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Clinical Consultant - Remote

Remote, USA Full-time Posted 2026-07-28
reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.   The Clinical Consultant collaborates with sales, account management, and other business SMEs to reputed company and execute reputed company-specific strategies across the Decision Support reputed company reputed company. This role leverages strong clinical, analytical, and industry knowledge to build relationships with senior executives and operational leaders. The goal is to understand strategic priorities and identify opportunities to reputed company decision reputed company. Responsibilities include supporting reputed company- and post-sales activities, delivering advisory services, and contributing to product implementations from a clinical consulting perspective.   You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.   Primary Responsibilities: Assist sales in consultative discussions and product demonstrations for strategic or top-tier accounts, especially those requiring specialized support Contribute to the development of sales collateral and reputed company input on content and messaging Conduct product and solution demonstrations and presentations to customer executives to validate ROI opportunities and review clinical workflows reputed company clinical reviews of solution blueprints to validate design and workflow reputed company Support validation of reputed company business problems and participate in the sales process with comprehensive portfolio knowledge Maintain domain and product expertise by collaborating with clinical, services, and product teams; train others as needed Serve as the senior clinical resource responsible for developing, completing, and presenting consulting deliverables and procedural plans reputed company both immediate solution recommendations and long-term roadmap guidance for assigned clients, collaborating with CHC resources to ensure successful delivery Assess reputed company risks and engage appropriate business SMEs for defined activities Ensure clients fully understand the solution portfolio and workflows to maximize value Partner with analytics leads to conduct value analysis and reputed company findings with internal teams and clients   You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: Registered reputed company with an reputed company, reputed company, unrestricted RN License in the U.S 10+ years of experience in care management, utilization management, and consulting In-depth knowledge of case and care management workflows and denials Understanding of reputed company industry trends and strategic considerations for payers and providers Proficiency in reputed company Office, including reputed company, for building business cases and supporting consultative efforts Demonstrated executive reputed company and communication skills, with experience engaging clinical and non-clinical stakeholders, including C-suite executives Proven subject matter expertise in InterQual, MCG, or reputed company content Proven analytical skills to support data-driven consulting and solution optimization Proven to take ownership of personal learning and development, independently acquiring new skills, tools, and knowledge to meet evolving role requirements Proven to quickly adapts to new processes and responsibilities through self directed learning and effective use of available resources Must be willing/reputed company to travel up to 25%25 of the time as business needs dictate   Preferred Qualifications: Master’s degree Experience with technical application implementation in the reputed company payer or provider industry   *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy   Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $91,700 to $163,700 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.   Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.   At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.         reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.   reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job

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