Clinical Account Consultant

BASIC FUNCTION:
This position is responsible for performing account management functions from the medical management perspective; serving as primary contact for Marketing Major/National and Mid-Market Accounts specific to presentations for existing and prospective clients, medical issues and questions on medical management programs; serving as liaison between Marketing and Health Care Management to analyze data and interpret information in preparation for meetings, site visits, and requests for proposals; and recommending program enhancements to Health Care Management Operations based on client feedback.

JOB REQUIREMENTS:
•Registered Nurse (RN) or Licensed Master Social worker (LMSW) or Licensed Professional Counselor (LPC) with current, unrestricted, valid license in the state of operations.
•4 years experience in a position which requires understanding/applications of managed care products, e.g. PPO, HMO, and CDHP.
•3 years clinical or behavioral counseling experience.
•Project management experience including development, implementation and follow-up.
•Knowledge of URAC, NCQA, State Department of Insurance and/or standards and accreditation processes of comparable regulatory bodies, i.e. JCAHO.
•Organizational skills for maintaining a library of presentations.
•Verbal and written communication skills for crafting presentation including developing corporate communications/ presentations.
•Business writing skills with ability to build customer relations.
•Ability to interact with numerous internal departments and keep abreast of products and service deliverables.
•PC proficiency to include Microsoft Applications with emphasis on developing PowerPoint presentations and other presentation formats.
•Ability to travel, including overnight stays.

PREFERRED JOB REQUIREMENTS:
•Knowledge of HCSC internal product implementation processes and national account delivery model.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements: Expertise Nursing Job Type Full-Time Regular Location IL - Downers Grove, IL - Chicago


Meet Some of HCSC's Employees

Allison M.

Internal Auditor

Allison audits operational and financial data throughout the business, helping to expose and mitigate risks, ensure compliance, and add value to HCSC’s operations as a whole.

Rosa Y.

Claims Examiner

Rosa works to process claims that stop due to system edits—researching the edits, correcting the errors, and completing the claims to help members and providers get paid.


Back to top