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New Jersey Licensed Clinical Risk Manager

7/10/2025

Remote

Job Summary

A company is looking for a Senior Clinical Risk Manager (Remote).

Key Responsibilities
  • Develop and implement advanced clinical risk management strategies for high-cost claims
  • Analyze clinical and claims data to identify risks and engage cost containment strategies
  • Maintain relationships with clients and stakeholders, providing support on case management and claims issues
Required Qualifications
  • 5-10 years of clinical experience with current unrestricted licensure as a health professional (Registered Nurse)
  • 5+ years of reinsurance or insurance industry experience required
  • Bachelor's degree from an accredited university or equivalent experience required
  • Strong PC skills including Excel, Word, and Outlook
  • Knowledge of disease processes and treatment plans

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