Clinical Nurse Risk Strategist

Acrisure; Pennsylvania; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive medical insurance

Generous paid time off

401(k) plan with immediate vesting

Paid maternity and paternity leave

Employee Assistance Program (EAP)

Job summary

A leading global fintech firm is seeking a Clinical Nurse Risk Strategist in Pennsylvania. The role involves analyzing medical and pharmacy claims data to provide actionable insights for cost management and health improvement. Required qualifications include an active RN license and experience in healthcare analytics. The position supports employer clients in making data-driven benefit strategy decisions and requires strong analytical and communication skills. Competitive benefits and an emphasis on team collaboration make this an attractive opportunity.

Qualifications

• Experience in healthcare analytics or benefits consulting.
• Understanding of healthcare cost dynamics.
• Ability to translate data into actionable insights.

Responsibilities

• Analyze medical and pharmacy claims data to identify cost drivers.
• Support high-cost claimant reviews with actionable insights.
• Lead development and delivery of client-facing materials.

Skills

Data analysis

Clinical judgment

Communication

Proficiency in Excel

Proficiency in PowerPoint

Education

Active RN license

Bachelor of Science in Nursing (BSN)

Job description

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 19,000 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 data‑informed recommendations, and produce executive‑ready 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, data‑driven benefit and cost management decisions for employer clients.

Responsibilities

• Analyze medical and pharmacy claims, eligibility, utilization, and related healthcare data to identify high‑cost 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 high‑cost claimant and large‑claim reviews by synthesizing clinical context and cost trends into actionable insights and clear recommendations
• Translate complex clinical and financial findings into executive‑ready insights that inform cost management, benefit strategy, and employer decision‑making
• Align identified findings with appropriate clinical, wellbeing, navigation, or cost‑containment solutions based on data‑driven rationale
• Lead the development and delivery of client‑facing 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 knowledge‑sharing related to clinical interpretation, insight quality, and effective use of claims‑based analytics

Requirements

• Demonstrated experience analyzing medical and pharmacy claims data in support of employer‑sponsored health plans, captives, or stop‑loss 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, decision‑oriented insights, not just report metrics
• Advanced proficiency in Excel and PowerPoint with the ability to produce polished, executive‑ready deliverables
• Ability to clearly communicate complex clinical and analytical concepts to non‑clinical audiences

Education

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

Candidate Note

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

Why Join Us

At Acrisure, we’re building more than a business, we’re 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 Children's Hospital in Grand Rapids, Michigan, UPMC Children’s Hospital in Pittsburgh, Pennsylvania and Blythedale Children’s Hospital in Valhalla, New York.

Employee Benefits

• 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.

Equal Opportunity Employer

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 [e-mail].

California Residents

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

Recruitment Fraud Notice

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

Final Candidates

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

Welcome, your new opportunity awaits you.