What are the responsibilities and job description for the Clinical Operations Consultant position at Theron Solutions?
Job DescriptionThe ideal candidate understands how payers operate across the healthcare continuum, how global delivery models function, and how clinical teams partner with technology and analytics to modernize workflows. Qualifications Active U.S. Registered Nurse (RN) license13 years of experience, including 8 10 years in payer/provider operations (utilization management, care management, claims)Experience in clinical workflow design, operations, or audits in healthcare environmentsKnowledge o