Lead Medical Risk Consultant
Lead Medical Risk Consultant
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$ 94500 - 141500
1 Vacancy
Job Description
Primary Details
Time Type: Full timeWorker Type: EmployeeThe Opportunity:The purpose of this role is to provide consultancy advice and training to enhance knowledge of the valuation industry and property market trends across Service Delivery and Risk business units as well as to lead risk assessments for Accident and Health (A&H) by evaluating risks monitoring regulatory changes and driving continuous improvement to achieve A&H risk management objectives.
Location: Marblehead MA Edina MN and Plano TX
Work Arrangement: This role is hybrid where you will be expected to be in the office 23 days per week
The starting salary for this role is between $94500 and $141500
Your New Role
Perform new business and renewal large claims reviews and disclosure assessments through clinical and claims data evaluation to identify and quantify risks.
Provide concise detailed and accurate reporting of data analysis findings observations and recommendations.
Serve as the subject matter expert for claims and underwriting related to risk management.
Provide clinical assessment and recommendations for setting reserves on large dollar claims.
Present inhouse clinical education to enhance understanding of highcost diagnoses and treatment trends.
Responsible for clinical thought leadership participating in product development and educational presentations.
Consult with internal and external clients on highcost complex claims and engage in effective clinical risk management strategies.
Review transplant contracts and vendor selections for quality control to ensure the best options.
Build relationships with key stakeholders to communicate risk factors and develop recommendations for continuous improvement.
Required Qualifications
Bachelors Degree or equivalent combination of education and work experience
Certifications as a Registered Nurse (RN)
Preferred Experience
Strong communication skills with ability explain and justify work product
High attention to detail
Strong analytical skills to spot patterns and analyze reports.
Proficiency in Excel for sorting and reviewing data.
Understanding of the healthcare continuum and its operations.
Experience in case management.
Ability to work with limited information particularly in contexts where comprehensive data is not available
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the roles complexity its location and the candidates professional background including their education and experience. Beyond the base salary regular fulltime and parttime employees will also be eligible for QBEs annual discretionary bonus plan based on business and individual encourage all candidates to apply even if their salary expectations fall outside of this range as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life whatever your circumstances. As a QBE employee you will have access to:
Hybrid Working a mix of working from home and in the office
22 weeks of paid leave for family growth with 12 weeks available to all parents on a genderequal basis
Competitive 401(k) program with company match up to 8
Wellbeing program including holistic wellbeing coaching gym membership confidential counselling financial and legal advice
Tuition Reimbursement for professional certifications and continuing education
Employee Network and Community QBE actively supports six Employee Networks and many ways to give back to your community
To learn more click here: Benefits QBE US.
Why QBE What if you could have a positive impact at work and in the world
At QBE were enabling a more resilient future for our customers communities environment and for our people. Were building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team youll get to spend every day working with people who are passionate talented and kind. And our international scale means were big enough for your ambitions yet small enough for you to make a real impact.
Join us now so you can be part of our success and we can be part of yours!
Required Experience:
Contract
Employment Type
Full-Time
