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Ryan Specialty logo
Ryan Specialty

Ryan Specialty is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce throughout the organization. Our vision is an inclusive and equitable workplace where all employees are valued for and evaluated on their performance and contributions. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities.

Clinical Risk Manager

RiskRiskOtherRemoteSeniorTeam 1,001-5,000Since 2010H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

131 days ago

Salary

$106.6K - $130K / year

Seniority

Senior

Associate Degree3 yrs expEnglish

Job Description

Clinical Risk Manager

Ryan Specialty

• Review and analyze clinical data to assess potential stop loss claim liabilities • Provide cost projections on high-dollar claimants to support underwriting decisions • Utilize case management techniques to ensure effective cost containment and management of high-risk claims • Work closely with Third Party Administrators (TPAs), case managers, and internal teams to ensure effective communication and management of clinical information • Maintain accurate and detailed documentation of clinical assessments, cost projections, and case management activities • Identify high-risk individuals and communicate required stop loss cost analysis based on current clinical conditions and future cost projections • Prepare and present reports on clinical risk assessments and cost projections to senior management

Job Requirements

  • At least 3 years of clinical experience
  • Minimum of 1 year in stop loss nursing or clinical risk management
  • Current and valid Registered Nurse (RN) license
  • Strong analytical and problem-solving skills
  • Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, Copilot)

Benefits

  • Paid time off for company holidays, vacation, sick and personal days
  • Paid parental leave
  • Mental health services

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