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Clinical Advisor, RN; Remote

Remote / Online - Candidates ideally in
Baltimore, Anne Arundel County, Maryland, 21276, USA
Listing for: CareFirst BlueCross BlueShield
Remote/Work from Home position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 76248 - 151437 USD Yearly USD 76248.00 151437.00 YEAR
Job Description & How to Apply Below
Position: Clinical Advisor, RN (Remote)

Join to apply for the Clinical Advisor, RN (Remote) role at Care First Blue Cross Blue Shield
.

Purpose

The Clinical Advisor's role is multifaceted, involving data analytics, client‑facing presentations, and solutions optimization. The Clinical Advisor will extract relevant clinical data and educate clients, brokers, consultants, and internal stakeholders, showcasing the value of the organization's approach to managing care delivery. The Clinical Advisor will synthesize data and data trends to make individualized recommendations related to population health with a goal of improving outcomes and driving down cost in populations.

The Clinical Advisor serves as a key subject matter expert and strategic partner for the Sales team and will regularly attend onsite and virtual client meetings to review health outcomes and cost information.

Qualified Candidates

Location requirement: Candidates must be local to MD, DC, or VA.

Essential Functions
  • Analyzes population health data as well as clinical and financial trends for existing and prospective customer accounts. Develops business case studies and next‑generation reports to demonstrate the value of care management and wellness approaches. Makes strategic recommendations for key accounts and their consultants/brokers to retain and grow business.
  • Delivers presentations and demonstrates to external clients, customers and prospects the clinical story and value position of the Care First clinical solutions.
  • Consults with key stakeholders regarding cost containment and quality improvement for their employee populations.
  • Identifies gaps in care and makes referrals to appropriate programs.
  • As a clinical subject matter expert, reviews and analyzes member data to show the value of care management programs.
  • Collaborates with internal teams including wellbeing, pharmacy, medical, sales, data, and care management. Creates and executes upon a sales strategy for the assigned solutions to help customers meet their clinical goals.
Qualifications

Education Level: Bachelor’s Degree in Nursing, Pharmacy, Psychology, Behavioral Health, Social Work or related field. If no Bachelor’s degree, an additional four years of relevant work experience is required.

Experience:

  • 4 years experience working in a clinical setting.
  • 2 years demonstrated experience with healthcare data analysis.

Licenses/Certifications

Required:

  • Registered Nurse (RN) – State Licensure and/or Compact State Licensure.

Knowledge,

Skills and Abilities

(KSAs):

  • Ability to present onsite and virtually to both small and large audiences.
  • In‑depth knowledge of current and emerging trends in care management.
  • Ability to work closely with and influence people at all levels, including C‑suite executives, vice presidents, directors, managers, and associates.
  • Critical thinking and judgment with the ability to connect the dots and deliver the story to the client in a professional manner.
  • Demonstrated ability to analyze and interpret data, maneuver fluently in Excel, Microsoft Word, and PowerPoint.
  • Ability to lead/coordinate projects and function as a resource to other Care First departments.
  • Effective verbal and written communication skills.
  • Ability to present and communicate in group settings in a professional manner.
Salary Range

$76,248 - $151,437

Travel Requirements

Estimate Amount: 50% travel within Maryland, DC and Virginia.

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case’s facts and circumstances, including but not limited to experience, internal equity, and location.

In addition to your compensation, Care First offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject…

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