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Senior Advisor, Vaccine & Clinical Case Management

Full-time

Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Advisor, Vaccine & Clinical Case Management based in the United States. This role offers an opportunity to shape a statewide public health technology solution supporting 351 local health departments across Massachusetts. As a senior subject matter expert and product owner, you will translate the needs of public health practitioners into practical digital tools for vaccine management, clinical case management, and healthcare billing. Working at the intersection of public health programs, government stakeholders, and technology delivery teams, you will guide product strategy, requirements, testing, and implementation. You will help modernize immunization clinics, vaccine inventory management, nursing case workflows, and insurance reimbursement processes. A key priority will be ensuring the system is secure, interoperable, and accessible to communities of all sizes, particularly rural areas. This remote consulting role is ideal for an experienced public health professional who combines clinical expertise, product leadership, and a commitment to equitable, community-centered healthcare. Accountabilities: You will lead product vision, requirements development, stakeholder engagement, and implementation planning for a statewide vaccine and clinical case management system. Your responsibilities will include: - Lead product strategy and roadmap development: Define the product vision, roadmap, and success measures, translating public health priorities and local health department needs into clear, measurable outcomes. - Design vaccine management workflows: Establish requirements for immunization clinic planning, patient scheduling, vaccine administration documentation, inventory, ordering, lot tracking, cold chain monitoring, wastage, and vaccine accountability.

- Support immunization program compliance: Ensure workflows accommodate state and federal vaccine programs, including state-supplied vaccines and Vaccines for Children requirements, while supporting data exchange with the Massachusetts Immunization Information System (MIIS). - Address emergency vaccination needs: Incorporate mass vaccination and emergency response scenarios, including point-of-dispensing (POD) operations. - Develop clinical case management requirements: Design workflows for intake, assessment, care planning, home visits, follow-up, referrals, and case closure across tuberculosis, communicable disease follow-up, and maternal, child, and family health programs. - Coordinate system interoperability: Define integration requirements with MAVEN and other relevant public health systems, ensuring data consistency and alignment with established platforms. - Establish healthcare billing workflows: Define requirements for insurance eligibility verification, claims generation, roster billing, CPT and ICD-10 coding, claims tracking, denials, reconciliation, and reimbursement. - Support payer requirements: Help local health departments develop billing workflows for MassHealth, Medicare, and commercial insurance providers. - Serve as the primary stakeholder liaison: Connect local health departments, state public health program staff, and IT delivery teams to align priorities and resolve implementation challenges. - Lead user research and validation: Facilitate user research, stakeholder workgroups, product demonstrations, and user acceptance testing with public health nurses, clinic staff, and health directors. - Drive training and adoption: Develop training materials, onboarding resources, and user guides, supporting implementation across communities ranging from small rural towns to large urban departments. - Promote equitable implementation: Identify and address adoption barriers, with particular attention to rural communities and departments with limited resources.

Vacancy posted 1 day ago
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