Senior Clinical Risk & Claims Strategist
Sun Life
Sun Life U.S. is a leading provider of employee and government benefits, with about 50 million Americans accessing care and coverage. The Senior Clinical Risk Consultant will review medical claims, underwriting prospects, and renewals to recommend cost-effective care in the best setting. This hybrid role requires clinical nursing expertise, prior Medical Stop Loss experience, and strong collaboration with claims, underwriting, and sales teams to identify cost savings and improve outcomes. #J-18808-Ljbffr Sun Life
- Sun Life Financial is seeking a Senior Clinical Risk Consultant to apply medical knowledge and research to review claims, underwriting prospects, and renewals for appropriate, cost-effective care. This non-patient facing role supports a hybrid work model across the contiguous...RiskClaims
- Sun Life U.S. is seeking a Health & Risk Solutions Senior Claim Analyst to lead the evaluation, negotiation, and settlement of complex claims. The role requires advanced expertise in Medical Stop Loss and complex claims practices, with a focus on accurate payments and policyholder...SeniorRiskClaims
$78.6k - $117.9k
...in the contiguous states plus AK. The opportunity: In the Senior Clinical Risk Consultant role, you will use prior medical knowledge and research... ..., medical expertise, and professional experience to review claims, underwriting prospects and renewals to recommend the best...SeniorRiskClaimsWork at officeLocal areaFlexible hours$117.5k - $222.99k
...and healthcare financing, risk management and regulatory compliance... ...MedInsight is seeking a Senior Product Strategist to shape product and... ...skilled at translating complex clinical, operational, and... ...organizations, healthcare claims, clinical and pharmacy data...SeniorRiskClaimsHourly payFull timeTemporary workWork experience placementWork at officeRemote workWorldwideFlexible hours$110k - $135k
...unparalleled, direct impact.The OpportunityThe Senior Clinical Trial Manager (CTM) plans and manages... ...identify potential risks and develop & implement action plans to... ...fraudulent job offers and individuals falsely claiming to represent our Human Resources department...SeniorRiskClaimsFull timeContract workTemporary workWork experience placementWork at officeLocal areaWorldwide$117.5k - $222.99k
...and healthcare financing, enterprise risk management and regulatory compliance,... ...Summary: Milliman MedInsight is seeking a Senior Product Strategist to lead product strategy and... ...of payer operations, healthcare data, claims analytics, and health plan workflows,...SeniorRiskClaimsFull timeWork experience placementRemote workFlexible hours- Mass General Brigham is seeking a Senior Contract Manager to oversee a large portfolio of... ...business terms, managing organizational risk, and aligning contracts with strategic objectives... ...to the Corporate Manager of Non-Clinical Strategic Sourcing, you will lead complex...SeniorRiskRemote jobContract work
$210k - $320k
...serve as the Corporate Counsel/Senior Corporate Counsel, Commercial... ...complex agreements, managing risk, and achieving business objectives... ...agreements, collaborations, clinical trial agreements, and... ...such as anti-kickback, false claims and transparency statutes.Service...SeniorRiskClaimsOngoing contractFull timeFlexible hours- Iterative Health is seeking a Senior Research Budget Specialist to lead complex site-level budgeting and negotiation for high-value clinical studies across US and international sites. You will partner with sponsors, CROs, and internal teams to build accurate budgets that...Senior
- ...Senior Clinical Trial ManagerClimb Bio is a clinical-stage biotechnology company developing therapeutics for patients with immune-mediated... ...submissions support, with responsibility for proactive study-level risk assessment, prioritization, and escalationOperate effectively...SeniorRiskTemporary workWork at officeImmediate startRemote workShift work
- Iterative Health is seeking a Senior Clinical Regulatory Specialist to support compliant execution of Phase 2-4 industry-sponsored trials across our network. You will provide regulatory guidance and oversight from startup through closeout, partnering with sites, sponsors...Senior
- ...Position overviewThe Director/Senior Director provides strategic and... ...is accountable for leading clinical outcome assessment (COA) projects... ...packages supporting labeling claims, grounded in regulatory guidance... ...by framing options, signaling risks and potential benefits,...SeniorRiskClaimsTemporary work
$170k - $230k
...own the path to production.As a Senior Manager, Machine Learning on... ...directly with Product (and with clinical, software, and Digital Health... ..., and member value.Own the risk posture for the team: anticipate... ...sequencing, and pushing back when a claim is not supportable.Familiarity...SeniorRiskClaimsFull timeWork at officeRelocationShift work$97.5k - $141.5k
