Medical Risk Specialist

3 days ago


Chandler, Arizona, United States Vensure Employer Services Full time

Vensure Employer Solutions offers a competitive compensation package including an estimated annual salary of $65,000-$85,000, depending on experience and qualifications.

About the Company

We are a proud provider of comprehensive portfolio solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Our company serves over 95,000 businesses and processes over $135B in annual payroll.

About the Role

We are seeking a skilled Medical Risk Specialist to join our team. As a Medical Risk Specialist, you will be responsible for assessing medical risk for our sponsored medical plans. You will work within specific limits of authority on assignments requiring significant technical complexity and coordination.

You will utilize underwriting policies and guidelines, rating rules, and carrier regulations to appropriately price medical risk. Your role will also involve working with sales and support teams to ensure all required collateral is received, and explaining discrepancies with submissions.

In addition, you will calculate rates for complex group cases based on thorough analysis of the group's experience, industry, location, size, and demographic nature using underwriting methodologies.

Key Responsibilities
  • Collect and review customer-specific information such as existing group medical plans and rates, employee census, carrier history, and previous claim experience to ensure submission completion and accuracy.
  • Work with sales and support teams to ensure all required collateral is received and explain discrepancies with submissions.
  • Calculate rates for complex group cases based on thorough analysis of the group's experience, industry, location, size, and demographic nature using underwriting methodologies.
  • Develop judgment to assess new business for master medical plans as needed while working with senior underwriters or management to ensure a profitable book of business.
  • Review and complete all sales requests and inquiries within company-established standards and policy guidelines.
  • Update all underwriting systems as appropriate.
  • Provide underwriting knowledge sharing and education to peers and/or members of the sales team.
Requirements
  • A High School Diploma is required, an Associate's degree is preferred or comparable experience.
  • Insurance carrier underwriting experience is preferred 2+ years.
  • PEO underwriting experience is preferred 2+ years.
  • Familiarity with office environments.
  • Proficiency in Microsoft Word, PowerPoint, and Excel.


  • Chandler, Arizona, United States Vensure Employer Services Full time

    About UsVensure Employer Solutions is a pioneering organization in the HR technology and service sector, serving over 95,000 businesses worldwide. Our comprehensive portfolio includes HR/HCM technology, managed services, and global business process outsourcing (BPO).Job DescriptionThe Medical Risk Assessment Manager will play a critical role in assessing...


  • Chandler, Arizona, United States Vensure Employer Services Full time

    Job SummaryWe are looking for a skilled Medical Underwriting Specialist to join our team. As a specialist, you will be responsible for assessing medical risk and working within specific limits of authority on assignments requiring significant technical complexity and coordination.Main Duties and ResponsibilitiesReview customer-specific information, including...


  • Chandler, Arizona, United States Atlas Medical Full time

    At Atlas Medical in Chandler, you'll play a vital role in the Home Health Care industry. As a skilled Medical Care Specialist, you will deliver essential care to patients in their own homes, empowering them to live independently and enhancing their quality of life.This dynamic position offers a unique blend of autonomy and collaboration, allowing you to work...


  • Chandler, Arizona, United States Fresenius Medical Care Full time

    About the RoleWe are seeking a skilled Medical Care Specialist to join our team at Fresenius Medical Care. As a key member of our healthcare staff, you will play a vital role in providing high-quality patient care and support.


  • Chandler, Arizona, United States Titan Medical Group Full time

    Titan Medical Group Hiring We are currently seeking a skilled Medical Telemetry Specialist to fill a 16-week assignment in the Chandler, AZ area. The ideal candidate will have a minimum of 2 years of experience in a telemetry setting and be certified in BCLS/BLS/ACLS. Experience as a travel nurse is not required, but highly preferred. About the Assignment...


  • Chandler, Arizona, United States Medical Solutions Full time

    Job Opportunity at Medical SolutionsWe are seeking a skilled Nurse Specialist to join our team at Medical Solutions. This role involves working in Telemetry, providing exceptional care and support to patients.About the JobThis is a travel nursing position, offering the opportunity to work in Chandler, Arizona. The shift will be 12 hours, nights, with a total...


  • Chandler, Arizona, United States JP INSURANCE GROUP LLC Full time

    Job Overview:J P Insurance Group LLC is a leading provider of business insurance for contractors. We pride ourselves on providing quality service and building lasting relationships with our clients. As a Commercial Insurance Account Manager, you will play a critical role in delivering exceptional customer experiences and driving business growth.Key...


