Clinical Practice Consultant
Health Care Service Corporation · Richardson, TX · 1 mo ago
Analyst$71k–$150k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Remove boilerplate, EEO, application instructions, etc.
We need to parse the posting.
Content:
- Intro paragraph about HCSC, employees, development plans, purpose-driven company, invest in professional development. That's about the role? Could be "About the role" or "About HCSC". The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can put the introductory description under About the role.
- Then description: "This position is a field-based quality role responsible for supporting HCSC's quality imperatives, value-based care models, and provider relationships by collaboratively working with assigned medical practices or individual PCPs, the appropriate Medical Director and Clinic Directors, and all medical and non-medical quality staff to improve key targeted HEDIS measures. This position involves model and program development, clinical readiness assessments, entity- and network-management-led joint operating committees, obtaining EMR access, implementing provider-based member outreach initiatives and provider supplemental data submissions, and retrieving key medical records throughout the year. The role provides ongoing and annual evaluation of the effectiveness of the overall quality improvement program for the assigned line of business. It is also responsible for creating and maintaining strong working relationships with the care coordination and care management teams at the value-based entity, as well as with local Network Management and internal Clinical Operations teams, providing consultative support and ensuring operational needs are being met."
That's responsibilities.
- Required Job Qualifications list: bullet points.
- Preferred Job Qualifications list.
- This is a fully remote position, available in the US only, not limited to the posting location. Sponsorship is not available.
- Compensation: $70,600.00 - $149,600.00 Exact compensation may vary based on skills, experience, and location
- HCSC Employment Statement (EEO) - remove.
- To learn more about available benefits, please click link - we should not include application instructions; but benefits info is just a link; we might not include Benefits section because no specific benefits described. The instruction: never create Benefits section unless posting actually states them. It only says "To learn more about available benefits, please click ..." which is not specific benefit details. So we should not include Benefits section.
- Pay: we have compensation range, so include Pay section.
- Schedule: not mentioned; maybe remote, travel includes overnight stays, ability to travel includes overnight stays. That's about travel, not schedule. No explicit schedule like full-time, part-time, shift. So we should not include Schedule section.
- Skills: we can extract from qualifications: PC skills and familiarity with various software packages including spreadsheets and presentations; effective communication and written skills; ability to communicate and influence; ability to work independently; proven ability to work collaboratively with physicians; etc. Could be placed under Skills.
- Requirements: maybe the required qualifications (license, experience, knowledge, etc.) go under Requirements.
- Qualifications: maybe preferred qualifications go under Qualifications.
But we need to follow headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule.
We need to decide what goes where.
About the role: introductory paragraph about HCSC and purpose.
Responsibilities: the detailed description of duties.
Requirements: Required Job Qualifications (must-haves).
Qualifications: Preferred Job Qualifications (nice-to-haves).
Skills: maybe extract skill-based items from both required and preferred that are skills: PC skills, familiarity with software, communication, influence, ability to work independently, collaborative, travel ability, etc. Could also include ability to travel includes overnight stays.
Pay: compensation range.
We should not include Benefits or Schedule.
We must preserve all substantive information; do not invent or summarize away detail. So we need to include all bullet points from required and preferred qualifications exactly as given, but we can format as
- . Must not omit any.
Let's list required qualifications exactly as in text:
"Registered Nurse (RN) OR Physician's Assistant OR Nurse Practitioner with current, unrestricted license to practice in the state of operations.
4 years’ experience in health insurance, managed care or medical group insurance experience.
Knowledge of federal and accreditation standards and regulations for the health insurance industry
Experience in designing clinical programs
Experience conducting presentations for member and/or provider training.
Proven ability to work collaboratively with physicians
Ability to work independently
Effective communication and written skills and ability to communicate and influence internal and external customers at all levels of the organization
PC skills and familiarity with various software packages including spreadsheets and presentations
Ability to travel includes overnight stays."
Note: there is a period after "state of operations." then "4 years’ experience..." etc. We'll treat each line as a bullet.
Preferred qualifications:
"Currently resides in Florida, Georgia, Alabama, Mississippi, South Carolina, North Carolina, New Mexico, Pennsylvania, Delaware, New York, New Jersey, or Connecticut.
Ability to commit to local travel 20% or less to engage with various hospital systems.
Demonstrated success improving HEDIS, STAR, quality, or performance metrics through provider engagement and operational improvements.
Experience supporting population health or value-based care initiatives within a health plan, medical group, or healthcare system.
Experience analyzing clinical and operational performance data to identify opportunities for quality improvement.
Proven ability to build trusted relationships and influence clinical and operational stakeholders.
Experience leading practice transformation, workflow improvement, or quality performance initiatives."
