Clinical Risk Consultant

Dayforce

Clinical Risk Consultant providing analytical stop loss support to Alliant clients and service teams. Collaborating with practice leadership and supporting cost containment evaluations.

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 self-funded group health plan clients. Proficient in utilizing predictive risk tools and developing actionable recommendations based on data analysis.

Highest-signal resume keywords

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

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Data AnalysisClaims Data Loss AnalysisCost Impact EvaluationResearch SkillsReporting Development

Soft Skills

Analytical SkillsConsultative SkillsCommunication Skills

Tools & Technologies

Plan IQ Predictive Risk Tool

Industry Keywords

Self-Funded Group Health PlansHigh Cost ClaimsInsurance IndustryStop LossEmployee Group Benefit Plans

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

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Dayforce Website LinkedIn All Job Openings 5001 - 10000 employees 👥 HR Tech ☁️ SaaS 🏢 Enterprise 💰 $1G Post-IPO Debt - Dayforce on 2024-03 HR Tech
SaaS
Enterprise Dayforce is a cloud-based human capital management (HCM) platform offered by Ceridian. It integrates payroll, HR, benefits administration, talent management, workforce management (time and attendance, scheduling), and related workforce processes into a single SaaS application aimed at business customers. Clinical Risk Consultant Job not on LinkedIn 🔥 7 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
Experience with clinical claims review preferred Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Director of Quantum & Delay – Delay Start Up & Builders Risk Insurance Claims 🔥 8 minutes ago Rimkus 1001 - 5000 💼 Consulting 🛡️ Insurance 🏗️ Construction Website LinkedIn All Job Openings Director overseeing Quantum & Delay Insurance Claims management at Rimkus. Leading business development strategies and managing client relationships in a remote setting. 🇺🇸 United States – Remote 💵 $185k - $225k / year 💰 Private Equity Round - Rimkus on 2024-02 ⏰ Full Time 🔴 Lead 🎲 Risk Clinical Risk Consultant 🔥 16 minutes ago Dayforce 5001 - 10000 👥 HR Tech ☁️ SaaS 🏢 Enterprise Website LinkedIn All Job Openings 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. 🇺🇸 United States – Remote 💰 $1G Post-IPO Debt - Dayforce on 2024-03 ⏰ Full Time 🟠 Senior 🔴 Lead 🎲 Risk Director of Risk Management 🔥 16 minutes ago Dayforce 5001 - 10000 👥 HR Tech ☁️ SaaS 🏢 Enterprise Website LinkedIn All Job Openings Director of Risk Management overseeing corporate risks and insurance strategies for the company. Managing policies, audits, and engaging senior management on risk mitigation initiatives. 🇺🇸 United States – Remote 💰 $1G Post-IPO Debt - Dayforce on 2024-03 ⏰ Full Time 🔴 Lead 🎲 Risk Risk Consultant – Renewable Energy Insurance 🔥 16 minutes ago Dayforce 5001 - 10000 👥 HR Tech ☁️ SaaS 🏢 Enterprise Website LinkedIn All Job Openings Risk Consultant conducting insurance consulting, facilitating communication with asset owners and lenders in the renewable energy sector. 🇺🇸 United States – Remote 💰 $1G Post-IPO Debt - Dayforce on 2024-03 ⏰ Full Time 🟠 Senior 🔴 Lead 🎲 Risk Risk Officer 🔥 17 minutes ago Climate First Bank 51 - 200 🏦 Banking ⚡ Energy Website LinkedIn All Job Openings Risk Officer leading and strengthening enterprise risk management at Climate First Bank. Collaborating with leadership to identify and mitigate risks affecting operations, performance, and compliance. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🎲 Risk View More Risk Manager Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs