Senior Advisor, Vaccine & Clinical Case Management

Job Title: Senior Advisor, Vaccine & Clinical Case Management
Location: Remote, East Coast Preferred
Position Overview

The Senior Advisor, Vaccine & Clinical Case Management will act as a product owner and lead the vision, backlog, and delivery of a new vaccine management and clinical case management system for Massachusetts local health departments. The role sits between local public health practitioners, the Massachusetts Department of Public Health (DPH) Office of Local and Regional Health, and the IT delivery team. The system will support immunization clinics, vaccine inventory and accountability, public health nursing case management, and insurance billing for clinical services. It must align with related DPH platforms' data model, user experience and governance so local health departments experience one coherent set of tools. The ideal candidate has worked inside a local health department and knows firsthand how public health nurses, clinic coordinators, and health directors do their work.
Project Overview

The Massachusetts Department of Public Health (DPH), Office of Local and Regional Health, is building a statewide vaccine management and clinical case management system for the Commonwealth's 351 local health departments. The goal is to develop one modern, secure system that supports clinical public health work from start to finish.

The system will help local health departments:

• Run immunization programs by planning clinics, scheduling patients, documenting vaccine administration and reporting to the Massachusetts Immunization Information System (MIIS).
• Manage vaccine supply through inventory, ordering, lot tracking, cold chain monitoring and accountability for state-supplied vaccines.
• Coordinate nursing case management for tuberculosis, communicable disease follow-up and home visiting, including intake, care plans, visits, referrals and case closure.
• Bill for clinical services by verifying insurance, generating claims and tracking reimbursement from MassHealth, Medicare and commercial payers.
• Report and use data with dashboards and reports for local, regional and state users.

The system is being designed with local public health, not just for it. Public health nurses, clinic staff, and health directors will shape requirements, test features, and guide rollout. The result should reduce administrative burden, strengthen data quality and help departments sustain clinical services across communities of every size with a particular focus on ensuring any solution is effectively implemented in rural communities.
Key Responsibilities

BME Org-Wide Responsibilities for Senior Advisors (Subject Matter Experts):

• Leads project design and attends to client relationships
• May serve as a technical expert and/or individual contributor on highly specialized workstreams
• Project & Technical Lead
• Dedicated subject matter expert; recognized within the firm as a resource in this area
• Mentorship Potential: recognized technical mentor; supports junior staff development through coaching and knowledge-sharing; may develop internal training materials or resources
• Business Development: manages projects to exemplary client satisfaction; surfaces business opportunities with existing clients to leadership; contributes technical expertise to proposals and RFP responses; participates in pitching as a subject matter expert
• Role expectations: 85% project work, 5% administrative work, and 10% business development work.

Role-Specific Responsibilities:

• Communicate the product vision, roadmap and success measures for vaccine management and clinical case management.
• Translate DPH program priorities and local health department needs into clear product outcomes.

• Define requirements for clinic planning and scheduling, vaccine inventory and ordering, cold chain and temperature excursion tracking, wastage and lot management, and administration documentation.
• Ensure workflows support state and federal vaccine programs (e.g., state-supplied and Vaccines for Children vaccine accountability) and data exchange with the Massachusetts Immunization Information System (MIIS).
• Support mass vaccination and emergency response use cases, including point-of-dispensing (POD) operations.

• Define requirements for public health nursing case management, including intake, assessment, care plans, home visits, follow-up, referrals and case closure.
• Address priority program areas such as tuberculosis (latent and active), communicable disease follow-up, and maternal, child and family health visits.
• Coordinate requirements for interoperability with MAVEN and other DPH systems where appropriate.

• Define requirements for insurance eligibility verification, claims generation (including roster billing), coding (CPT, ICD-10), claim tracking, denials and reconciliation.
• Support billing to MassHealth, Medicare and commercial payers, and help local health

• Serve as the primary liaison between local health departments, DPH program staff and the IT team.
• Lead user research, workgroups, demos and user acceptance testing with public health nurses, clinic staff and health directors.
• Support training, onboarding, user guides and adoption across diverse departments, from small rural towns to large cities with a focus on addressing barriers to adoption in rural communities .
• Ensure the product meets HIPAA, Massachusetts privacy requirements, clinical documentation standards and DPH data governance policies.

