Jobs
>
Owings Mills

    Clinical Advisor - Owings Mills, United States - CareFirst BlueCross BlueShield

    CareFirst BlueCross BlueShield
    CareFirst BlueCross BlueShield Owings Mills, United States

    1 day ago

    Default job background
    Full time
    Description

    PURPOSE:

    The Clinical Advisor's role is to educate clients, brokers, consultants and internal employees and articulate the value of the organization's approach to managing care delivery to the marketplace, using data and making recommendations to help clients meet their corporate goals and key initiatives relating to the health and welfare of their employee population. The Clinical Advisor serves as key subject matter expert and strategic partner for the Sales team and will regularly attend client meetings to review health outcomes and cost information.

    ESSENTIAL FUNCTIONS:

  • Analyze population health data, financial trends and market opportunity within existing and prospect customer accounts. Develop business case studies and next generation reports to demonstrate the value of organization's care management and wellness approaches. Make strategic recommendations for key accounts and their consultants/brokers in order to retain and grow business.
  • Present and demonstrate to external clients, customers and prospects the value proposition and return on investment of assigned solutions in a consultative approach. Consult about how to best control cost and improve quality for their employee populations.
  • Using clinical knowledge, review and analyze member data to show the value of the organizations care management efforts; identify gaps in care and make referrals to appropriate programs.
  • Collaborate with internal teams including wellness, pharmacy and care management, to create and execute upon a sales strategy for the assigned solutions to help customers meet their clinical goals.

    • QUALIFICATION REQUIREMENTS:

    Education Level: Bachelor's Degree ORlieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

    Licenses/Certifications Upon Hire Required:
    RN - Registered Nurse - State Licensure And/or Compact State Licensure

    Experience:

  • 4 years' Experience working in a clinical setting
  • 2 years Demonstrated experience with healthcare data analysis

    • Preferred Qualifications:

  • Graduate degree such as MSN, MBA, MPH
  • Knowledge of health plan sales or account management
  • Experience working in a health plan environment in a business role

    • Knowledge, Skills and Abilities (KSAs)


    • Ability to present onsite and virtually to both small and large audiences.


    • An in-depth knowledge of current and emerging trends in care management.


    • Ability to work closely with and influence people at all levels, including C-suite executives, vice presidents, directors, managers and associates.


    • Critical thinking and judgment.


    • Demonstrated ability to analyze and interpret data.


    • Ability to lead/coordinate projects and act as a resource to other CareFirst departments.


    • Ability to communicate effectively, both verbally and in writing; and ability to present and communicate in group settings in a professional manner.


    • Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

    Travel Requirements:
    Estimate Amount: 50% Travel within Maryland, DC and Virginia.

    Department

    Department:

    Equal Employment Opportunity

    CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

  • Axle

    Clinical Advisor

    2 weeks ago

    Axle Rockville, United States

    (ID: · **Benefits**: · - 100% Medical, Dental & Vision Coverage for Employees · - Paid Time Off (Including Holidays) · - Employee Referral Bonus · - 401K Match · - Tuition reimbursement and professional development opportunities · - Flexible Spending Accounts: · - Healthcare (FS ...

  • Columbus Technologies

    Clinical Advisor

    2 weeks ago

    Columbus Technologies Rockville, United States

    Overview: · Must be a US Citizen or Green Card Holder · W2 with full benefit · Some travel may be required · Offer contingent on ability to successfully pass a background check and drug screen · Columbus Technologies and Services Inc. is a strategic supplier and business partner ...

  • GAP Solutions, Inc.

    Clinical Advisor

    4 days ago

    GAP Solutions, Inc. Rockville, United States

    Position Objective: Provide services as a Clinical Advisor in support of the overall functions of the Division of AIDS, Office of Clinical Site Oversite (OCSO), Asia and the Americas Branch (AAB) within the National Institute of Allergy and Infectious Diseases (NIAID). · Duties a ...

  • RJ IT Solutions

    Clinical Advisor

    1 week ago

    RJ IT Solutions Rockville, United States

    RJIT Solutions is an information technology and bioscience company that specializes in providing innovative solutions in biomedical research and data science. We serve healthcare organizations by leveraging the expertise of our team in science, software engineering, program/proje ...

