Clinical Product Consultant - utilization management

Overview

About This Position The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical insight into product development and testing as well as play an active role in the implementation and delivery of the product, interacting with customer end users and managers. The Consultant will ensure that the complexity of our AI technology aligns with the clinical perspective and needs of our clients through data analysis and auditing.

They will also be responsible for end user adoption of best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in the delivery of Aware

UM to our clients.

• Collaborate with the product and services teams to execute our strategic plan for Aware
  
  UM.
• Audit for product accuracy and effectiveness, communicating with product for changes as identified.
• Assess the effectiveness of Aware
  
  UM technology in creating efficient workflows for UM nurses.
• Deliver on go-forward product milestones balancing client requests with investment in new capabilities that deliver on the product vision.
• Collaborate with the UM growth team and support a smooth sales delivery process that achieves targeted growth expectations.
• Collaborate with the CX team to create a seamless, integrated, and consistent user experience.
• Actively manage the client experience to deliver on implementation milestones, manage client support requests and expectations, and monitor client successful use of the product.

• Bachelor of Science in Nursing (BSN) or equivalent (with RN licensure).
• 8+ years of clinical experience in an acute care setting.
• 2+ years of experience in utilization management.
• Knowledge and understanding of Utilization Management, Quality Management, Care Management, and/or Chronic Condition Management within hospital systems, post-acute providers, and/or payers.
• Understanding of evolving reimbursement models, including commercial payers, Medicaid, and Medicare.
• Understanding of CMS and payer regulations as they pertain to patient status and care management.
• Works effectively on a multidisciplinary team.
• Strong interpersonal and communication skills with the ability to facilitate information exchange with internal and external clients.
• Ability to work remotely, effectively and efficiently.
• Proven history of a collaborative, team-focused approach.
• Excellent oral and written communication skills.
• Ability to travel 20-50% of the time to domestic locations for client or business meetings.
• Preferred:
  Experience leading a Utilization Management team in an acute care setting.
• Active and current Utilization and/or Case Management Certification.
• 2-3 years’ experience with MCG and/or Inter Qual products and services.
• Experience in software training and education for health-care related products (preferred).
• Knowledge of core software applications including Google, Excel, PowerPoint.

Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers.

We are committed to our values: honesty; kindness; passion; curiosity; focus; best work, always; making it happen; and joyful, optimistic & fun. Waystar products have won multiple Best in KLAS or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans.

For more information, visit  or follow @Waystar on Twitter.

• Competitive total rewards (base salary + bonus, if applicable)
• Customizable benefits package (3 medical plans with Health…