Senior Medical Underwriting Nurse Manager - Remote

About the Role

We are seeking a dedicated and experienced Senior Medical Underwriting Nurse Manager - Remote to join our dynamic team. In this role, you will lead a team of medical underwriters, ensuring the highest standards of risk assessment and underwriting practices in the healthcare sector. As a Senior Medical Underwriting Nurse Manager, you will play a crucial role in shaping our underwriting strategy and improving overall clinical risk management.

What You'll Do

• Oversee the medical underwriting process, ensuring compliance with regulatory standards and internal policies.
• Lead and mentor a team of medical underwriters, providing guidance and support in their professional development.
• Conduct thorough reviews of clinical documents and underwriting submissions to assess risk accurately.
• Collaborate with cross-functional teams to develop underwriting strategies that align with business goals.
• Utilize data analytics to identify trends and improve underwriting processes, enhancing efficiency and accuracy.
• Prepare and present financial projections and risk assessments to senior management.
• Ensure adherence to FDA guidelines and other regulatory requirements in all underwriting activities.
• Manage complex underwriting cases, providing expert advice and recommendations to clients.

Requirements

• Registered Nurse (RN) with a Bachelor of Science in Nursing (BSN) or equivalent.
• 5+ years of experience in medical underwriting or clinical risk management.
• Strong knowledge of healthcare plans, claims analysis, and underwriting strategy.
• Proficient in data analysis and financial projections related to underwriting.
• Excellent leadership and project management skills.
• Ability to work independently in a remote environment while managing a team effectively.
• Strong communication skills, both written and verbal.
• Experience with regulatory compliance and clinical research is a plus.

Nice to Have

• Certification in medical underwriting or related field.
• Experience with self-insured and level funded markets.
• Familiarity with medical writing and clinical documents.

What We Offer

• Competitive compensation package with a salary range of $120,000 - $150,000 per year.
• Comprehensive health coverage including medical, dental, and vision insurance.
• Employer-paid life insurance and disability coverage.
• 401(k) retirement plan with employer match.
• Generous paid time off and company holidays.
• Flexible work arrangements and a supportive remote work environment.
• Opportunities for professional development and career advancement.