ZeOmega logo
ZeOmega

Supporting value based care management, Jiva is the most powerful PHM platform on the market.

Clinical and Regulatory Program Consultant

ComplianceComplianceFull TimeRemoteSeniorTeam 501-1,000H1B SponsorCompany SiteLinkedIn

Location

California

Posted

1 day ago

Salary

0

Seniority

Senior

Professional Certificate3 yrs expEnglish

Job Description

Clinical and Regulatory Program Consultant

ZeOmega

• Works collaboratively with implementation and support teams to ensure client business and clinical requirements are accurately captured and addressed throughout the implementation process and beyond. • Serves as a subject matter expert on clinical best practices and health plan regulatory compliance, ensuring that ZeOmega’s solutions align with industry standards and meet client needs. • Focuses on enhancing the end-user experience by promoting usability and workflow efficiency.

Job Requirements

  • 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.
  • Prior experience in consulting or implementation of healthcare 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.
  • Current and unrestricted US LPN or RN license required.

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