Track and manage project invoicing and reporting for State Street. Liaison with finance teams, vendors, and project managers, enhancing executive reporting and resource planning.
About the role
- Clinical Nurse Risk Strategist translating complex medical and pharmacy data into actionable insights for employers. Collaborating with teams to support cost management and health outcomes.
Responsibilities
- Analyze medical and pharmacy claims, eligibility, utilization, and related healthcare data to identify high-cost drivers, emerging risk, chronic and catastrophic conditions, and material shifts in cost and utilization
- Apply clinical judgment to interpret treatment pathways, disease progression, and utilization patterns to identify where risk and cost can be actively managed
- Use data review to position findings as opportunities for intervention, prioritization, and strategic focus
- Support high-cost claimant and large-claim reviews by synthesizing clinical context and cost trends into actionable insights and clear recommendations
- Translate complex clinical and financial findings into executive-ready insights that inform cost management, benefit strategy, and employer decision-making
- Align identified findings with appropriate clinical, wellbeing, navigation, or cost-containment solutions based on data-driven rationale
- Lead the development and delivery of client-facing materials that clearly articulate implications, opportunities, and recommended actions
- Partner with consultants, service teams, analytics partners, and the internal team to shape strategic narratives, align on priorities, and prepare for client discussions
- Clearly communicate data limitations, assumptions, and methodological considerations to ensure appropriate interpretation and use of insights
- Serve as a clinical and analytical subject matter expert for internal stakeholders, including consulting, wellbeing, underwriting, and leadership teams
- Contribute to the development and standardization of reporting templates, insight libraries, and clinical review best practices
- Support internal enablement, mentoring, and knowledge-sharing related to clinical interpretation, insight quality, and effective use of claims-based analytics
Requirements
- Demonstrated experience analyzing medical and pharmacy claims data in support of employer-sponsored health plans, captives, or stop-loss environments within a healthcare analytics or benefits consulting setting
- Strong understanding of chronic condition management, utilization drivers, and healthcare cost dynamics
- Ability to translate data into actionable, decision-oriented insights, not just report metrics
- Advanced proficiency in Excel and PowerPoint with the ability to produce polished, executive-ready deliverables
- Ability to clearly communicate complex clinical and analytical concepts to non-clinical audiences
- Active clinical license required (RN)
- Bachelor of Science in Nursing (BSN) strongly preferred
Benefits
- Comprehensive medical insurance, dental insurance, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- Complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave and paid paternity leave (including for adoptive parents)
- Legal plan options
- Pet insurance coverage
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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