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Clinical Consultant - IntelliScript (Remote)

Brookfield, Wisconsin, United States

What We Do

Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (SaaS) products for a broad spectrum of insurance, health IT and life sciences clients. We’re a business unit within Milliman, Inc., a respected consultancy with offices around the world.

Candidates who have their pick of jobs are drawn to IntelliScript’s entrepreneurial and collaborative culture of innovation, excellence, exceptional customer service, balance, and transparency. Every single person has a voice in our company, and we challenge each other to push the outer limits of our full, diverse potential. And we’ve shown sustained growth that ensures you’ll have room to grow your skillset, responsibilities, and career.

Our team is smart, down-to-earth, and ready to listen to your best ideas. We reward excellence and offer competitive compensation and benefits. Visit our LinkedIn page for a closer look at our company, and learn more about our cultural values here.

Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERGs) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our website to learn more about Milliman’s commitments to our people, diversity and inclusion, social impact, and sustainability.

What this position entails

IntelliScript offers an innovative suite of products that interpret and deliver electronic medical data (such as pharmacy claims, medical claims, and electronic health record data) to help our clients make effective underwriting and risk assessments.

The Clinical Consultant is a vital part of IntelliScript’s innovative and productive Clinical Services team – a team that delivers the clinical intelligence and expertise needed for industry-leading clinical interpretation solutions. Working with various members of teams across the company, you will be instrumental as we continue to innovate, design, and maintain the clinical intelligence behind our decision support software (Irix® and Curv®) and fulfill the specific needs of each client.

In this role, the Clinical Consultant will work with our medical insurance clients to solve business problems using our morbidity interpretation solutions. We are looking for someone to bring professional clinical experience from a managed care setting, a passion for leveraging data to meet business needs, a solutions-oriented mindset to solve client problems, and an entrepreneurial spirit. This unique opportunity will put your managed care background, clinical acumen, and professional skills to immediate use in a unique and exciting environment.

What you’ll be doing

  • Apply clinical managed care experience to advance product innovation and client relationships.
  • Support client-facing teams as a subject matter expert to help clients adopt, implement, and use our products.
  • Perform and present clinical analyses as part of our study deliverable process.
  • Listen to, advise on, and deliver client clinical configuration requests.
  • Evaluate electronic medical data and apply morbidity and mortality data to health conditions.
  • Be responsible for written and verbal consultation to clients, providing clinical and product expertise in a business frame of reference.
  • Develop and deliver thought leadership webinars and live presentations.
  • Utilize knowledge of clinical practice and morbidity data to assist internal teams with their development initiatives and client support activities.
  • Uphold quality risk management (QRM) principles for peer reviewing clinical content, documentation, and client communication.
  • Approximately 20% nationwide travel will be required for this role to visit client sites, industry conferences, team events, etc.

What we need

  • Current licensure in good standing as a healthcare professional
  • Minimum three years of experience in clinical managed care
  • Experience analyzing electronic medical data, including prescription and medical claims data
  • Proficiency with Microsoft Office suite and Project Management software

What you bring to the table

  • Focused on results and able to explain findings in a way that answers business problems
  • Able to unearth client needs, conduct analysis, and present a resolution
  • Constructive, “can do” approach to overcoming obstacles
  • Proficient in navigating complex organizational communication
  • Articulate and professional when speaking with clients as well as with colleagues
  • Thrive in a small team, both as a leader and participant, without micromanagement
  • Strong work ethic, willing to pitch in wherever needed
  • Seeks out input from others, shares insights and opportunities
  • Open to peer review and able to absorb and learn from constructive criticism
  • Excellent verbal and written communication skills

Wish list

  • Clinical experience in commercial insurance, Medicare Advantage, and/or ACA managed care
  • Published thought leadership articles, past speaking engagements, etc.
  • Experience presenting to management-level decision-makers
  • Continuous appetite to challenge intellect, learn, grow, remain productively curious

Location

The expected application deadline for this job is April 30, 2025. This position is open to remote work. Applicants must be willing to travel to the Milliman office in Brookfield, WI as needed and travel nationwide for meetings, conferences, and team events (up to 20%).

The salary range is $67,000 - 177,000, depending on relevant factors, including but not limited to, education, relevant work experience, qualifications, skills, certifications, location, etc. If relevant experience is less than 5 years the range would be $67,000 to $131,000; for experience of greater than 5 years, the range would be $87,000 to $177,000. In addition, we offer a performance-based bonus plan, profit sharing, and generous benefits.

Milliman Benefits (Full time U.S. positions only)

At Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual and their family. We offer competitive benefits which include the following based on plan eligibility:

  • A 401(k) plan with matching program, and profit-sharing contribution
  • Employee Assistance Program (EAP)
  • Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
  • Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
  • Commuter Program, which allows you to use pre-tax dollars to pay for your parking or public transit expenses to get to and from work. You may utilize this benefit any time throughout the year and funds will be available the first of the month following your first contribution.
  • A minimum of ten paid holidays
  • Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
  • Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs  
  • Medical, dental and vision coverage for employees and their dependents, including domestic partners

    Equal Opportunity

    All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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    Job Profile

    Regions

    North America

    Countries

    United States

    Restrictions

    Remote

    Benefits/Perks

    Bonus plan Career development Commuter program Competitive benefits Competitive compensation Competitive compensation and benefits Dental Disability coverage EAP Employee Assistance Program Employee Resource Groups Family building benefits Flexible Spending Accounts Learning and mentoring opportunities Life Insurance Medical Medical, Dental and Vision coverage Mentoring Mentoring opportunities Paid holidays Paid parental leave Paid Time Off Performance-based bonus PTO Remote work Skills training Vision Vision coverage

    Tasks
    • Apply clinical experience
    • Client communication
    • Communication
    • Deliver client consultations
    • Documentation
    • Evaluate electronic medical data
    • Mentoring
    • Perform clinical analyses
    • Project management
    • Support client teams
    Skills

    Access Actuarial science Client Communication Client relationship management Client Support Clinical Consulting Clinical interpretation Communication Customer service Data analysis Decision support software Documentation Entrepreneurial Spirit Information Technology Insurance IT Leadership Managed Care Medicare Advantage Mentoring Microsoft Office Microsoft Office Suite Morbidity interpretation Organizational Peer review Project Management Risk Management SaaS Software-As-a-Service Teams Training Written communication

    Experience

    3 years

    Education

    Actuarial science Business Information Technology Management

    Timezones

    America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9