Acrisure

Clinical Nurse Risk Strategist

Acrisure

full-time

Posted on:

Location Type: Hybrid

Location: Dallas • Missouri • Texas • United States

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About the role

  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
data analysisclinical judgmentcost managementchronic condition managementutilization analysisclaims-based analyticsreporting templates developmentexecutive-ready deliverablesdata interpretationstrategic focus
Soft Skills
communicationcollaborationmentoringknowledge-sharinganalytical thinkingproblem-solvingleadershippresentation skillsstrategic narrative developmentclient engagement
Certifications
Registered Nurse (RN)Bachelor of Science in Nursing (BSN)