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Clinical Risk Consultant

Alliant Insurance Services
110,000 USD-115,000 USD
United States, California, Irvine
18100 Von Karman Ave. (Show on map)
May 11, 2026

At Alliant Insurance Services, we thrive on creating employee benefits solutions built on the idea that health makes growth possible. As top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. This position is a chance to join a dynamic, expanding company with prospects for individual and career growth.


As one of the 5 largest insurance brokerage firms in the U.S., Alliant provides property and casualty, workers' compensation, employee benefits, surety, and financial products and services to clients nationwide.

More information is available at www.alliant.com.


SUMMARY



Provide analytical and consultative stop loss support to Alliant service teams and clients. Work closely with Stop Loss/MGA practice leadership. Support renewal conversations with clients and vendors. Provide ongoing cost containment identification and evaluation support to clients.




ESSENTIAL DUTIES AND RESPONSIBILITIES



Conduct research, review clinical notes, and prepare claims data loss analysis to provide actionable recommendations for clients and prospects.

Responsible for Alliant's proprietary Plan IQ predictive risk tool maintenance and reporting.

Leverage systems to develop reporting to monitor and proactively report on group risk, identify cost impact, and partner with service teams to develop solutions for upcoming client renewals.



Lead and/or support discussions regarding stop loss renewal and cost containment.

Market clients' self-funded group benefit plans to offer the most competitive stop loss insurance renewal and options.

Other duties as assigned.




QUALIFICATIONS



Bachelor's degree or equivalent combination of education and experience

Ten (10) or more years' experience within the insurance industry, including handling stop loss, high cost claims, and cost containment for self-funded group health plan clients

Experience in a clinical background

Experience in providing consultation to plan sponsors of employee group benefit plans

Experience with loss containment preferred

Experience with clinical claims review preferred




SKILLS



Strong knowledge of stop loss insurance, self-funded group insurance, cost containment, and vendor selection

Strong knowledge of state and federal regulations impacting employer provided group health insurance

Strong knowledge of regulatory reporting and tax consequences for self-funded plans

Familiarity with vendor selection best practices

Skill in communicating effectively, verbally and in writing, as appropriate for the needs of the audience

Ability to analyze complex information and develop plans to address identified issues

Ability to work collaboratively and build strategic relationships with others

Ability to work and thrive in a fast-paced, dynamic environment with frequent interruptions, distractions, and a fluctuating workload



#LI-AQ1


#LI-REMOTE

We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.

For immediate consideration for this position, please click on the "Apply" button.

Alliant Insurance Services, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on their qualifications and ability without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, sexual orientation, and gender identity), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status as a protected veteran, in accordance with applicable federal, state, and local laws, including California law.

Applicants are protected under Federal law from discrimination. If you need an accommodation to complete the application process or would like to review these materials in an alternative format, please reach out to Careers@Alliant.com

For more information on Alliant Insurance Service's benefits, please visit www.alliant.com/about/careers/benefits

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