Title: Lead Medical Risk Consultant
Locations:
Marblehead, MA, USA
Edina, MN, USA
Peachtree, Atlanta, GA, USA
Plano Dallas, TX, USA
Work Remotely, Massachusetts, USA
Job Description:
Time Type: Full time
Worker Type: Hybrid
The Opportunity
The purpose of this role is to provide consultancy advice and training to enhance knowledge of the valuation industry and property market trends across Service Delivery and Risk business units, as well as to lead risk assessments for Accident and Health (A&H) by evaluating risks, monitoring regulatory changes, and driving continuous improvement to achieve A&H risk management objectives.
Work Arrangement: hybrid working expectations
The starting salary for this role is between $98,500.00 and $162,500.00
Your new role
Perform new business and renewal large claims reviews and disclosure assessments through clinical and claims data evaluation to identify and quantify risks.
Provide concise, detailed, and accurate reporting of data analysis findings, observations, and recommendations.
Serve as the subject matter expert for claims and underwriting related to risk management.
Provide clinical assessment and recommendations for setting reserves on large dollar claims.
Present in-house clinical education to enhance understanding of high-cost diagnoses and treatment trends.
Responsible for clinical thought leadership, participating in product development and educational presentations.
Consult with internal and external clients on high-cost, complex claims and engage in effective clinical risk management strategies.
Review transplant contracts and vendor selections for quality control to ensure the best options.
Build relationships with key stakeholders to communicate risk factors and develop recommendations for continuous improvement.
Qualifications:
Necessary Qualifications include:
Tertiary Degree or equivalent combination of education and work experience.
Certifications as a Registered Nurse (RN).
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
Hybrid Working - a mix of working from home and in the office
22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
Competitive 401(k) program with company match up to 8%
Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
Tuition Reimbursement for professional certifications, and continuing education
Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
Join us now, so you can be part of our success - and we can be part of yours!
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
Skills:
Administration Management, Analytical Thinking, Business Process Improvements, Communication, Critical Thinking, Customer Service, Decision Making, Entrepreneurship, Financial Products, Intentional collaboration, Managing performance, Process Refinement, Risk Management, Risk Management Programs, Stakeholder Management