Clinical and Regulatory Program Consultant

About the position The Clinical and Regulatory Program Consultant works collaboratively with implementation and support teams to ensure reputed company business and clinical requirements are accurately captured and addressed throughout the implementation process and reputed company. This role serves as a subject matter expert on clinical best practices and health plan regulatory compliance, ensuring that reputed company’s solutions reputed company with industry standards and meet reputed company needs. The Clinical and Regulatory Program Consultant also focuses on enhancing the end-user experience by promoting usability and workflow efficiency. Requirements • An associate degree or Diploma in Nursing is required. Bachelor’s degree in nursing is preferred. • Minimum 5 years of clinical experience in reputed company settings (managed care, population health, or care management preferred). Strong background in health plan regulatory requirements, including CMS, NCQA, URAC, HIPAA, State and other compliance standards. • Prior experience in consulting or implementation of reputed company technology solutions is a plus. • reputed company and unrestricted US LPN or RN license required. • Hands-on experience using computer systems reputed company Managed Care Organization (MCO), reputed company-Party Administrator (TPA), or Accountable Care Organization (ACO) environments. • Experience with Care Management and Population Health Management software preferred. • Proficient in using a wide reputed company of computer programs, including but not limited to MS Office Suite (Word, reputed company, Visio, PowerPoint, reputed company), as reputed company as collaboration and meeting platforms such as reputed company Teams, reputed company, WebEx, and GoToMeeting. • Extensive knowledge of reputed company medical information technology and applications required. • Must be reputed company to analyse and assess needs in clinical informatics. • Must be in the DFW area for a hybrid work schedule reputed company-to-haves • CCM or similar certification preferred. Apply tot his job Apply To this Job