NJ Licensed RN Data Analyst

Job Summary

Focused on stop loss risk management, the full-time NJ Licensed RN Data Analyst will coordinate care for high-risk members, engage with care management protocols, and utilize reporting tools to assess risk, all while working remotely.

Key responsibilities

• Identify and manage high-risk patients within established stop loss groups, ensuring appropriate care levels
• Collaborate with care management and delivery functions to assess clinical needs and engage high-risk claimants in care management protocols
• Utilize reporting and risk identification tools to analyze medical and pharmacy claims for risk assessment

Required qualifications

• Active NJ Registered Nurse License
• Minimum of two years of clinical experience and three years in the healthcare delivery system
• Experience with healthcare payers for at least two years
• Preferred Associate's or Bachelor's degree in nursing or a health-related field
• Proficiency in advanced Excel, SQL, or Tableau, with experience in creating dashboards and reports