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.---Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity Feeling Inspired? Ready to #MakeAChange? Apply today!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP\_EEO\_Supplement\_Final\_JRF\_QA\_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Keywords: Change Healthcare, Little Rock , Clinical Consulting Manager - RN (Up to 80% Travel), Executive , Little Rock, Arkansas