Clinical Account Manager, Consultant - Commercial

Job description

Your Role The Commercial CMO team works across multiple teams within Blue Shield to ensure smooth implementations for the commercial lines of business. The Program Manager Clinical Consultant, will report to the Regional Medical Director. In this role you will be responsible for working on externally facing health system accounts, business accounts, and special projects as part of the Commercial CMO team. You will oversee various commercial lines of business with a focus on clinical program management responsibilities, working closely with medical care management functional area teams, quality, account management, medical directors, sales, vendors and clients. Key components include leveraging extensive clinical knowledge to liaison between internal and external stakeholders to support successful performance. You will also support high profile client interactions using clinical knowledge and advanced data skills to advise and resolve Health System and client escalations. Additionally, you are responsible for managing projects and business process improvement activities to ensure ongoing alignment with Blue Shield of CA's strategy and company objectives, as well as interdependencies...