Clinical Risk Consultant

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🔥 27 minutes ago

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform developed by Ceridian. It delivers payroll, HR, workforce management (time and attendance, scheduling), benefits administration, and talent management as a single SaaS application designed for businesses and enterprise customers.

📋 Description

• Provide analytical and consultative stop loss support to Alliant service teams and clients • Work closely with Stop Loss/MGA practice leadership • Support renewal conversations with clients and vendors • Provide ongoing cost containment identification and evaluation support to clients • Conduct research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects • Responsible for Alliant’s proprietary Plan IQ predictive risk tool maintenance and reporting • Leverage systems to develop reporting to monitor and proactively report on group risk, identify cost impact, and partner with service teams to develop solutions for upcoming client renewals • Lead and/or support discussions regarding stop loss renewal and cost containment • Market clients’ self-funded group benefit plans to offer the most competitive stop loss insurance renewal and options

🎯 Requirements

• Bachelor’s degree or equivalent combination of education and experience • Ten (10) or more years’ experience within the insurance industry, including handling stop loss, high cost claims, and cost containment for self-funded group health plan clients • Experience in a clinical background • Experience in providing consultation to plan sponsors of employee group benefit plans • Experience with loss containment preferred • Experience with clinical claims review preferred