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About Acrisure
A global fintech leader Acrisure empowers millions of ambitious businesses and individuals with the right solutions. Bringing cuttingedge technology and toptier human support together it connects clients with customized solutions across a range of insurance reinsurance payroll benefits cybersecurity mortgage services and more.
In the last eleven years Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19000 colleagues in 21 countries. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation client centricity and an indomitable will to win.
Job Summary:
The Clinical Data Analyst is responsible for supporting the national clinical strategy team through data analyses data visualization and report generation. This role supports a variety of datadriven projects and initiatives for clients. The goal is to provide our clients with transparency information and insight into the aggregate health status of their workforce and how this affects the financial health of their organization.
Responsibilities:
Extract validate and analyze healthcare data to assess trends cost drivers and clinical outcomes.
Perform detailed clinical reviews of highcost claimants to evaluate ongoing treatment exposure and liability for financial forecasting and risk management.
Conduct data audits to ensure accuracy and integrity across platforms and internal reporting systems.
Support datadriven strategies for care management population health initiatives and employer health plan optimization.
Collaborate with internal stakeholders clinicians and consultants to define reporting requirements and deliver actionable insights.
Use health analytics platforms (e.g. Artemis Springbuk Innovu) to identify cost containment opportunities and track key performance metrics.
Requirements:
Experience conducting clinical reviews for highcost claimants to support financial exposure assessments and stoploss tracking.
Clinical background or direct experience with care management medical claims or population health teams.
Familiarity with predictive modeling risk stratification or benchmarking methodologies.
Education/Experience:
Bachelors degree in Health Informatics Healthcare Administration Computer Science Public Health or a related field (or equivalent work experience).
Associate degree in nursing or a Bachelor of Science in nursing (BSN) from an accredited nursing program is required. Active nursing license in the state where you reside.
5 years of experience working with health insurance brokerages TPAs or health data analytics platforms focused on employer health plan reporting.
Experience conducting clinical reviews for highcost claimants to support financial exposure assessments and stoploss tracking.
Clinical background or direct experience with care management medical claims or population health teams.
Familiarity with predictive modeling risk stratification or benchmarking methodologies.
Working knowledge of healthcare billing codes (ICD CPT HCPCS) and HEDIS measures.
Benefits & Perks:
Competitive compensation
Industry leading healthcare
Savings and Investments
Charitable Giving Programs
Opportunities for Growth
Parental Leave
Generous Time Away
Making a lasting impact on the communities it serves Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Childrens Hospital in Grand Rapids Michigan UPMC Childrens Hospital in Pittsburgh Pennsylvania and Blythedale Childrens Hospital in Valhalla New York.
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Acrisure is committed to employing a diverse workforce. All applicants will be considered foremploymentwithout attention to race color religion age sex sexual orientation gender identity national origin veteran or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisures property and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisures Human Resources Talent Department.
Required Experience:
IC
Full-Time