Also note: "This is a fully remote position, available in the US only, not limited to the posting location. Sponsorship is not available." This could be placed under Responsibilities or maybe a separate section like "Work Arrangement". But we only have allowed headings; we could put this under Responsibilities as part of role description, or maybe under About the role. Since it's about work location, we could add a sentence in Responsibilities or About the role. The instruction: preserve all substantive information. So we need to include that statement somewhere. We could add a
under Responsibilities after the duties, or under About the role. Probably better to add a separate paragraph under Responsibilities about work arrangement. We must not include Benefits or Schedule sections. Now construct HTML. We'll start with
About the role
thenwith intro. Then
Responsibilities
thenwith the description paragraph(s). Could split into multiple paragraphs but keep as one
maybe with line breaks? We'll keep as
containing the sentences. Then after that, we can add another
for work arrangement: "This is a fully remote position, available in the US only, not limited to the posting location. Sponsorship is not available." Then
Requirements
then- each required qualification.
Then
Qualifications
then- each preferred qualification.
Then
Skills
then- skill items: we need to decide which items to list. Could extract from required and preferred that are skill-like: PC skills and familiarity with various software packages including spreadsheets and presentations; Effective communication and written skills and ability to communicate and influence internal and external customers at all levels of the organization; Ability to work independently; Proven ability to work collaboratively with physicians; Ability to travel includes overnight stays; Ability to commit to local travel 20% or less; Demonstrated success improving HEDIS, STAR, quality, or performance metrics; Experience analyzing clinical and operational performance data; Proven ability to build trusted relationships and influence clinical and operational stakeholders; Experience leading practice transformation, workflow improvement, or quality performance initiatives. Also maybe "Experience conducting presentations for member and/or provider training." That's a skill. Also "Experience in designing clinical programs." Also "Knowledge of federal and accreditation standards and regulations". Also "4 years’ experience in health insurance, managed care or medical group insurance experience." That's experience not skill. But we could still list under Skills? Might be redundant. The instruction: Prefer a few substantive sections over many thin ones. We already have Requirements and Qualifications sections covering experience and knowledge. Skills could be a subset. But we need to include all substantive information somewhere; we already have them in Requirements and Qualifications. If we also put them in Skills, we would be duplicating. The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't forbid duplication, but better to avoid duplication. We could place skill-specific items under Skills that are not already captured in Requirements/Qualifications. However, many skill items are also in those lists. To avoid duplication, we could decide not to include a Skills section if it would be redundant. But the instruction says we can include a section only when posting has real, specific content for it. It does not require us to include Skills if content is already covered elsewhere. However, we might still include Skills if we can extract skill-specific content not already in Requirements/Qualifications. Let's see: Requirements includes license, experience, knowledge, experience designing programs, experience conducting presentations, ability to work collaboratively, ability to work independently, communication skills, PC skills, travel. Preferred includes residence, travel commitment, success improving metrics, experience supporting population health, experience analyzing data, ability to build relationships, experience leading practice transformation. Many of these are skills/experience. If we put all of them under Requirements and Qualifications, we have covered all. Then Skills section might be redundant. To avoid thin sections, we could omit Skills section. The instruction: Prefer a few substantive sections over many thin ones. So better to omit Skills if it would be thin or duplicate. Thus we will have sections: About the role, Responsibilities, Requirements, Qualifications, Pay. We need to include Pay section with compensation range. Now check if any other info: "Exact compensation may vary based on skills, experience, and location" - include in Pay paragraph. Now ensure we removed boilerplate: EEO statement, link to benefits, etc. Now produce HTML. We must not include or tags. Just fragment. Let's craft. About the role paragraph: combine first sentences: "At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development." That's fine. Responsibilities paragraph: combine the description. We'll need to ensure we keep all details: "This position is a field-based quality role responsible for supporting HCSC's quality imperatives, value-based care models, and provider relationships by collaboratively working with assigned medical practices or individual PCPs, the appropriate Medical Director and Clinic Directors, and all medical and non-medical quality staff to improve key targeted HEDIS measures. This position involves model and program development, clinical readiness assessments, entity- and network-management-led joint operating committees, obtaining EMR access, implementing provider-based member outreach initiatives and provider supplemental data submissions, and retrieving key medical records throughout the year. The role provides ongoing and annual evaluation of the effectiveness of the overall quality improvement program for the assigned line of business. It is also responsible for creating and maintaining strong working relationships with the care coordination and care management teams at the value-based entity, as well as with local Network Management and internal Clinical Operations teams, providing consultative support and ensuring operational needs are being met." Then work arrangement paragraph: "This is a fully remote position, available in the US only, not limited to the posting location. Sponsorship is not available." Now Requirements list: each bullet. Let's list exactly: - Registered Nurse (RN) OR Physician's Assistant OR Nurse Practitioner with current, unrestricted license to practice in the state of operations. - 4 years’ experience in health insurance, managed care or medical group insurance experience. - Knowledge of federal and accreditation standards and regulations for the health insurance industry - Experience in designing clinical programs - Experience conducting presentations for member and/or provider training. - Proven ability to work collaboratively with physicians - Ability to work independently - Effective communication and written skills and ability to
- each preferred qualification.
Then
- each required qualification.
Then