Clinical Consultant Job Description
Clinical consultant
provides clinical, industry and market subject matter expertise to clients to facilitate client’s ability to make business decisions on clinical editing, efficiency and productivity.
Clinical Consultant Duties & Responsibilities
To write an effective clinical consultant job description, begin by listing detailed duties, responsibilities and expectations. We have included clinical consultant job description templates that you can modify and use.
Sample responsibilities for this position include:
Submit accurate and timely expense reports in accordance with company guidelines, policies and procedures
Act as expert developer or contributor for collateral material detailing clinical programs
Provides provider/facility adoption direction, system training, workflow development, test planning support, and communications support to the client and implementation team
Collaborates with Services, Product Management and Engineering teams to provide feedback for improved Customer experience, software, implementations
Proactively identify at-risk accounts to Technical Services and to the appropriate Account Executive/Regional Sales Director and recommend strategies and suggestions to retain such accounts
May functionally direct and mentor junior/new hire staff
Attend and participate in company and professional meetings, including conference and webinar calls
Understand administrative reporting responsibilities and maintain and submit accurate and timely reports
Maintain and manage time, travel, and expenses within set corporate guidelines and policies using best practices as directed by the Regional Manager
Competent in computer operation including Microsoft WORD, PowerPoint, and Outlook
Clinical Consultant Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Clinical Consultant
List any licenses or certifications required by the position: SPD, TQC, TQI, CPHQ, NANCM, CCM, ASCP, ICD, MRI, CT
Education for Clinical Consultant
Typically a job would require a certain level of education.
Employers hiring for the clinical consultant job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Nursing, Education, Business, Health Care, Health, Healthcare, Management, Public Health, Social Work, Graduate
Skills for Clinical Consultant
Desired skills for clinical consultant include:
Critical care environment and clinical applications
Computer applications
Office equipment
Grammar
Procedures
Spelling
Vocabulary and of generally accepted office practices
PBM industry/Managed care/Value Based healthcare industry is desirable
Nursing demands and facility productivity in improving financial outcomes
Clinical device settings
Desired experience for clinical consultant includes:
Provide InterQual product education to licensed clients
Maintain knowledge and appropriate application of all InterQual products and services
Function as liaison/facilitator with other MHS departments regarding client education/training and/or product-related needs
Contribute to the development of primary and collateral materials including case study development
Sit and lecture, during virtual training, for the duration of a program (length of web training may vary - from 4 up to 7 hours, with intermittent breaks)
Knowledge of blood cancers and experience with oncology/hematology clinical trial administration a plus
Clinical Consultant Examples
1
Clinical Consultant Job Description
Job Description Example
Our company is looking to fill the role of clinical consultant. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for clinical consultant
- Implement post sales education regarding program analysis
- Maintains familiarity with assigned client contract terms
- Review and assist customers with analyses of their Ion Torrent data using Torrent Suite and Ion Reporter software packages
- Work in collaboration with the Clinical Account Manager to set up the best support strategy for each customer site
- Lead the prospect-to-client transition from sales team to implementation and account management teams
- Leads development, evolution and clinical implementation of BD programs
- Drives communication of designation process and analytic results for internal decision making and communication to Plans and external audiences
- Function as Blue Distinction liaison to internal and external stakeholders, particularly medical specialty organizations/registries
- Oversee the prepay operations processes with an end to end understanding of process and systems
- Includes vendor and internal team
Qualifications for clinical consultant
- Proven leadership skills in consulting
- Understand coding classifications systems such as, but not limited to ICD-9 CM
- Demonstrate an understanding of the operations and/or business of KP, health policy trends, and any applicable regulations related to the responsible practice area
- Experience working with internal and external partners to deliver solutions that meet business objectives
- Ensure project deliverables occur on-time and communication back to the sales team on a regular basis
- Leverage current and future resources
2
Clinical Consultant Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of clinical consultant. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for clinical consultant
- Escalated issues including all prompt pay requests, interest and penalty research
- Oversee the PPT actions for the 4 system recon to ensure actions are completed timely
- Train new vendors or audit leaders on prepay including kickoff meeting for new programs on prepay
- Monitor EFR Email on prepay related issues to ensure timely responses
- QA Testing in the MOAT for prepay related enhancements or fixesKey Competencies
- Capture customer feedback to uncover opportunities for improvement to build productive long-term relationships with customers and aimed increasing customer satisfaction and loyalty
- Serve as the center resource for MDS/PPS
- Develop account visibility within company
- Assess effectiveness of and create and/or disband/combine clinically focused workgroups as appropriate to support the overall priorities and strategies for HEDIS and health outcomes for BlueCare Tennessee
