Clinical Consultant I

Redefining Healthcare with AI Xsolis is an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Since 2013, our vision has been to create a frictionless healthcare system. We are proudly headquartered in Franklin, TN - one of the nation's fastest-growing hubs for healthcare innovation - we are at the heart of a thriving ecosystem of health systems, payers, and technology leaders. Our flagship product, Dragonfly®, is the first and only AI-driven platform to continuously assign real-time predictive scores for medical necessity. Dragonfly has delivered proven results across 600+ hospital, health system, and health plan clients and earned repeated industry recognition. With recognition on the Inc. 5000  and Deloitte Technology Fast 500 lists, Xsolis is also one of the fastest-growing privately-held companies in the country and across North America, and we're looking for talented people to grow with us. Position Summary Details The Clinical Consultant (CC) – Level I supports assigned payer clients by providing foundational clinical support across implementation, go-live, and post–go-live optimization of XSOLIS solutions. This role applies core Case Management (CM) and Utilization Management (UM) knowledge to support payer workflows, platform adoption, and identification of early performance and value opportunities. CC Level I supports clinical implementation and go-live activities, including assisting with prescriptive workflow execution, contributing to system build and configuration, and delivering education to super users and end users using adult learning principles. Following go-live, this role reinforces workflows, identifies adoption gaps, and supports interpretation of clinical and utilization data to promote compliance and early performance improvement Essential Duties & Responsibilities The essential functions include, but are not limited to the following: Clinical Implementation Support • Support assigned payer client implementations through prescriptive workflow execution and system build input. • Participate in implementation meetings, milestone tracking, and readiness activities. • Deliver product demonstrations and introduce standard analytical reporting as directed. • Support training development and execution using established materials and workflows. Training, Adoption, and Execution • Deliver end-user and super-user education using adult learning principles. • Conduct remote and onsite training as assigned and support early go-live adoption. • Participate in focused workflow discussions and payer-specific operational reviews when requested. • Reinforce standard utilization and authorization workflows aligned with payer requirements. Post-Implementation Optimization • Monitor standard KPIs (e.g., authorization timeliness, denial trends, exception rates, throughput indicators). • Review dashboards and reports to identify adoption or utilization concerns. • Support corrective actions aligned with established payer best practices. • Escalate risks, barriers, or performance concerns through established channels. Client Partnership and Internal Collaboration • Partner with Client Delivery, Value Realization Partner (VRP), and Client Relationship Executive (CRE) teams to support payer implementation and early value realization. • Participate in preparation sessions and support clinical components of Business Reviews. Minimum Qualifications (Knowledge, Skills, and Abilities) Education: Bachelor of Science in Nursing (BSN) required ACM or CCM preferred Experience: Experience working with payer organizations or payer-focused workflows required or strongly preferred Experience supporting clinical technology adoption and/or training initiative Other: Effective communication and facilitation skills Ability to interpret basic clinical and utilization data Adaptability to new technologies and workflows Professional, detail-oriented, and collaborative approach Supervisory Responsibilities This role does not have any direct reports and is a single contributor role. Working Environment and Travel Requirements Work is typically in a normal office administrative environment involving minimal exposure to physical risks. Position requires little to moderate physical activity. Mostly sedentary work exerting up to 10 pounds of force occasionally or a negligible amount of force to lift, carry, push, pull, or otherwise move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. No significant stooping is usually required. This role requires travel to our home offices in TN for training. Physical Demands & Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. In any role at Xsolis, it's a chance to make a complex healthcare system a little more efficient alongside a team that's passionate, fast-moving, and genuinely invested in your success. Your contributions will shape both our product and our culture. Full-time Employees’ Total Rewards package include: Medical/Dental/Vision insurance 401K company match Flexible Paid Time Off Paid parental leave HSA/FSA options Educational reimbursement program Employer-paid EAP & Mental Health services ------- Xsolis is proud to be an equal opportunity employer. We celebrate diversity and are committed to building an inclusive environment for all. We encourage candidates of every background to apply. All candidates must successfully pass a background check and fall under the same security role, which includes access to sensitive information, including proprietary data and PHI. Work Authorization Notice: Please note that we do not provide visa sponsorship or immigration support for this position. Applicants must already be authorized to work in the United States on a full-time, permanent basis without the need for current or future sponsorship. All official communications from our recruitment team will only come from @xsolis.com. Verify open roles at https://www.xsolis.com/about/careers. For information regarding how we collect, use, and protect applicant personal information, please review our CCPA Privacy Notice for Job Applicants.