Clinical Risk Consultant Lead

Alliant Insurance Services offers a role focused on providing analytical and consultative support for stop loss and high‑cost claim management. The position involves leading and supporting clinical risk analysis, cost containment initiatives, and client renewal discussions within a fast‑paced environment. Responsibilities Conduct research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects. Leverage systems to develop reporting that monitors and proactively reports on group risk, identifies cost impact, and partners with service teams to develop solutions for upcoming client renewals. Lead and/or support discussions regarding stop loss renewal and cost containment. Support training, development, and oversight of a team of Clinical Risk Consultants, including management and action plans for notable trends across carriers and clients. Identify cost containment trends and evaluate industry vendors to support cost mitigation efforts outside of traditional medical and pharmacy carriers. Collaborate with Alliant Analytics SMEs to support operational efficiencies for data reviews. Qualifications Education & Experience Bachelor's Degree or equivalent combination of education and experience. Thirteen (13) or more years within the insurance industry, with experience handling stop loss, high‑cost claims, and cost containment for self‑funded group health plan clients. Clinical background with experience providing consultation to plan sponsors of employee group benefit plans. Skills Strong knowledge of stop loss insurance, self‑funded group insurance, cost containment, and vendor selection. Strong knowledge of state and federal regulations impacting employer‑provided group health insurance. Strong knowledge of regulatory reporting and tax consequences for self‑funded plans. Familiarity with vendor selection best practices. Excellent verbal and written communication skills tailored to the audience. Analytical ability to develop plans addressing identified issues. Collaborative and strategic relationship‑building skills. Ability to thrive in a fast‑paced, dynamic environment with frequent interruptions and fluctuating workload. We offer a competitive financial package and comprehensive employee programs to support your present and future needs. Alliant Insurance Services, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on their qualifications and ability without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, sexual orientation, and gender identity), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status as a protected veteran, in accordance with applicable federal, state, and local laws, including California law. Applicants are protected under Federal law from discrimination. If you need an accommodation to complete the application process or would like to review these materials in an alternative format, please reach out to View email address on click.appcast.io. For more information on Alliant Insurance Service's benefits, please visit #J-18808-Ljbffr Alliant