Senior Clinical Risk Manager

The Senior Clinical Risk Manager role utilizes a high level of experience and advanced knowledge regarding nursing, medical conditions, risk and prognoses as it relates to treatment plans and utilization of care. The Senior Clinical Risk Manager provides accurate current and next year cost projections and savings opportunities to C&F. Drives the development and implementation of advanced clinical risk management strategies for high-cost, complex claims. Responsibilities include cost containment & clinical risk management, strategic underwriting partnership, client & stakeholder management, data management, analysis & reporting, subject matter expertise & communication, mentorship & team support, and operational excellence & compliance. The role requires 5-10 years clinical experience as a Registered Nurse, 5+ years of reinsurance or insurance industry experience, and a Bachelor’s degree. Strong PC skills including Excel, Word, Outlook are a must.