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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