Clinical Risk Manager

  • Vista Underwriting Partners
  • Media, PA, USA
  • Sep 08, 2020
Full time Insurance

Job Description

Vista is seeking a Clinical Risk Manager to expand our clinical department!  We need a nurse who is highly organized and detail oriented with large claim management experience with strong analytical skills. Must be able to work independently, research and analyze various reports with clinical and claims data to provide an evaluation of health claim risks.

Knowledge/Skills/Abilities

  • Ability to use varying resources to research diagnoses, treatments and average costs
  • Strong computer proficiency (MS Word, Outlook, Excel) 
  • Ability to work independently and in a team environment
  • Ability to develop unified internal and external working relationships 
  • Ability to multi-task and adapt promptly to change 
  • Excellent written and verbal communication skills 
  • Strong prioritizing and organization skills
  • Strong skills in negotiation, persuasion and conflict resolution

Requirements

  • Registered Nurse, BSN preferred
  • Four or more years of nurse clinical experience and two or more years case management experience

Vista is a full-service Managing General Underwriter of Medical Stop Loss Insurance. We have full authority to underwrite and manage stop loss insurance on behalf of three well regarded stop loss carriers. Headquartered in Media, PA we’ve assembled a team of experienced industry professionals who bring stability, innovation, and quality service to our partners and clients. 

We offer a competitive compensation and a generous benefits package inclusive of medical and dental insurance, 401k retirement plan, and 100% employer paid telemedicine service, group life insurance, STD, and LTD. Additional benefits include an onsite gym, telecommuting, paid time off, and holiday schedule.  

Vista received the Philadelphia 100® award recognized as one of the top 100 fastest growing, privately held companies in the Greater Philadelphia Region in 2016 and 2017. In 2018 we were honored as one of Philadelphia Business Journal’s Best Places to Work.  

Interested candidates should email resume to Michelle Heffernan, Human Resources Director at mheffernan@vistaunderwriting.com