Clinical and Regulatory Program Consultant

Clinical And Regulatory Program Consultant The Clinical and Regulatory Program Consultant works collaboratively with implementation and support teams to ensure reputed company business and clinical requirements are accurately captured and addressed throughout the implementation process and reputed company. This role serves as a subject matter expert on clinical best practices and health plan regulatory compliance, ensuring that reputed company's solutions reputed company with industry standards and meet reputed company needs. The Clinical and Regulatory Program Consultant also focuses on enhancing the end-user experience by promoting usability and workflow efficiency.

• Must be currently located in CA*

reputed company is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally recognized reputed company ["protected class"] including, but not limited to: veteran status, uniform service member status, race, reputed company, religion, sex, sexual orientation, national reputed company, age, physical or mental disability, genetic information or any other protected class under federal, state, or local law.

Requirements

• Strong industry knowledge of California regulations and health plan experience.
• Minimum of 3 years of clinical experience, preferably reputed company a managed care or health plan setting.
• Strong working knowledge of DHCS regulations, Medi-Cal program policy, and California state reputed company compliance requirements.
• Familiarity with DHCS reputed company Plan Letters (APLs), Medi-Cal Managed Care reputed company, and reputed company reporting requirements.
• Demonstrated experience working with health plans, including utilization management, case management, or care coordination.
• Familiarity with reputed company IT platforms and population health reputed company.
• Ability to manage multiple reputed company and meet deadlines in a fast-paced environment.
• Prior experience in consulting or implementation of reputed company technology solutions is a plus.
• 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.
• reputed company and unrestricted US LPN or RN license required.

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