Not specified; not specified; fully pyid medical, ...
Remote
Active registered nurse license required
5+ years clinical experience in icu or oncology
Review medical records and treatment plans
ParetoHealth is seeking a Senior Clinical Risk Consultant to provide clinical expertise, risk assessment, and cost projections for high-cost claimants. The ideal candidate will have significant clinical experience, particularly in high-cost conditions, and will play a pivotal role in supporting underwriting decisions
Job Summary
The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits through financing innovations.
This role partners closely with underwriters to evaluate medical conditions, treatment plans, and potential financial exposure for informed decision-making.
Benefits include fully paid medical, dental, and vision, flexible PTO, 401k contributions, and a professional development allowance.
Matching Summary
Match Score: 85
ParetoHealth is seeking a Senior Clinical Risk Consultant to provide clinical expertise, risk assessment, and cost projections for high-cost claimants. The ideal candidate will have significant clinical experience, particularly in high-cost conditions, and will play a pivotal role in supporting underwriting decisions.
Salary
Not specified; Not specified; Fully paid medical, dental, vision, 401k, PTO, tuition reimbursement, transportation allowance
Skills & Requirements
Must-have
Active Registered Nurse license required
5+ years clinical experience in ICU or oncology
Review medical records and treatment plans
Develop evidence-based cost projections
Analyze high-cost conditions like transplants
Nice-to-have
Experience with stop loss carriers or TPAs
Knowledge of gene and cell therapies
Strong collaboration across clinical teams
Curiosity about healthcare trends
Familiarity with underwriting platforms
Key Requirements
Active RN license
BSN preferred
5+ years clinical experience
Stop loss or underwriting experience preferred
US work authorization without sponsorship
Work Rights
Must be authorized to work in the United States without sponsorship