- Participate in the development and implementation of new clinical projects to support continuous quality improvement in TennCare, DSNP and Cover Tennessee lines of business
Qualifications for clinical consultant
- Experience developing and executing Channel Partner Education programs
- Ability to manage a complex influencing / sales environment including managing multiple projects
- Bachelor’s with at least 5 years applicable experience in a related field preferred
- Experienced with MedMined® tools and services preferred
- Infection Control or Microbiology experience preferred, Pharmacy experience a plus
- MS SQL knowledge required
3
Clinical Consultant Job Description
Job Description Example
Our company is searching for experienced candidates for the position of clinical consultant. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for clinical consultant
- Performs work flow redesign with identified automation solutions to facilitate achievement of best practices
- Provide client and industry feedback/insight on clinical edits to internal groups including product management, operations, state database development team, sales and marketing
- Identify, develop and execute provider education strategies and materials related to medical chart documentation and coding practices
- Support PMO/Sales in Customer interactions and solution design
- Frequently interact with DI Application team/ BIU Application team
- Contact window with BIU for latest clinical knowledge
- Keep alignment with clinical scientist/ research team for solution creation
- ICAP performance issue coordination
- Analyze competitive strategies and provide feedback to the BG / BIU
- Manage the New Product Introduction and determine local product portfolio
Qualifications for clinical consultant
- Current management or educator experience in the care of Psychiatric inpatients
- 2+ years implementation experience with Resource and Patient Management System (RPMS)
- In depth and up-to-date knowledge of KP HealthConnect functionality
- At least 3 years clinical subject matter and best practice expertise
- Minimum four (4) years of experience in analytical project consulting
- Demonstrated ability to determine the key analytical questions and develop and conduct appropriate analytical plans
4
Clinical Consultant Job Description
Job Description Example
Our growing company is searching for experienced candidates for the position of clinical consultant. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for clinical consultant
- Show site maintenance, including consistent update of clinical cases, relationship development, and education and coaching
- Work closely with regional team to deploy sales strategy and conduct 2nd line support to regions, TW & HK
- Provide customer training on all clinical applications of equipment specific to care area
- Maintain all assets (i.e., company-issued laptop, vehicles, ) in good condition
- Demonstrate professionalism and positive, solutions-oriented approach when interacting with co-workers and customers
- Develop and conduct customer education seminars and presentations
- Benchmark customer practices, and support business team to develop business strategies
- Develop and maintain key opinion leaders and professional association relationships
- Plan and execute technical programs for internal and external customers
- Researches and reviews the most current workers' compensation (WC) jurisdictional laws, rules, and regulations of each state or jurisdiction where information is needed
Qualifications for clinical consultant
- Proven leadership skills in project management
- Proficient in data reporting or analysis software (e.g., Excel, Access, Crystal/Business Objects, Cognos, SPSS, SAS)
- Must exhibit efficiency, collaboration, and candor, openness, and results orientation
- Experience in health care related analysis or research
- Experience/knowledge in applied quantitative research methods and statistical analysis
- Master's degree strongly preferred in a quantitative social science field, biostatistics, epidemiology, public health or other related field, OR six (6) years of experience in a directly related field
5
Clinical Consultant Job Description
Job Description Example
Our growing company is hiring for a clinical consultant. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for clinical consultant
- Develops, updates, and maintains jurisdictional regulation database for use by utilization review (UR), telephonic case management (TCM), and pharmacy teams
- Consults and advises clinical team of nurses, pharmacists, and physicians regarding most appropriate regulatory options and best practices for each state or jurisdiction
- Works with and provides training for claims examiners, nurses, pharmacists, physicians and/or other appropriate personnel when needed through in-service presentations or other appropriate methods
- Provides support during Complex Pharmacy Management roundtables or other in-house file reviews
- Maintains knowledge of new and potential rule changes that may impact WC in all appropriate jurisdictions
- Develops and maintains relationships with other internal regulatory contacts to ensure proper communication across the company in regards to regulatory matters
- Collaborates with clinical team to appropriately communicate concerns and opinions regarding current legislative decision-making to corporate legal team
- Design, develop and deliver user specification into automated database solutions
- Provide clinical expertise to Analysts in the development of predictive analytics
- Support the HEDIS, RADV and Risk Adjustment supplemental data collection Harvard Pilgrim projects
Qualifications for clinical consultant
- Proficient in statistical applications, preferably SAS
- Registered Nurse with a Bachelor’s degree in good standing with the Board of Nursing
- Registered Nurse with a Bachelors Science of Nursing in good standing with the Board of Nursing
- Track record of developing trainings and clinical materials to support sales initiatives
- Experience facilitating training programs utilizing adult learning principles
- Previous experience as a Nurse Clinical Consultant