Note: The job is a remote job and is open to candidates in USA. ZeOmega is a company focused on healthcare solutions, and they are seeking a Clinical and Regulatory Program Consultant to work collaboratively with implementation and support teams. This role involves ensuring client business and clinical requirements are met, serving as a subject matter expert on clinical best practices and regulatory compliance, and enhancing the end-user experience.
Responsibilities
- Ensure client business and clinical requirements are accurately captured and addressed throughout the implementation process and beyond
- Serve as a subject matter expert on clinical best practices and health plan regulatory compliance
- Ensure that ZeOmega’s solutions align with industry standards and meet client needs
- Focus on enhancing the end-user experience by promoting usability and workflow efficiency
Skills
- Strong industry knowledge of California regulations and health plan experience
- Minimum of 3 years of clinical experience, preferably within a managed care or health plan setting
- Strong working knowledge of DHCS regulations, Medi-Cal program policy, and California state healthcare compliance requirements
- Familiarity with DHCS All Plan Letters (APLs), Medi-Cal Managed Care contracts, and related reporting requirements
- Demonstrated experience working with health plans, including utilization management, case management, or care coordination
- Familiarity with healthcare IT platforms and population health management solutions
- Ability to manage multiple projects and meet deadlines in a fast-paced environment
- Expertise in clinical best practices and regulatory compliance for health plans
- Excellent communication and presentation skills
- Ability to analyze business requirements and translate them into solution design
- Current and unrestricted US LPN or RN license required
- Prior experience in consulting or implementation of healthcare technology solutions is a plus
Company Overview
ZeOmega provides software for integrated care management, enabling health care managers to track individuals and their treatments. It was founded in 2001, and is headquartered in Frisco, Texas, USA, with a workforce of 501-1000 employees. Its website is http://zeomega.com.