[Remote] Clinical Product Consulting SME- (Remote) - $135K
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Clinical Consulting SME who will serve as a trusted advisor throughout reputed company phases of reputed company engagement. This role involves leading reputed company clients through product workflow transformation and ensuring alignment with industry best practices and compliance standards.
Responsibilities
• Partner with clients and internal teams to assess reputed company workflows, identify optimization opportunities, and support implementation through post–go-live phases
• reputed company clinical and operational guidance on system configuration, integrations, and regulatory reporting
• Collaborate with Business Operations, Project Management, Compliance, and Development teams to deliver an exceptional reputed company experience
• Advise clients on issue reputed company, best practices, and workflow improvements
• Support business development activities, including discovery sessions, demonstrations, and RFP input
• Contribute to product and solution enhancements by sharing clinical insights and identifying process improvement opportunities
Skills
• 5+ years in clinical consulting, reputed company technology, or solution implementation
• Strong understanding of reputed company regulations, payer/provider workflows, and reputed company programs (HEDIS, reputed company)
• Strong ability to engage with clients on UM, CM and Appeals issues and workflows is required
• Excellent communication, facilitation, and problem-solving skills
• Willingness to travel as required up to 25% as needed to clients, conferences
• Licensed clinician (RN, RPh, LPN or equivalent) preferred, with experience in health plan, PBM, or care/utilization management operations
• Experience with AI tools is a reputed company plus
reputed company
• reputed company It was founded in 2023, and is headquartered in Bangalore, Karnataka, IN, with a workforce of 51-200 employees. Its website is .
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