Clinical Underwriting Nurse Specialist

7 days ago


Schenectady, New York, United States Mvp Health Plan Inc Full time
Company Overview
MVP Health Care is a mission-driven organization committed to creating a healthier future for everyone. We strive for innovative thinking and continuous improvement in the healthcare industry.

Salary Range
$69,383 - $83,000 per year, depending on qualifications and experience.

About the Role
We are seeking a skilled Clinical Underwriting Nurse Specialist to join our team. The successful candidate will be responsible for analyzing medical utilization reports, collaborating with healthcare providers, and evaluating risks and opportunities in new business and renewal groups.

Required Skills and Qualifications
To excel in this role, you will need:
* Active Registered Nurse (RN) license
* Bachelor's degree in Nursing, Health Administration, or a related field preferred
* Minimum of 4 - 6 years of professional relevant work experience, requires a minimum of two (2) years of clinical experience
* Knowledge of ICD-10 coding and medical terminology
* Strong understanding of medical conditions, treatments, and their long-term impact on health and insurability
* Understanding of disease life cycle, disease progression, expected health outcomes based on standard, accepted care management principles
* Familiarity with risk mitigation, high claimant detection, engagement, and management
* Excellent analytical and problem-solving skills

Benefits
We offer a comprehensive benefits package, including competitive compensation, comprehensive benefits focused on well-being, and opportunities for growth and development.

Work Environment
This role is based in Schenectady, NY, and offers a hybrid work arrangement. Our team is committed to fostering a culture of inclusivity, diversity, and respect.

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