Hybrid Lead Medical Risk Consultant

Posted last week

Apply now

About the role

  • Consultant providing risk management advice and training in the healthcare valuation industry. Leading risk assessments for Accident and Health and engaging with stakeholders for continuous improvement.

Responsibilities

  • Provide consultancy advice and training to enhance knowledge of the valuation industry and property market trends across Service Delivery and Risk business units
  • 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
  • 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
  • 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

Requirements

  • Tertiary Degree or equivalent combination of education and work experience
  • Certifications as a Registered Nurse (RN)

Benefits

  • 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

Job title

Lead Medical Risk Consultant

Job type

Experience level

Senior

Salary

$98,500 - $162,500 per year

Degree requirement

Bachelor's Degree

Location requirements

Report this job

See something inaccurate? Let us know and we'll update the listing.

Report job