Clinical and Regulatory Program Consultant at Zeomega Inc

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Apr, 26

Salary

0.0

Posted On

21 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Experience, Health Plan Regulatory Compliance, Consulting, Healthcare Technology Solutions, Clinical Informatics, Care Management, Population Health Management, Usability, Workflow Efficiency, Medical Information Technology, MS Office Suite, Collaboration Platforms, CMS Compliance, NCQA Compliance, URAC Compliance, HIPAA Compliance

Industry

Software Development

Description

Description The Clinical and Regulatory Program Consultant 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. This role 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. The Clinical and Regulatory Program Consultant also focuses on enhancing the end-user experience by promoting usability and workflow efficiency. *Must be in the DFW area for a hybrid work schedule* Requirements Education: An associate degree or Diploma in Nursing is required. Bachelor’s degree in nursing is preferred. Experience: Minimum 5 years of clinical experience in healthcare settings (managed care, population health, or care management preferred). Strong background in health plan regulatory requirements, including CMS, NCQA, URAC, HIPAA, State and other compliance standards. Prior experience in consulting or implementation of healthcare technology solutions is a plus. Certificates & Licenses: Current and unrestricted US LPN or RN license required. CCM or similar certification preferred. Computer Skills: Hands-on experience using computer systems within Managed Care Organization (MCO), Third-Party Administrator (TPA), or Accountable Care Organization (ACO) environments. Experience with Care Management and Population Health Management software preferred. Proficient in using a wide range of computer programs, including but not limited to MS Office Suite (Word, Excel, Visio, PowerPoint, Outlook), as well as collaboration and meeting platforms such as Microsoft Teams, Zoom, WebEx, and GoToMeeting. Other Requirements: Extensive knowledge of current medical information technology and applications required. Must be able to analyse and assess needs in clinical informatics.

Responsibilities

The Clinical and Regulatory Program Consultant collaborates with teams to ensure client requirements are met during implementation. This role also serves as a subject matter expert on clinical best practices and regulatory compliance.