WHAT DOES A CLINICAL CONSULTANT DO?

The Clinical Consultant supports Directors and Administrators in daily activities, ensuring all operations comply with Federal, State, and Local standards. This role collaborates closely with the Corporate Compliance Specialist and Director of Operations to uphold the highest quality of care. Additionally, the consultant mentors nursing staff aids in compliance and serves as a resource for facilities managing surveys, compliance, Infection Control, and QUAPI initiatives.

A Review of Professional Skills and Functions for Clinical Consultant

1. Clinical Consultant Duties

  • Subject Matter Expertise: Acts as internal subject matter expert in the Sales Department across clinical, anatomic pathology, and molecular/genetics solutions.
  • Proposal Assistance: Assists in the completion of Requests for Information and Requests for Proposal.
  • Product Expertise: Provides clinical subject matter expertise and detailed product feature/function and value/benefit.
  • Software Demonstrations: Plans and leads client software demonstrations by preparing and tailoring value/benefit statements to show clients why Sunquest is the best choice.
  • Product Lifecycle Influence: Represents the Sunquest Sales team in providing subject matter expertise to Product Management and Product Development departments to influence product lifecycle.
  • Product Promotion: Represents company at trade association meetings to demo and promote products.
  • Internal Training: Provides internal training on Sunquest solutions, workflows, and new offerings.
  • Industry Trend Awareness: Responsible for keeping up with ongoing changes and trends in the healthcare industry that may affect the positioning of Sunquest solutions.
  • Client Assessments: Perform onsite or virtual assessments for clients including workflow and strategic meetings as well as follow-up engagements.
  • Educational Provision: Provide education on vision services, procedures, and overall policy to internal and external customers.

2. Health Plan Clinical Consultant Details

  • Policy Adherence: Adhere to the Organization’s Policy and Procedures.
  • Value Promotion: Consistently promote the Company’s core values.
  • Regulatory Compliance: Maintain compliance with federal and state regulations concerning employment.
  • Goal Development: Participate in developing department goals, objectives, systems, policies, and procedures.
  • Innovation Recommendation: Recommend new approaches to affect ongoing continual improvements to policies, procedures, and documentation.
  • Leadership in Improvement: Lead continuous improvement efforts for the group to ensure efficiency.
  • Management Communication: Communicate regularly with upper management about department issues and keep management advised of potential problems in all areas.
  • Training Completion: Complete Company required annual training.
  • Relationship Building: Develop relationships with key business leaders and external partners.
  • Time Management: Demonstrate efficient time management and ability to prioritize workload.
  • Active Participation: Participate in administrative staff meetings, committees, and special projects, and seek additional responsibilities as necessitated.
  • Positive Attitude: Maintain a positive and respectful attitude.

3. Clinical Consultant Responsibilities

  • Administrative Support: Provide support to the Directors and the Administrators in the day-to-day activities.
  • Regulatory Adherence: Act in accordance with current Federal, State, and Local standards, guidelines, and regulations.
  • Compliance Collaboration: Cooperate with the Corporate Compliance Specialist and Director of Operations.
  • Quality Assurance: Maintain the highest degree of quality care at all times.
  • Staff Education: Encourage and educate all nursing personnel assigned.
  • Policy Compliance: Ensure compliance with the written policies and procedures established by this facility.
  • Leadership Interaction: Meet with assigned facilities and leadership teams.
  • Program Support: Support personnel in planning the services, programs, and activities for quality outcomes.
  • Resource Provision: Serve as a resource to facilities for assistance with surveys, compliance, Infection Control, and QUAPI activities.
  • Mentorship: Enjoy mentoring others to function at their full potential.

4. Clinical Consultant Accountabilities

  • Outreach Coordination: Coordinate physician office visits and outreach calls to review scorecards and educate providers about financial opportunities, medication adherence, opiate education, formulary changes, and other initiatives.
  • Scorecard Management: Develop and maintain scorecards for pharmacy, medical, and site of service initiatives.
  • Performance Analysis: Review scorecards to track savings and identify opportunities.
  • Data Analysis: Pull and analyze pharmacy claims data to identify new opportunities.
  • Formulary Assistance: Help with formulary tasks such as monograph development and P&T supporters/projects.
  • Policy Development: Determine and maintain vision policies to align company and patient incentives and objectives.
  • Internal Consulting: Provide guidance to internal teams in setting benefit coverages, limitations, and exclusions.
  • Program Development: Develop appropriate insurance utilization management programs.
  • Cross-Functional Collaboration: Collaborate with product, design, engineering, actuarial, and other teams in building automated processes and products for vision policy.
  • Health Solutions Evaluation: Evaluate population health management solutions, such as pharmacy benefits management, telemedicine, mobile health technology, health specific vendors, high performance networks, patient-centered medical homes/ACOs, and workplace health and safety services.

5. Clinical Consultant Functions

  • Meeting Coordination: Investigator meetings with CMs/individual site-specific training meetings/manage daily accordingly.
  • Hospital Management: Assume personal responsibility for up to 30 hospitals.
  • Relationship Maintenance: Maintain all research department relationships and technical service.
  • Content Development: Develop user guides for Savana Manager Platform.
  • Strategy Development: Develop service and customer retention strategy.
  • Research Innovation: Identification of hospital research hypothesis, develop user abilities, identify and create power users.
  • Reference Center Development: Development of reference centers and creation of inspiring Case Studies.
  • Opportunity Identification: Identify new research opportunities that multiple sites would like to engage in.
  • Economic Research: Identify health economic case study opportunities.
  • Product Demonstration: Effectively & convincingly demonstrate Savana Manager product positioning to both medical and technical audiences.
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