Director Clinical Client Engagement (MSN or advanced clinical degree required -NP or equivalent) jobs in United States
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Quantum Health · 1 week ago

Director Clinical Client Engagement (MSN or advanced clinical degree required -NP or equivalent)

Quantum Health is a privately-owned healthcare navigation organization dedicated to simplifying healthcare for its members. The Director of Clinical Client Engagement will serve as a strategic clinical partner to employer group clients, leveraging clinical expertise and population health data to enhance client satisfaction and drive measurable health outcomes.

Health CareHospitalMedical Device
Hiring Manager
Heather Wilson
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Responsibilities

Act as a senior-level clinical consultant and strategic partner to key employer group clients through a consultative, service-oriented clinical relationship to maximize client satisfaction, contract renewals, and adoption of new or expanded use of Quantum’s products and services
Participate in developing and delivering semiannual and annual reviews for client meetings to represent Quantum’s clinical operating model and actively support alignment between the clinical operating model and the clinical and benefit strategy for the client
Lead a team to provide comprehensive clinical support to clients through clinical account management, high-cost claimant reviews, and resolution of clinical issues
Advise on clinical best practices and benefits design to improve outcomes and control costs
Translate complex clinical trends and data into actionable insights for benefit strategy and wellness programming
Translate population health data into actionable, strategic recommendations tailored to client goals
Interpret medical and pharmacy claims, biometrics, and engagement data to identify cost drivers, care gaps, and population health risks
Recommend benefits and programs, as well as other interventions based on clinical data and ROI potential
Deliver clear, compelling presentations and reports on clinical outcomes and trends
Serve as a key feedback loop for trending areas of opportunity based on the client communications to inform clinical program strategy and performance opportunities
Support evidence-based health initiatives aligned with client priorities (e.g., chronic condition management, preventive care, mental health, DEI in care)
Collaborate with internal product, analytics, operations, and care teams to ensure high-impact and scalable clinical offerings
Monitor performance metrics and proactively suggest mid-course corrections to optimize the client’s clinical outcomes
Serve as the internal voice of the client’s health goals, ensuring that clinical programming aligns with workforce needs
Educate client stakeholders and brokers on trends in population health, cost containment, and value-based care
Serve as the primary point of escalation for complex client inquiries or concerns
Ensure that all clinical recommendations adhere to evidence-based guidelines and regulatory requirements
Provide clinical impact narratives and documentation to support renewal conversations and upsell opportunities
Support Account Managers in articulating the clinical value of services provided
All other duties as assigned

Qualification

MSNAdvanced clinical degreeClient-facing experiencePopulation health expertiseHealthcare cost data analysisClinical data interpretationPresentation skillsUnderstanding client retention strategiesMicrosoft Office proficiencyOrganizational skillsCross-functional collaboration

Required

MSN or Advanced clinical degree required (NP or equivalent)
Minimum 8 years of clinical experience, with at least 3 years in a client-facing, population health, or managed care setting
Experience supporting self-insured employers or working with health plans, TPAs, or wellness vendors
Strong analytical skills and fluency in interpreting healthcare cost/utilization data
Excellent communication, storytelling, and presentation skills with executive-level audiences
Proven ability to build credibility and trust with senior stakeholders and cross-functional teams
A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health's policies, values and ethics, and to protecting the sensitive data entrusted to us
Reflects both senior leadership, clinical expertise, and strategic client partnership capabilities
Proficiency required in understanding market trends, insights, clinical models, and managed care systems
Strong analytical skills with the ability to interpret complex clinical data and translate it into presentations and actionable insights for clinical and non-clinical stakeholders
Exceptional presentation and communication skills, with experience presenting to clients on the health outcomes of the client population and contributions to cost savings through clinical program recommendations
Ability to work collaboratively with cross-functional teams and external consultants
Strong organizational skills and the ability to manage multiple projects simultaneously
Understanding of client retention strategies and satisfaction (NPS, renewal rates)
Protect and take care of our company and member's data every day by committing to work within our company ethics and policies
Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently
Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily

Preferred

MPH or MBA is a strong plus

Company

Quantum Health

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Quantum Health provides advocacy and support for employee benefits and healthcare management.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Warburg Pincus
2020-11-20Private Equity
2014-01-22Series Unknown

Leadership Team

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Dayne Williams
Chief Executive Officer
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Fares Alraie
Chief Technology Officer
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Company data provided by crunchbase