  • GAP Solutions Inc

    Clinical Advisor

    2 days ago

    GAP Solutions Inc Rockville, United States

    Position Objective: Provide services as a Clinical Advisor in support of the overall functions of the Division of AIDS, Office of Clinical Site Oversite (OCSO), Asia and the Americas Branch (AAB) within the National Institute of Allergy and Infectious Diseases (NIAID). · Duties ...

  • Columbus Sverige

    Clinical Advisor

    1 week ago

    Columbus Sverige Rockville, United States

    Overview · Must be a US Citizen or Green Card Holder · W2 with full benefit · Some travel may be required · Offer contingent on ability to successfully pass a background check and drug screen · Columbus Technologies and Services Inc. is a strategic supplier and business partner ...

  • Columbus Technologies

    Clinical Advisor

    1 week ago

    Columbus Technologies Rockville, United States

    Overview: · Must be a US Citizen or Green Card Holder · W2 with full benefit · Some travel may be required · Offer contingent on ability to successfully pass a background check and drug screen · Columbus Technologies and Services Inc. is a strategic supplier and business par ...

  • Axle Informatics

    Clinical Advisor

    2 weeks ago

    Axle Informatics Rockville, United States

    Axle Informatics · is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations around the globe. With experts in biomedical science, ...

  • GAP Solutions, Inc. (GAPSI)

    Clinical Advisor

    1 week ago

    GAP Solutions, Inc. (GAPSI) Rockville, United States

    Position Objective: Provide services as a Clinical Advisor in support of the overall functions of the Division of AIDS, Office of Clinical Site Oversite (OCSO), Asia and the Americas Branch (AAB) within the National Institute of Allergy and Infectious Diseases (NIAID). · Duties ...

  • Axle Informatics

    Clinical Advisor

    1 week ago

    Axle Informatics Rockville, United States

    Axle Informatics · is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations around the globe. With experts in biomedical science, ...

  • Axle Inc

    Clinical Advisor

    1 week ago

    Axle Inc Rockville, United States

    Job Description · Job Description · (ID: · Axle Informatics · is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations around t ...

  • FCS, Inc

    Clinical Advisor

    3 weeks ago

    FCS, Inc Baltimore, MD, United States

    Psychiatric Nurse Practitioner needed for a facility in Baltimore that is growing, growing, growing Do you have interest in a position that offers administrative support, and an advanced team working with you to provide the best patient care? ...

  • RJ IT Solutions

    Clinical Advisor

    1 week ago

    RJ IT Solutions Rockville, United States

    RJIT Solutions is an information technology and bioscience company that specializes in providing innovative solutions in biomedical research and data science. We serve healthcare organizations by leveraging the expertise of our team in science, software engineering, program/proje ...

  • Axle

    Clinical Advisor

    3 days ago

    Axle Rockville, United States

    Job Description · Job Description(ID: · Axle Informatics is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations around the globe ...

  • Axle

    Clinical Advisor

    3 days ago

    Axle Rockville, United States

    Job Description · Job Description(ID: · Axle Informatics is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations around the globe ...

  • Axle

    Clinical Advisor

    3 days ago

    Axle Rockville, United States

    Job Description · Job Description(ID: · Axle Informatics is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations around the globe ...

  • Veear Projects Inc

    Clinical Advisor

    2 weeks ago

    Veear Projects Inc Rockville, United States

    Technical Requirements: Provide project management of day-to-day DAIDS TMF activities including but not limited to coordinating and leading meetings, and discussions regarding all aspects of trial master files. · Serve as the primary reviewer of TMF deliverables including but ...

  • Axle

    TMF - Clinical Advisor

    2 weeks ago

    Axle Rockville, United States

    Job Description · Job Description(ID: · Axle Informatics is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations around the globe ...

  • Catholic Charities of Baltimore

    Registered Nurse

    2 weeks ago

    Catholic Charities of Baltimore Baltimore, United States

    **Payrate is Starting $42.50/hour** · St. Elizabeth Rehabilitation and Nursing Center is currently seeking a** Registered Nurse-Full Time **who will be responsible and accountable for the effective overall management of clinical services and for providing quality nursing care to ...

  • Faculty Physicians Inc.

    Pediatrics Division Administrator

    6 days ago

    Faculty Physicians Inc. Baltimore, United States

    **Duties will include**: serving as the key advisor on all division business matters to the Department Administrator, Department Chairperson or Division Head; maintaining primary responsibility for developing the annual budgets for multiple divisions and for securing and managing ...