...Position Summary The Senior Risk Management Specialist provides leadership in risk management... ...systems of care. Collaborates with the Claims Department to help minimize legal/financial... ...across BMC. Participates in clinical case review and case learning committees...SeniorRiskClaimsWork at officeLocal areaImmediate startFlexible hours3 days per week- ...As a senior member of Devoted Health’s treasury and cash management... ...our operating, regulated, and clinical entities — and to build the treasury... ...investment concentration risk monitoring against health... ...FP&A, Tax, Legal, Compliance, Claims, and the clinical and provider...SeniorRiskClaimsTemporary work
$137k - $215.27k
...quality assurance oversight of the global clinical research programs in Research and... ...clinical research quality expertise and risk-based advice. With the guidance of Head of... ...problems and recommend appropriate solutions to senior management for immediate and long-term resolution...SeniorRiskMinimum wageWork at officeLocal areaImmediate startNight shift- Zai Lab, Ltd. in Cambridge, MA is seeking a Senior Clinical Trial Manager to lead operational strategy, risk management, and the execution of global clinical trials from start-up to close-out. You will collaborate with cross-functional stakeholders to ensure quality, compliance...SeniorRiskWork at office
$133.5k - $192.83k
Job Title: Senior Quality Engineer, In Vitro DiagnosticsLocation: Cambridge... ...Affairs, Manufacturing, Clinical, and Laboratory Operations,... ...traceability between intended use, risk management, performance evidence, labeling, and regulatory claims while supporting inspection...SeniorRiskClaimsFull timeWorldwide$110.7k - $372.9k
Position Summary Senior Agentic AI Engineer — Healthcare AI Three hundred fifty... ...by prior authorization and paperwork, claims that misfire, clinical decisions made without the right... ...quality, safety, latency, cost, and model risk. • Partner with our modeling and post-...SeniorRiskClaimsLocal areaVisa sponsorship- ...remain in their communities.The Senior Manager, Strategic Initiatives... ...leadership, addresses project risks and challenges, and works in... ...on prior authorization data, claims data, provider cost reports, and... ..., public management, clinical administration or clinical management...SeniorRiskClaimsFull timePart timeWork experience placementWork at officeWork from home
$170k - $190k
...growth trajectory. You will join a dynamic Clinical Operations team working in a fast-paced,... ...future success of the organization.The Senior Manager, Clinical Operations provides / supports... ..., and escalation of operational risks and issues.Oversee vendors to ensure quality...SeniorRiskWork at office$119k - $179k
...Clinical Operations ManagerThe Clinical Operations Manager serves as a dedicated functional... ...Manager owns critical study documentation, risk management strategy, site selection and... ...further business strategy for evidentiary claim development.Qualifications:Bachelor's...RiskClaimsFull time- Seismic Therapeutic, based in Watertown, MA, is seeking a Clinical Trial Manager / Senior Clinical Trial Manager to lead operational planning and execution... ..., coordinate internal and external partners, and elevate risks with recommendations. This hands-on role supports the...SeniorRisk
- ...Senior Software Engineer Welcome to Our World We've been leading the charge in the affiliate... ...- catching subtle issues and long-term risks before they ship Turn recurring... ...Evaluate new patterns (Gateway API / Kgateway, claim-based self-service) on tradeoffs, not...SeniorRiskClaims
$160k - $170k
...patients who need it most.Reporting to the Sr. Director, Clinical Supply Chain, the Senior Manager, Clinical Supply Chain Management will provide operational... ...reliable supply, proactively identifying and mitigating risks, and supporting alignment with Clinical Operations,...SeniorRiskContract workWork at officeFlexible hours- ...services company powering the acceleration of clinical research to transform patient outcomes.We... ...City with 250+ employees world-wide.As a Senior Clinical Regulatory Specialist at... .... You will also help identify regulatory risks, resolve complex issues, and improve processes...SeniorRiskTemporary workWork at office2 days per week
- ...staffingfuture.comSummary of Key Responsibilities The Contract Sr. Clinical Scientist will ideally be familiar with drug development and... ...program objectives and design impact data analysis; Identifies risks and designs mitigation strategies *Promotes consistent first...SeniorRiskContract work
- ...protect critical missions. The role requires a TS/SCI clearance, deep knowledge of DoD/AF cybersecurity requirements, and the ability to advise leadership on risk and compliance. This is a full-time on-site position based at Hanscom AFB. #J-18808-Ljbffr Inmarsat GovernmentSeniorRiskFull time
- ...in FY25 revenue. Visit us at accenture.com.You Are:As a Senior Enterprise AI Value Strategist, you advise clients on how to create and capture value from... ...strategic sourcing, category management, supplier risk intelligence, contract lifecycle management, and procurement...SeniorRiskFull timeContract workWork experience placementLive inWork at officeLocal area
- Repertoire Immune Medicines in Cambridge, MA seeks a Clinical Trial Manager to lead early‑stage oncology trials, including first‑in‑human... ...CROs, vendors, and investigator sites to drive trial success and risk management in a fast‑paced environment. #J-18808-Ljbffr...SeniorRisk
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