RN - Clinical Account Manager, High-Cost Claimants

Job description

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:
• Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
• Annual incentive bonus plan basedon company achievement of goals
• Time away from work including paid holidays, paid time off and volunteer time off
• Professional development courses, mentorship opportunities, and tuition reimbursement program
• Paid parental leave and adoption leave with adoption financial assistance
• Employee discount program

Job Description Summary:
This Registered Nurse presents data-driven insights and clinical health information to large self-funded client groups and insurance brokers/consultants to identify those members that are high-cost or potentially high-cost claimants as quickly as possible. Understands Blue KC healthcare programs, benefits and services, medical policy, provider network/reimbursement strategies, and industry best practices to positively impact medical cost trends. The candidate for this position must reside in the Kansas City metropolitan area.