Clinical Practice Consultant Cover Letter

I submit this application to express my sincere interest in the clinical practice consultant position.

In my previous role, I was responsible for cross-functional leadership to meet monitoring, accreditation and operational responsibilities to ensure adherence to regulatory requirements, URAC and NCQA standards to obtain and maintain full accreditation status for CareSource.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Experience using Microsoft Word, Microsoft Excel (data entry, sorting, and filtering)
• Microsoft PowerPoint (creating presentations)
• Basic experience in software applications Microsoft Word, Microsoft Outlook, and Internet browsers
• Previous experience with HEDIS record collection/retrieval, medical record abstraction, report generation for monitoring project status, and vendor relationships
• Knowledge of HEDIS Technical Specifications
• Proficiency in software applications that support HEDIS activities, including but not limited to, Tableau, and vendor platforms
• Provider office experience
• Assist in successful deployment of program at the practice level, including, attribution, provider rosters and performance and clinical reporting

Please consider me for the clinical practice consultant opportunity. I am including my resume that lists my qualifications and experience.

In my previous role, I was responsible for evidence of compliance with coverage requirements, physician’s orders, the interdisciplinary care plan, company policy, regulatory requirements and accreditation standards.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Experience working with Medicaid and/or Medicare populations in a managed care setting
• Experience working with Physicians and their Staff
• Solid knowledge of HEDIS / STARS performance measures
• Reliable transportation to travel within the assign area of service
• Experience implementing Quality initiatives
• Knowledgable of NCQA/URAC
• Familiarity with HEDIS
• Active, unrestricted nursing license in the state of Washington (RN or LPN)

I am excited to be applying for the position of clinical practice consultant. Please accept this letter and the attached resume as my interest in this position.

In my previous role, I was responsible for comprehensive coverage options for prospects proposals, while conforming with laws, regulations and requirements governing the insurance industry.

My experience is an excellent fit for the list of requirements in this job:

• Current unrestricted RN licensure in the state of NC
• Health care and/or insurance industry experience, including regulatory and compliance
• Proficient in software applications skills that include, Microsoft Word, Excel, PowerPoint
• Comfortable with creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners
• Previous experience in Health care and/or insurance industry experience, including regulatory and compliance
• Intermediate experience in software applications skills that include, Microsoft Word, Excel, PowerPoint
• Experience working in Medicaid and/or Medicare or the managed care industry
• CPHQ or CCM

I am excited to be applying for the position of clinical practice consultant. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for applicable regulatory, industry best practice and client expectation awareness for quality and validation standards and principles.

Please consider my qualifications and experience:

• Leadership and facilitation, and demonstrated problem solving and critical thinking skills
• Previous experience in Health care and/or insurance industry, including regulatory and compliance
• Program oversight experience
• Registered Nurse (RN) OR Physicians Assistant OR Nurse Practitioner with current, unrestricted license to practice in the state of operations
• Knowledge of federal and accreditation standards and regulations for the health insurance industry
• Experience in designing clinical programs
• PC skills and familiarity with various software packages including spreadsheets and presentations
• Intermediate proficiency in software applications that include, but are not limited to, Microsoft Word, Microsoft Excel, Microsoft Outlook, and Internet browsers

In response to your job posting for clinical practice consultant, I am including this letter and my resume for your review.

In my previous role, I was responsible for oversight of the Behavioral Health Providers in primary and specialty care settings across Oregon, including clinical performance and maintaining standards of care.

Please consider my qualifications and experience:

• Reside in the state of Washington
• Intermediate to Advanced Computer / typing proficiency to enter / retrieve data in electronic clinical records
• Previous experience with quality improvement
• Experience leading teams or individuals for better quality outcomes
• Prior experience in skilled nursing, advance care planning, hospice or palliative medicine
• Previous HEDIS / STARS experience
• High level of proficiency with MS Office Suite (Excel, Visio, PowerPoint)
• Comfortable with creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners, engaging different types of learners in various settings