Clinical Risk Consultant

Dayforce

Clinical Risk Consultant providing analytical and consultative stop loss support to Alliant teams and clients. Working closely with insurance leadership and supporting client renewal conversations.

Posted 7/27/2026full-timeRemote • 🇺🇸 United StatesSeniorLeadWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in stop loss insurance, cost containment strategies, and clinical claims analysis, with a strong focus on providing consultative support to clients and service teams. Proficient in utilizing predictive risk tools and developing actionable recommendations for self-funded group health plans.

Highest-signal resume keywords

Stop Loss InsuranceCost ContainmentClinical Claims ReviewConsultation to Plan SponsorsPredictive Risk Tool Maintenance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Data AnalysisCost Impact EvaluationResearch and AnalysisLoss ContainmentHigh Cost Claims Management

Soft Skills

Analytical SkillsConsultative SkillsCommunication Skills

Tools & Technologies

Plan IQ Predictive Risk ToolReporting Systems

Industry Keywords

Self-Funded Group Health PlansInsurance IndustryEmployee Group Benefit PlansMGA Practice Leadership

About the role

Key responsibilities & impact

Provide analytical and consultative stop loss support to Alliant service teams and clients
Work closely with Stop Loss/MGA practice leadership
Support renewal conversations with clients and vendors
Provide ongoing cost containment identification and evaluation support to clients
Conduct research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects
Responsible for Alliant’s proprietary Plan IQ predictive risk tool maintenance and reporting
Leverage systems to develop reporting to monitor and proactively report on group risk, identify cost impact, and partner with service teams to develop solutions for upcoming client renewals
Lead and/or support discussions regarding stop loss renewal and cost containment
Market clients’ self-funded group benefit plans to offer the most competitive stop loss insurance renewal and options

Requirements

What you’ll need

Bachelor’s degree or equivalent combination of education and experience
Ten (10) or more years’ experience within the insurance industry, including handling stop loss, high cost claims, and cost containment for self-funded group health plan clients
Experience in a clinical background
Experience in providing consultation to plan sponsors of employee group benefit plans
Experience with loss containment preferred
Experience with clinical claims review preferred

Benefits

Comp & perks

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Enterprise Dayforce is a cloud-based human capital management (HCM) platform developed by Ceridian. It delivers payroll, HR, workforce management (time and attendance, scheduling), benefits administration, and talent management as a single SaaS application designed for businesses and enterprise customers. Clinical Risk Consultant Job not on LinkedIn 🔥 2 minutes ago 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔴 Lead 🎲 Risk Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Provide analytical and consultative stop loss support to Alliant service teams and clients
Work closely with Stop Loss/MGA practice leadership
Support renewal conversations with clients and vendors
Provide ongoing cost containment identification and evaluation support to clients
Conduct research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects
Responsible for Alliant’s proprietary Plan IQ predictive risk tool maintenance and reporting
Leverage systems to develop reporting to monitor and proactively report on group risk, identify cost impact, and partner with service teams to develop solutions for upcoming client renewals
Lead and/or support discussions regarding stop loss renewal and cost containment
Market clients’ self-funded group benefit plans to offer the most competitive stop loss insurance renewal and options 🎯 Requirements
Bachelor’s degree or equivalent combination of education and experience
Ten (10) or more years’ experience within the insurance industry, including handling stop loss, high cost claims, and cost containment for self-funded group health plan clients
Experience in a clinical background
Experience in providing consultation to plan sponsors of employee group benefit plans
Experience with loss containment preferred
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