Clinical Nurse Risk Strategist

Acrisure

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profile Job Location:

Grand Rapids, MI - USA

profile Monthly Salary: Not Disclosed
Posted on: 7 days ago
Vacancies: 1 Vacancy

Job Summary

About Acrisure

A global fintech leader Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together we connect clients with customized solutions across a range of insurance reinsurance payroll benefits cybersecurity mortgage services and more.

In the last twelve years Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership accountability and collaboration we equip our teams to work at the highest levels possible.

Job Summary

The Clinical Nurse Risk Strategist translates complex medical and pharmacy claims data along with other relevant healthcare data sources into actionable insights that help employers manage cost improve health outcomes and make informed benefit strategy decisions. The role applies clinical risk assessment and advanced claims analysis to identify opportunities to manage risk and cost develop datainformed recommendations and produce executiveready insights. The Clinical Risk Strategist works closely with consultants service teams analytics partners and the internal team to inform interpretation shape strategic narratives and support intentional datadriven benefit and cost management decisions for employer clients.

Responsibilities

Analyze medical and pharmacy claims eligibility utilization and related healthcare data to identify highcost drivers emerging risk chronic and catastrophic conditions and material shifts in cost and utilization

Apply clinical judgment to interpret treatment pathways disease progression and utilization patterns to identify where risk and cost can be actively managed

Use data review to position findings as opportunities for intervention prioritization and strategic focus

Support highcost claimant and largeclaim reviews by synthesizing clinical context and cost trends into actionable insights and clear recommendations

Translate complex clinical and financial findings into executiveready insights that inform cost management benefit strategy and employer decisionmaking

Align identified findings with appropriate clinical wellbeing navigation or costcontainment solutions based on datadriven rationale

Lead the development and delivery of clientfacing materials that clearly articulate implications opportunities and recommended actions

Partner with consultants service teams analytics partners and the internal team to shape strategic narratives align on priorities and prepare for client discussions

Clearly communicate data limitations assumptions and methodological considerations to ensure appropriate interpretation and use of insights

Serve as a clinical and analytical subject matter expert for internal stakeholders including consulting wellbeing underwriting and leadership teams

Contribute to the development and standardization of reporting templates insight libraries and clinical review best practices

Support internal enablement mentoring and knowledgesharing related to clinical interpretation insight quality and effective use of claimsbased analytics

Requirements

Demonstrated experience analyzing medical and pharmacy claims data in support of employersponsored health plans captives or stoploss environments within a healthcare analytics or benefits consulting setting

Strong understanding of chronic condition management utilization drivers and healthcare cost dynamics

Ability to translate data into actionable decisionoriented insights not just report metrics

Advanced proficiency in Excel and PowerPoint with the ability to produce polished executiveready deliverables

Ability to clearly communicate complex clinical and analytical concepts to nonclinical audiences

Education

Active clinical license required (RN)
Bachelor of Science in Nursing (BSN) strongly preferred

Candidates should be comfortable with an on-site presence to support collaboration team leadership and cross-functional partnership.

Why Join Us:

At Acrisure were building more than a business were building a community where people can grow thrive and make an impact. Our benefits are designed to support every dimension of your life from your health and finances to your family and future.

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.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks including:

  • Physical Wellness: Comprehensive medical insurance dental insurance and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

  • Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

  • Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

  • Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

  • and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race color religion sex national origin disability or protected veteran status. Applicants may request reasonable accommodation by contacting .

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome your new opportunity awaits you.


Required Experience:

IC

About AcrisureA global fintech leader Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together we connect clients with customized solutions across a range of insurance rein...
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Key Skills

  • Diploma
  • DCS
  • ABAP
  • Application Development
  • Irrigation
  • Bakery

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Acrisure connects ambitious people and entrepreneurs with the insurance and business solutions they need for success.

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