Senior Medical Specialist- Stop Loss/HMO

This is a clinical nurse position in our Risk Management Team within NAS Specialty Healthcare. Provides expert consultative services to the Employer Stop-Loss and HMO/PEI underwriting teams. Performs medical reviews to evaluate risks in collaboration with underwriting. Provides recommendations for lasered, at risk and excluded individuals as part of the group evaluation process. Provides concise documentation of these recommendations, along with ongoing monthly reviews as needed.