Senior Advisor, Vaccine & Clinical Case Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the vision, backlog, and implementation of a vaccine management and clinical case management system for health departments in Massachusetts.

• Function as the product owner between local public health practitioners, the Massachusetts Department of Public Health Office of Local and Regional Health, and the IT delivery team.

• Ensure the system accommodates immunization clinics, manages vaccine inventory and accountability, supports public health nursing case management, and facilitates insurance billing for clinical services.

• Align the system with the data model, user experience, and governance of related DPH platforms.

• Lead project design and maintain client relationships.

• Act as a technical expert and/or individual contributor on specialized workstreams.

• Guide junior staff through coaching and knowledge-sharing, while potentially creating internal training materials.

• Manage projects to achieve exemplary client satisfaction and identify business opportunities with existing clients.

• Provide technical expertise for proposals and RFP responses, participating in pitches as a subject matter expert.

• Communicate the product vision, roadmap, and success metrics.

• Translate DPH program priorities and local health department requirements into product outcomes.

• Define requirements for clinic planning and scheduling, vaccine inventory and ordering, cold chain and temperature excursion tracking, wastage and lot management, and administration documentation.

• Ensure workflows align with state and federal vaccine programs and facilitate data exchange with the Massachusetts Immunization Information System.

• Support mass vaccination and emergency response scenarios, including point-of-dispensing operations.

• Define requirements for public health nursing case management, such as intake, assessment, care plans, home visits, follow-up, referrals, and case closure.

• Address programs related to tuberculosis, communicable disease follow-up, and maternal, child, and family health visits.

• Coordinate interoperability requirements with MAVEN and other DPH systems.

• Define requirements for insurance eligibility verification, claims generation, coding, claim tracking, denials, and reconciliation.

• Facilitate billing to MassHealth, Medicare, and commercial payers.

• Serve as the primary liaison between local health departments, DPH program staff, and the IT team.

• Lead user research, workgroups, demos, and user acceptance testing involving public health nurses, clinic staff, and health directors.

• Support training, onboarding, user guides, and adoption across diverse departments, focusing on rural communities.

• Ensure the product complies with HIPAA, Massachusetts privacy regulations, clinical documentation standards, and DPH data governance policies.

• Role expectations: 85% project work, 5% administrative tasks, and 10% business development activities.

⛳️ Requirements

• A minimum of 8 years of experience is required, including over 5 years in local public health with direct involvement in or with a local health department.

• At least 4 years of experience in a consulting firm environment.

• More than 5 years of client-facing experience, including 2 or more years in project leadership roles.

• Over 3 years of supervisory or management experience, such as overseeing nursing staff, clinic operations, or a public health program.

• Bachelor's degree in Nursing or Public Health.

• Ability to work independently as well as collaboratively in a fast-paced consulting environment.

• Alignment with BME’s core values.

• Hands-on experience with immunization programs, including planning and executing vaccine clinics and managing vaccine inventory and accountability.

• Experience in clinical or public health case management, such as communicable disease follow-up, TB case management, or home visiting.

• Knowledge of health insurance billing for clinical services, including eligibility, coding, claims submission, and reimbursement from public and commercial payers.

• Experience as a public health nurse or substantial experience supervising or collaborating with public health nurses.

• Experience in translating program and user needs into requirements for software systems, data systems, or electronic health records.

• Familiarity with HIPAA and the handling of protected health information.

• Active Registered Nurse license in Massachusetts is preferred.

• Experience in Massachusetts local public health and familiarity with its governance structure, boards of health, and the 351 municipalities is preferred.

• Knowledge of MIIS, MAVEN, the DPH Vaccine Unit, and state-supplied vaccine requirements is preferred.

• Previous experience as a Product Owner, business analyst, or clinical informatics lead on a public health or healthcare technology project is preferred.

• Experience in establishing or managing a billing program in a local health department, including payer contracts, roster billing, and clearinghouse management is preferred.

• Experience with mass vaccination, emergency preparedness, or POD operations is preferred.

• Understanding of health data standards, such as HL7 and FHIR, and immunization data exchange is preferred.

• Must be based in the U.S.; BME Strategies cannot sponsor work-related visas.

🏝️ Benefits

• Full-time position based in a home office environment within the U.S.

• Remote-first organization.

• Occasional travel to client sites, conferences, or meetings; 10-20% travel expected.

• 11 paid floating holidays each year.

• An additional 4 weeks of paid time off.

• Health, dental, and vision insurance, with 80% employer-paid coverage for employees and 70% for dependents.

• Health FSA and dependent care FSA.

• 401(k) with employer matching contributions.

• Employer-funded short-term and long-term disability insurance.

• One-time technology stipend.

• Opportunities for professional development and career advancement.