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Medical Risk Manager - RN

Company: VirtualVocations
Location: Mission Viejo
Posted on: November 7, 2024

Job Description:

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



Key Responsibilities

Supervise quality controls, workflows, and procedures for claim management and cost containment
Develop and provide training, coaching, and mentoring for Medical Risk Consultants
Build and maintain positive relationships with internal and external customers while ensuring compliance with policies and regulations


Required Qualifications and Education

Bachelor's degree in business administration, health management, or a relevant field
Active RN License
5 to 7 years of stop loss risk management experience
In-depth understanding of self-funded insurance, ERISA, and the Affordable Care Act
Proven management experience and ability to develop strategy for large organizations

Keywords: VirtualVocations, Victorville , Medical Risk Manager - RN, Healthcare , Mission Viejo, California

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