Health Risk Strategist (Registered Nurse)

W. R. Berkley Corporation; Sewickley (Allegheny County); Hybrid; USD 100,000 - 130,000; Full time

Job summary

A leading company in risk management is seeking a Health Risk Strategist (Registered Nurse) to join their team. This role involves evaluating health risk management developments, educating clients, and implementing strategic plans to improve health outcomes. The ideal candidate will have a Bachelor's degree, an RN license, and relevant experience in clinical health risk management.

Benefits

Health, dental, vision benefits

401(k) with profit-sharing

Paid time off

Wellness programs

Annual discretionary bonus

Qualifications

• 3+ years of Clinical Health Risk, Stop Loss, or Reinsurance experience.
• Detail-oriented with strong organizational and time management skills.
• Willingness to travel 10-20%.

Responsibilities

• Assist in developing and implementing strategic plans for Health Risk Management.
• Serve as a clinical resource to clients, identifying new medical technologies.
• Review large claim events and provide options to minimize claims costs.

Skills

Analytical thinking

Communication

Organizational skills

Negotiation

Education

Bachelor's Degree

Registered Nurse license

Tools

MS Word

Excel

Outlook

Job description

Company Details

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise plans that address each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best-managed property/casualty insurers in the United States.

The company is an equal employment opportunity employer.

Responsibilities

We have an opportunity for a Health Risk Strategist (Registered Nurse) to join our Berkley Accident and Health (BAH) team! This role keeps abreast of and evaluates new developments affecting Health Risk Management and Health Vendor resources (including Clinical, Claim, and Population Health management). You will assist in educating clients regarding leading health risk management and cost-containment solutions. You will perform proactive reviews annually to identify risk "hot spots" and recommend changes to improve overall health plan results.

We are open to various locations, including remote options.

We have a welcoming culture valuing our employees – we trademarked the phrase "Everything Counts, Everyone Matters" to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!

Key functions include but are not limited to:

• Assist in developing and implementing strategic plans for Berkley's Health Risk Management efforts to create market leadership and distinction
• Serve as a clinical resource to both internal and external clients, identifying and communicating new medical/pharmacological technology impacting BAH and clients
• Develop and perform needs assessments and gap analyses regarding clients’ Health Risk management strategies through surveys and interactions to determine potential needs
• Review large claim events and provide options regarding medical management to minimize claims costs without negatively impacting clinical outcomes
• Develop and coach effective communication strategies regarding claim and financial projections to clients
• Report on BAH’s Health Risk Management program efficacy and impact
• Foster strong relationships with external clients and internal resources through credibility and business acumen, resolving complex inquiries and developing recommendations for improvement
• Maintain HRM vendor management programs, including soliciting, onboarding, reviewing efficacy, and recommending vendor relationships

Qualifications

• Bachelor's Degree required with a Registered Nurse license
• 3+ years of Clinical Health Risk, Stop Loss, or Reinsurance experience
• 2-3 years of clinical management and cost containment experience preferred
• Certifications such as AATMC, CCM, CRRN, or CPUM, or membership in AAMCN are preferred
• Ability to work independently, prioritize tasks, think analytically, and develop strategic plans
• Detail-oriented with strong organizational and time management skills
• Excellent communication skills (written, verbal, interpersonal)
• Proficient in MS Word, Excel, Outlook, and strong mathematical skills
• Strong negotiation skills, confidentiality, discretion, and tact
• Positive work ethic and attitude, with the ability to adapt to business needs
• Willingness to travel 10-20%

Additional Company Details

We do not accept unsolicited resumes from external recruiting firms. We offer a competitive salary and benefits package, including:

• Base Salary Range: $100,000 - $130,000
• Eligible for annual discretionary bonus
• Benefits: Health, dental, vision, life, disability, wellness, paid time off, 401(k), profit-sharing

The actual salary will depend on factors such as role scope, skills, experience, and location.

Job Description

BAH Health Risk Strategist