  • Chandler, Arizona, United States Titan Medical Group Full time

    Travel Telemetry Position in Chandler, AZTitan Medical Group is seeking a skilled Medical Travel Telemetry Specialist to join their team for a 13-week assignment in Chandler, AZ. This opportunity presents a chance to work in a dynamic environment while developing new skills and experiences.Estimated Salary: $124,000 - 155,000 per yearAbout the RoleThis...


  • Chandler, Arizona, United States Advantis Medical Full time

    We are seeking an experienced Medical Imaging Specialist to join our team for a travel opportunity in Chandler, Arizona. As a leading medical staffing agency, Advantis Medical is committed to providing exceptional patient care and personalized service.About the JobThis 13-week contract offers flexible 12-hour shifts with guaranteed hours and competitive pay...


  • Chandler, Arizona, United States Genesis10 Full time

    Genesis10 is a leading staffing firm seeking a highly skilled Cybersecurity Risk Consultant to join their team in Chandler, AZ.Estimated salary: $44-$54 per hour. Estimated annual salary: $91,440 - $111,840 based on 40 hours/week and 52 weeks/year.About the JobWe are looking for an experienced Cybersecurity Risk Consultant with 4+ years of experience in...


  • Chandler, Arizona, United States Chandler Regional Medical Ctr Full time

    About UsChandler Regional Medical Center is a leading healthcare provider in the region, dedicated to delivering high-quality patient care.Job SummaryWe are seeking a skilled Medical Telemetry Nurse Specialist to join our team. As a key member of our nursing staff, you will be responsible for providing exceptional patient care and support to our patients and...


  • Chandler, Arizona, United States TTF Full time

    Job Title: Medical Billing and Accounts Receivable SpecialistWe are seeking a skilled Medical Billing and Accounts Receivable Specialist for a full-time position in Chandler, AZ. The estimated salary for this role is $40,000 - $50,000 per year, depending on experience. As an A/R Specialist, you will be responsible for billing and following up with medical...


  • Chandler, Arizona, United States Vensure Employer Services Full time

    Job OverviewVensure Employer Solutions is a leading provider of HR technology and service solutions, serving over 95,000 businesses and processing over $135 billion in annual payroll.We are seeking an experienced Health and Benefits Insurance Specialist to join our team. This role will be responsible for assessing medical risk for our PEO-sponsored medical...


  • Chandler, Arizona, United States Vensure Employer Services Full time

    About the RoleWe are seeking an experienced Health and Benefits Underwriter to join our dynamic team. As a key member of our underwriting department, you will be responsible for assessing medical risk for our sponsored medical plans.Key ResponsibilitiesCollect and review customer-specific information to ensure accurate submission completion and...


  • Chandler, Arizona, United States Bank of America Full time

    Job Title: Consumer Compliance Specialist">About the Job: We are seeking a Consumer Compliance Specialist to join our team in Chandler, Arizona.">Responsibilities:">">Conduct routine analysis, research, and investigations in diversified compliance operations aligned to the banks Financial Crimes Enterprise Policy and the Financial Crimes Global...


  • Chandler, Arizona, United States MY DR NOW Full time

    Job Title: Medical Billing Specialist IIAt MY DR NOW, we are seeking a skilled Medical Billing Specialist II to join our team. As a Medical Billing Specialist II, you will play a critical role in ensuring the timely and accurate reimbursement of medical services rendered by our healthcare professionals. You will be responsible for monitoring claims assigned...


  • Chandler, Arizona, United States Aspen Infusion Full time

    About the RoleWe are seeking a skilled Medical Billing Specialist to join our team at Aspen Infusion. In this role, you will be responsible for ensuring the accuracy and timeliness of our billing functions.


  • Chandler, Arizona, United States Aveanna Healthcare Full time

    Job OverviewAveanna Healthcare is the leading provider of home healthcare services to thousands of patients and families. As a Medical Supply Specialist, you will play a critical role in delivering medical and enteral supplies and equipment to protect the continuity of care for our medically fragile patients.Compensation and Benefits$25 per hour, depending...


  • Chandler, Arizona, United States MOMDOC LLC Full time

    MOMDOC LLC seeks experienced medical professionals to join its team as Medical Support Specialists in Chandler, AZ. This is a full-time opportunity with a competitive salary of approximately $45,000 per year.The ideal candidate will have 1 year of experience in a medical office setting and possess strong communication skills, time management abilities, and...


  • Chandler, Arizona, United States Disability Solutions Full time

    About the RoleWestern Alliance Bank is seeking an experienced AAB Operations Specialist to join our team. In this role, you will be responsible for tracking work requests, data entry, process completion related to client and internal customer requests, and conducting routine medium risk reviews of core and ancillary system information.