Clinical Product Consultant - Utilization Management

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WaystarHealthcare Technology
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details

Experience
8+ years of clinical experience in acute care setting; 2+ years of experience in utilization management
Required Skills
Microsoft ExcelPowerPointGoogle Workspace

Requirements

  • Bachelor of Science in Nursing (BSN) or equivalent with active RN licensure.
  • 8+ years of clinical experience in an acute care setting.
  • 2+ years of experience in utilization management.
  • Demonstrated knowledge of Utilization Management, Quality Management, Care Management, and/or Chronic Condition Management.
  • Understanding of reimbursement models including commercial payers, Medicaid, and Medicare.
  • Understanding of CMS and payer regulations regarding patient status and care management.
  • Ability to work effectively on a multidisciplinary team.
  • Strong interpersonal and communication skills.
  • Ability to travel 20-50% of the time to domestic locations for client or business meets.
  • Proficiency with core software applications including Google Workspace, Excel, and PowerPoint.

Responsibilities

  • Collaborate with product and services teams to execute the strategic plan for AwareUM.
  • Audit for product accuracy and effectiveness, communicating with product teams for changes as identified.
  • Assess the effectiveness of AwareUM technology in creating efficient workflows for UM nurses.
  • Deliver on go-forward product milestones, balancing client requests with new capability investments.
  • Collaborate with the UM growth team to support a smooth sales delivery process.
  • Collaborate with the CX team to create a seamless, integrated, and consistent user experience.
  • Manage the client experience, implementation milestones, client support requests, and monitor successful product use.
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