Vice President, Clinical Consulting
Company: Segal Benz
Location: Chicago
Posted on: May 8, 2024
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Job Description:
DescriptionAre you passionate about delivering trusted advice
that improves lives?Are you a Clinical Consultant and expert -with
your advanced knowledge of the strategic and more technical complex
health plan issues that is passionate about realizing significant
opportunities with population health management programs such as
onsite clinics, digital therapeutics, wellness, clinical audits,
direct contracting, management of high cost claimants? Our
opportunity may be for you!Key Responsibilities:Deliver consulting
and client projects including clinical audits and onsite clinics
and collaborate with client team to help clients maximize the value
of their healthcare spendingAct as a technical resource, expert and
advisor on complex plan issues and the management of population
health management programs such as onsite clinics, digital
therapeutics, wellness, clinical audits and direct
contractingConduct extensive data analytics using claims data
warehouse toolsDesign and implement onsite health optimization
projects (e.g., onsite clinics) including analyzing the
effectiveness and efficiencyThrough deep technical data analysis,
recognize trends and identify opportunities for clients and
CRMsConduct and report on clinical audits of disease management
programsDesign and develop internal tools and marketing collateral
and sales support for vendor procurement, implementation and
auditing of clinical servicesConsult directly to clients on plan
design, care management, vendor selection, procurement,
optimization, financial and regulatory aspects and identify and
recommend innovative health and wellness strategies and initiatives
such as digital therapeuticsCritically evaluate execution of vendor
services in accordance with contracts and plan documentsDraft
statements of work, project plans and budgets involving multiple
workflow streams and client teamsSupport marketing and business
development efforts involving health consulting
nationwideConducting senior level peer review of practice-related
work products and maintaining and/or enhancing standards for
technical quality and professional competence relating to health
consulting.Qualifications - - - - - -Academic: Undergraduate
degree, advanced degree preferred. RN, BSN, PA designation or other
clinical background highly preferred - - - - - -Years of
experience: A minimum of twelve (12) years of health consulting
experience and the ability to step into a role requiring
significant business development, practice development, client
relationship and leadership skills.Experience could include
consulting firms, hospitals and healthcare environment. - - - - - -
- Work experience: Demonstrated expertise in the design and
administration of health plans and clinical care regimens. - - - -
- - - Deep and broad-based expertise in health care, onsite clinic
management and care regimes - - - - - - - Experience with
pre-certifications, medical records review and coordination of
claims appeals resolution - - - - - - - Previous expertise with
launching and/or managing onsite clinics or telemedicine programs
helpful - - - - - - - Knowledge of HIPAA, COBRA, Health Reform,
Medicare and Mental Health Parity laws - - - - - - - Knowledge of
patient cost-sharing, deductibles, copays, coinsurance and out of
pocket limits - - - - - - - Demonstrated experience and success in
managing client relationships either on a primary or secondary
basis and leading / participating in business development
activities and other initiatives designed to grow revenue and
profitability - - - - - - - Large and/or
complex/interdisciplinary-oriented project management experience -
- - - - - - Professional credential: Professional accreditation as
appropriate and relevant to the role and marketplace. - - - - - - -
Technologies: Proficiency in Microsoft applications (Excel,
PowerPoint, Word) and use relevant data applications. Hands on data
analysis and report generation experience. Knowledge of SQL
preferred. - - - - - - - Skills/Traits: Effective relationship
builder and communicator (oral/written); analytical, creative
problem-solver; innovative/contributor to best practice approaches
and techniques; leadership who demonstrates the ideal behavior for
others to emulate. Diversity, Equity & Inclusion at Segal--- -We
recognize that individuals bring a broad range of experience and
abilities that go beyond the technical requirements of a job. If
your experience and qualifications are close to what you see
described here, we encourage you to apply. Diversity of employment,
skills and life experience, combined with passion, are key to
innovation and excellence. We encourage individuals, including but
not limited to women, minorities, the disabled and protected
veterans and those from all other backgrounds to apply to our
positions. Please let us know if you require accommodation during
the interview process and---thank you for considering Segal.About
Segal and its Total Rewards Program---Segal is a -privately owned,
leading North American employee benefit, human resources and
investment management consulting firm with -over 80 years of
history -providing trusted advice that improves lives. Clients
include public and private corporations, multiemployer trust funds,
public sector entities, higher education institutions,
institutional advisors, among many others.Segal's total rewards are
part of what makes Segal a special place to work. The current
salary range for this position is $150,500 to $200,000 plus
opportunity for a discretionary performance bonus with a target of
25% based on company profitability and employee performance. In
addition, Segal offers a comprehensive suite of benefits to include
a non-contributory defined benefit pension plan, matching and
discretionary contributions to a 401(k) profit sharing plan,
medical and prescription benefits including contributions to a
health savings account for eligible employees, dental benefits,
life insurance, disability insurance, an Employee Assistance
Program, wellness benefit reimbursements and rewards, and
professional credential and tuition reimbursement. Segal also
provides comprehensive paid time off including holidays, vacation
days, sick leave, paid family leave and sabbaticals.Please Apply---
Segal is the right size, the right organization and---the right
move for you! - Please apply now. -#LI-RemoteJob Field: Consulting
- Non-Actuarial BenefitsJob Type: Regular EmployeeOrganization:
National OfficeSchedule: Full-timeJob Level: Experienced
LevelTravel: Yes, 25 % of the TimeEmployee Status: Regular
Keywords: Segal Benz, Wauwatosa , Vice President, Clinical Consulting, Accounting, Auditing , Chicago, Wisconsin
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