Medical Risk Manager - RN

VirtualVocations
Decatur, Georgia, United States
Full-time

A company is looking for a Medical Risk Manager to oversee a team of registered nurses and manage strategic planning and workflows.

Key ResponsibilitiesSupervise quality controls, workflows, and procedures for claim management and cost containmentDevelop and provide training, coaching, and mentoring for Medical Risk ConsultantsBuild and maintain positive relationships with internal and external customers while ensuring compliance with policies and regulationsRequired Qualifications and EducationBachelor's degree in business administration, health management, or a relevant fieldActive RN License5 to 7 years of stop loss risk management experienceIn-depth understanding of self-funded insurance, ERISA, and the Affordable Care ActProven management experience and ability to develop strategy for large organizations

3 days ago
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