Requirements
Experience, Qualification, & Skills

• Minimum 8 years experience required, including 5+ years of experience in local public health, including direct work in or with a local health department.
• 4+ years in a consulting firm environment
• 5+ years client-facing experience, including 2+ in project leadership roles
• 3+ years of supervisory or management experience, such as leading nursing staff, clinic operations or a public health program.
• Bachelor's degree in Nursing or Public Health.
• A Master's degree in Public Health or a related field is a bonus, but not required. Candidates with Bachelor's degrees are encouraged to apply.
• Ability to work independently and as part of a team in a fast-paced consulting environment.
• And an alignment with BME's shared values.
• Required:
• Hands-on experience with immunization programs, including planning and running vaccine clinics and managing vaccine inventory and accountability.
• Experience in clinical or public health case management, such as communicable disease follow-up, TB case management or home visiting.
• Working knowledge of health insurance billing for clinical services, including eligibility, coding, claims submission and reimbursement from public and commercial payers.
• Experience as a public health nurse, or close working experience supervising or partnering with public health nurses.
• Experience translating program and user needs into requirements for a software system, data system or electronic health record.
• Working knowledge of HIPAA and handling of protected health information.
• Preferred:
• Active Registered Nurse license in Massachusetts
• Experience in Massachusetts local public health and familiarity with its local governance structure, boards of health and the 351 municipalities.
• Familiarity with MIIS, MAVEN, the DPH Vaccine Unit and state-supplied vaccine requirements.
• Prior experience as a Product Owner, business analyst or clinical informatics lead on a public health or healthcare technology project.
• Experience setting up or managing a billing program in a local health department, including payer contracts, roster billing and clearinghouses.
• Experience with mass vaccination, emergency preparedness or POD operations.
• Knowledge of health data standards (e.g., HL7, FHIR) and immunization data exchange.

Benefits
Work Environment

• This is a full-time position based in a home office environment within the U.S.
• Candidates located on the US East Coast are preferred for this role.
• BME Strategies in a remote-first organization. This role may require occasional travel to client sites, conferences, or meetings as required; 10-20% travel is anticipated for this role.
• BME's work is organized around contracts that have defined scopes and timelines. As contracts conclude, we make every effort to transition team members to new projects that align with their practice area or skill set. As a result, the responsibilities of an employee hired for a particular position may adapt based on project needs and assignments.

Compensation & Benefits

• BME Strategies offers a competitive compensation package that includes:
• 11 paid floating holidays each year, plus 4 weeks of additional PTO, giving employees flexibility to take time off when it matters most.
• Health, dental, and vision insurance, with 80% employer-paid coverage for the employee & 70% employer-paid coverage for dependents;
• Health FSA and dependent care FSA;
• 401(k) with employer match;
• Employer-paid short-term and long-term disability insurance;
• One-time technology stipend
• And opportunities for professional development and career growth.

• The salary range for this position is $91,520 - $151,840 per year.

Please note: New employees are typically brought into the organization at a salary between the range minimum and the salary range midpoint, dependent upon internal equity and the budgeted amount for the position.
How to Apply

• To apply for this position, please complete and submit all information in the application link.
• We expect a large volume of applicants for this position and only those candidates invited to move forward in the interview process will be contacted.
• AI Use: At BME Strategies, we value authenticity and want to hear directly from you about your experiences, skills, and perspective. Please ensure that your resume, application responses, and cover letters accurately reflect your own knowledge, experience, and thinking. While AI tools can be used for limited support, including proofreading, formatting, or improving clarity, AI should not be used to generate responses. We encourage you to respond in your own words and draw from your actual experiences.
• Important Notice on Recruitment Fraud: BME Strategies communicates with applicants only through email addresses ending [redacted].com. We do not use third-party domains for recruitment outreach. If you receive communication from a different email address, please do not respond and report it to us at [redacted]
• Please note that BME Strategies is unable to sponsor work-related visas.