[Remote] Clinical Product Consulting SME- (Remote) - $135K

Note:The job is a remote job and is open to candidates in USA. Confidential Jobs is seeking a Clinical Consulting SME who will serve as a trusted advisor throughout all phases of client engagement. This role involves leading healthcare clients through product workflow transformation and ensuring alignment with industry best practices and compliance standards. Responsibilities• Partner with clients and internal teams to assess current workflows, identify optimization opportunities, and support implementation through post–go-live phases• Provide clinical and operational guidance on system configuration, integrations, and regulatory reporting• Collaborate with Business Operations, Project Management, Compliance, and Development teams to deliver an exceptional client experience• Advise clients on issue resolution, best practices, and workflow improvements• Support business development activities, including discovery sessions, demonstrations, and RFP input• Contribute to product and solution enhancements by sharing clinical insights and identifying process improvement opportunitiesSkills• 5+ years in clinical consulting, healthcare technology, or solution implementation• Strong understanding of healthcare regulations, payer/provider workflows, and quality programs (HEDIS, STAR)• Strong ability to engage with clients on UM, CM and Appeals issues and workflows is required• Excellent communication, facilitation, and problem-solving skills• Willingness to travel as required up to 25% as needed to clients, conferences• Licensed clinician (RN, RPh, LPN or equivalent) preferred, with experience in health plan, PBM, or care/utilization management operations• Experience with AI tools is a huge plusCompany Overview• Confidential Jobs It was founded in 2023, and is headquartered in Bangalore, Karnataka, IN, with a workforce of 51-200 employees.Its website is. Apply tot his job