Sr Clinical Consultant

Senior Clinical Consultant

Point
32

Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
32

Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point
32

Health.

The Senior Clinical Consultant will perform in various roles focusing on clinical opportunities for members, providers, and employers. The Senior Clinical Consultant will be the liaison for all clinical service issues. This position assists in coordinating, producing, and presenting high quality presentations for performance reviews. This includes gathering metrics, data, and other pertinent information from all relative departments and conducting a clinical analysis to communicate trends and other clinically related information.

The position requires understanding each unique population, their priorities, and needs. Working within the clinical strategies, collaborates with stakeholders and departments to design and implement strategies and programs to address these needs and priorities. In addition, this role will assist with support and providing responses resulting from escalated client requests. This role also supports internal functional areas such as underwriting to provide clinical support on various matters.

Critical to this role's success is the ability to demonstrate strength working independently and collaboratively within the team environment.

• Employer Performance and Clinical Content
• Provides daily support to resolution of escalated issues or questions
• Account Clinical Performance Guarantees
• Assists with Provider Relationships
• Other

Qualifications – what you need to perform the job

Certification and Licensure

• Current Registered Nurse state license

Education

• Required (minimum):
  Associate's degree in nursing or BSN
• Preferred:
  Master's degree; MPH very desirable

Experience

• Required (minimum): 5 – 7 years of clinical nursing experience
• Preferred:
  Patient education experience desirable

Skill Requirements

• Proficiency in a second language is also highly desirable
• Worksite Wellness consultation desirable
• Excellent verbal and written communication, active listening skills, and high-level presentation skills
• Ability to analyze and comprehend complex data
• Address multiple complex issues throughout the workday in a flexible professional manner.
• Requires initiative, sound judgment, and the ability to work under pressure in a constantly changing environment balancing multiple priorities and utilizing resources aggressively. Must be able to exercise appropriate judgment as necessary and raise issues to the appropriate level.
• Demonstrate strong clinical and critical thinking abilities; able to synthesize timely updates based on Point
  32
  
  Health Business needs and current events in the community.
• Requires excellent web and business writing skills as well as project or program management experience.
• Strong computer skills required including proficiency in Excel, Word, PowerPoint, and Visio.
• Ability to perform job functions with autonomy.
• Influencing others and ability to quickly build partnerships particularly those outside of direct reporting relationships.
• Ability to synthesize and present complex information.
• Must be self-directing, politically astute and have outstanding interpersonal, teaching, decision-making and presentation skills.
• Must have commitment to…