Clinical Risk Manager

Position Summary Ryan Specialty Benefits is seeking an experienced and clinically driven Clinical Risk Manager to join our dynamic Clinical Advisory Team. This is a unique opportunity to play a critical role within a rapidly growing organization that is redefining clinical risk management and stop loss cost containment. As a Clinical Risk Manager, you will serve as a strategic clinical consultant, partnering closely with our brokers, carrier partners, TPAs, captive programs, specialty vendors, and employer-sponsored health plans to identify risk, evaluate high-cost claims, and develop innovative cost mitigation strategies. Your expertise will directly influence underwriting decisions, risk management initiatives, and financial outcomes for our clients. This role is ideal for a clinically experienced Registered Nurse who enjoys combining clinical expertise with financial analysis, strategic problem-solving, and collaborative relationship management. You will become part of a highly engaged team focused on delivering meaningful results through clinical insights, proactive risk identification, and innovative mitigation solutions. What will your job entail? What You'll Do Clinical Risk Assessment & Analysis Analyze medical and pharmacy claims, clinical records, treatment plans, and emerging therapies to identify high-cost claim exposure and stop loss risk. Evaluate current and future claim liabilities, including complex cases involving oncology, transplants, specialty pharmacy, gene and cell therapy, catastrophic claims, and chronic conditions. Assess clinical severity, treatment patterns, and emerging risks to support stop loss underwriting and risk management decisions. Cost Projection & Financial Modeling Develop accurate clinical cost projections for high-dollar claimants and complex cases. Monitor significant ongoing claims and identify potential changes in risk exposure. Provide detailed financial analyses and forecasting that support underwriting, renewal, captiv