[Hiring] Clinical Vendor Consultant @Capital Blue Cross

Role Description

Serves as a primary interface between clinical services and other departments to ensure multi- and inter-disciplinary vendor project coordination. Participates in communication and project planning regarding other company/department initiatives. Collaborates with clinical department directors and other key staff in overall project evaluation.

• Identifies key benchmarks for use in evaluation.
• Initiates and directs planning related to project development including identification of project objectives, expected outcomes, resource requirements, and evaluation strategies.
• Professional who is trained to properly present data that supports clinical and business decisions.
• Assists clinical department directors and others in the interpretation and use of data for decision-making.
• Applies clinical knowledge and use of healthcare data to drive decisions.
• Presents information to help organization leaders understand clinical impact of data to drive healthcare quality improvement.
• Improves and innovates the use of technology within clinical practice and workflows.

Qualifications

• Demonstrated excellent public speaking and written communication skills.
• Experience leading a project resulting in positive change management.
• 5 years progressive clinical experience and/or informatics-related experience.
• 2 years experience in the health insurance or other related healthcare field.
• 3 years of clinical and/or informatics-related experience.
• Bachelor’s degree in business, education or a health-related field or 9 years of relevant experience in lieu of degree.
• RN licensure preferred.

Requirements

• Oversight of external and internal sourced data management to include vendor reports.
• Collaborate with internal vendor management to perform oversight of external vendor contracts as it relates to performance guarantees and service level agreements.
• Interpretation of vendor reports to guide department/organization for clinical opportunities to impact lower cost of care, improve quality of care, and enhance member experience and member engagement.
• Responsible for managing the relationships with specific vendors and serving as the organization's point of contact.
• Analyzes and evaluates vendor proposals and assists in vendor selection.
• Provides support to the organization for problems with vendor products and services.

Benefits

• Comprehensive benefits package including Medical, Dental & Vision coverage.
• Retirement Plan.
• Generous time off including Paid Time Off, Holidays, and Volunteer time off.
• Incentive Plan.
• Tuition Reimbursement.

Work Environment

• Ability to work independently as well as collaboratively within a small team to meet quality and timeframe requirements is required.
• Ability to handle multiple assignments with changing priorities is a ‘must’.

Physical Demands

• Frequently required to sit, use hands and fingers, talk, hear, and see.
• Must be able to work over 40 hours per week.
• Occasionally lift and/or move up to 5 pounds.