Summary:

The Clinical Content Specialist, Program Development, reporting to the Director, Program Development, will develop and optimize clinical programs to improve the CKD and ESRD population, using evidence-based research, best practices, and all regulatory requirements.

Essential Duties and Responsibilities:

• Review all applicable clinical guidelines to ensure program aligns with best practices.
• Recommend changes and/or updates to workflows (current or future) to maintain compliance.
• Manage clinical program requirements repository.
• Effectively communicate key decisions needed based on new clinical guidelines and requirements with quality, operations and other key stakeholders.
• Ensure program and workflow align with requirements set forth by NCQA, Medicaid, SNP, and other regulatory entities.
• Research and stay current on best practices and standards of practice in CKD/ESKD, clinical areas/co-morbidities, population health, and value-based care.
• Collaborate with data and technology teams for successful development and implementation related to clinical programs.
• Contribute to a culture of continuous development and rapid iteration.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Required Education and Experience:

• Five (5) years of related work experience. and/or Bachelor's degree.
• Clinical licensure: RN, RD or PharmD, NP or LCSW.
• Experience researching, interpreting, and implementing clinical guidelines.
• Experience with MOC, SNP, Medicaid, NCQA, contract requirements.
• Experience working with vulnerable patient populations (CKD/ESRD, geriatrics, minorities, low income, uninsured, etc.)

Knowledge, Skills, and Abilities:

• Strong interpersonal and communication skills and ability to collaborate cross-functionally.
• Understanding of healthcare workflows for population health, value-based care, and care management.
• Ability to manage multiple, competing priorities with minimal oversight.
• Ability to handle ambiguity and desire to work in a fast-paced start-up environment.
• Acute attention to detail.
• Ability to be both a strategic and tactical change agent in the clinical space.
• Self-starter who will take initiative and be proactive when there are multiple priorities.
• Strategic solution-seeker who sees opportunities when others see barriers.
• Understands and complies with highest standards of confidentiality.
• Proficient in Microsoft applications including Visio, Word, Excel, PowerPoint, Lucid, and other web-based applications.

Travel Requirements:

This position requires up to 10% travel. Travel may be outside the local area and overnight

Physical Requirements

• This job operates in a professional setting. While performing the duties of this job, the employee is regularly required to sit or stand for extended periods of time. Normal manual dexterity is required.
• Normal speaking and hearing abilities to interact with others in an office environment, over telephone or other video conferencing platform.
• The employee is occasionally required to stand; walk; and reach with hands and arms and continuously repeat the same hand, arm finger motion many times as in typing.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

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