Clinical Consultant I New

Xsolisis an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Since 2013, our vision has been to create a frictionless healthcare system.

We are proudly headquartered in Franklin, TN - one of the nation's fastest-growing hubs for healthcare innovation - we are at the heart of a thriving ecosystem of health systems, payers, and technology leaders.

Our flagship product,Dragonfly®, is the first and only AI-driven platform to continuously assign real-time predictive scores for medical necessity. Dragonfly has delivered proven results across 600+hospital, health system, and health plan clients and earned repeated industry recognition.

With recognition on theInc.
5000andDeloitte Technology Fast 500lists,Xsolisis also one of the fastest-growing privately-held companies in the country and across North America, andwe'relooking for talented people to grow with us.

The Clinical Consultant (CC) – Level I supports assigned payer and provider clients by providing foundational clinical support across implementation, go-live, and post–go-live optimization of XSOLIS solutions. This role applies core Case Management (CM) and Utilization Management (UM) knowledge to support payer workflows, platform adoption, and identification of early performance and value opportunities.

CC Level I supports clinical implementation and go-live activities, including assisting with prescriptive workflow execution, contributing to system build and configuration, and delivering education to super users and end users using adult learning principles. Following go-live, this role reinforces workflows, identifies adoption gaps, and supports interpretation of clinical and utilization data to promote compliance and early performance improvement

The essential functions include, but are not limited to the following:

• Clinical Implementation Support
  Support assigned payer client implementations through prescriptive workflow execution and system build input.
  Participate in implementation meetings, milestone tracking, and readiness activities.
  Deliver product demonstrations and introduce standard analytical reporting as directed.
  Support training development and execution using established materials and workflows.
• Training, Adoption, and Execution
  Deliver end-user and super-user education using adult learning principles.
  Conduct remote and onsite training as assigned and support early go-live adoption.
  Participate in focused workflow discussions and payer-specific operational reviews when requested.
  Reinforce standard utilization and authorization workflows aligned with payer requirements.
• Post-Implementation Optimization
  Monitor standard KPIs (e.g., authorization timeliness, denial trends, exception rates, throughput indicators).
  Review dashboards and reports to identify adoption or utilization concerns.
  Support corrective actions aligned with established payer best practices.
  Escalate risks, barriers, or performance concerns through established channels.
• Client Partnership and Internal Collaboration
  Partner with Client Delivery, Value Realization Partner (VRP), and Client Relationship Executive (CRE) teams to support payer implementation and early value realization.
  Participate in preparation sessions and support clinical components of Business Reviews.

This role will require you to travel to clients.

Education:

• Bachelor of Science in Nursing (BSN) required
• ACM or CCM preferred

Experience:

• Experience working with payer organizations or payer-focused workflows required or strongly preferred
• Experience supporting clinical technology adoption and/or training…