Clinical Development Consultant

Capital Blue Cross

Clinical education consultant developing onboarding, compliance, and continuing-education programs for Capital Blue Cross health-plan staff. Improving clinical workflows, documentation quality, and regulatory readiness.

Posted 8/4/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesMid-LevelSenior💰 $63,350 - $119,390 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and implementing educational programs for clinical staff, ensuring compliance with regulatory standards and enhancing professional development. Proficient in managing onboarding processes and utilizing adult learning principles to create effective training strategies.

Highest-signal resume keywords

Active Registered Nurse LicensureUtilization Management ExperienceEducation and Training DevelopmentClinical Documentation Systems ProficiencyInterQual® Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Competency EvaluationsOnboarding Program DevelopmentContinuing Education ManagementRegulatory Compliance TrainingEducational Content DevelopmentQuality Improvement StrategiesPerformance Gap AnalysisMotivational Interviewing TechniquesAdult Learning PrinciplesDocumentation Quality Improvement

Soft Skills

Strong Organizational SkillsProblem-Solving SkillsEffective Communication SkillsPublic Speaking SkillsMentoring and Coaching Skills

Tools & Technologies

Microsoft Office ProductsClinical Documentation SystemsTruCare Program

Certifications & Qualifications

Registered Nurse LicensureInterQual® Certification

Industry Keywords

Health Plan PrinciplesManaged Care OperationsCMS Regulatory AuditsNCQA StandardsAccreditation Requirements

About the role

Key responsibilities & impact

Plan, direct, coordinate, execute, and evaluate educational programs supporting clinical staff and functions
Create and implement onboarding and training programs for clinical new hires
Develop and manage continuing education, training, and professional development initiatives
Partner with leadership on workflow development and maintenance for departmental teams
Ensure clinical staff compliance with regulatory and accreditation requirements through comprehensive training strategies
Manage clinical competency evaluations and continuing education related to clinical programs, best practices, policies, and procedures
Plan, organize, evaluate, and maintain orientation/onboarding processes
Communicate onboarding progress to leadership, recommend remediation, and document completion of orientation, competencies, and mandatory training
Mentor and assist clinical staff with continuing education and professional development opportunities
Align clinical educational content with regulations, accreditation standards, and organizational policies
Provide targeted education for regulatory audits, accreditation surveys, and corrective action plans
Identify training needs and develop educational materials based on audits, Inter-Rater Reliability Assessments, and quality findings
Provide individual and group consultation addressing performance gaps, documentation quality, and decision consistency
Recommend process and educational strategy improvements based on data and best practices
Facilitate TruCare program training for clinical staff
Attend required company and departmental meetings and training sessions

Requirements

What you’ll need

Active Registered Nurse licensure in Pennsylvania or Enhanced Nurse Licensure Compact (eNLC) multistate licensure in the home state
Bachelor’s degree in Nursing or higher required; bachelor’s degree in business, education, or a health-related field accepted
Minimum 5 years of Utilization Management experience in a health plan, managed care organization, or similar setting
Minimum 5 years’ experience in an acute care setting
Minimum 3 years of experience in education, training, coaching, or professional development
Strong organizational, problem-solving, documentation, and communication skills
Ability to translate complex regulations into practical, understandable training
Ability to manage multiple conflicting priorities in a fast-paced environment
High comfort with clinical documentation systems
Effective public speaking and written communication skills
Proficiency with Microsoft Office products
Knowledge of health plan principles and clinical best practices
Knowledge of adult learning principles, motivational interviewing, intrinsic coaching techniques, and education/training strategies
Experience supporting CMS, NCQA, or state regulatory audits
Experience developing educational content
Knowledge of clinical and managed care principles and operations
Ability to operate a personal computer
InterQual® certification strongly preferred or willingness to obtain when offered

Benefits

Comp & perks

Medical, Dental & Vision coverage
Retirement Plan
Paid Time Off
Holidays
Volunteer time off
Incentive Plan
Tuition Reimbursement
Flexible environment
Training and continuing education
Professional and personal growth opportunities
Community volunteering opportunities