RN Clinical Risk Analyst: Stop-Loss & Cost Containment

Virtuealliance

📍 workfromhome, workfromhome, Colombia

Full-time Gestión del riesgo y análisis cuantitativos

Job Description

Virtue Health seeks an experienced Clinical Risk Review Nurse to influence stop‑loss decisions and renewal strategies. You will translate clinical trajectories into underwriting guidance and advocate with carriers to reduce exposure for consortium employers.

Role requires 5+ years nursing, CCM certification, and solid knowledge of self‑funded plans and TPA operations. You will partner with TPAs and case managers to improve outcomes and cost containment.

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