Clinical Project Specialist

Discovery Navigator is a cutting-edge tool utilizing AI and ML and can automate the administrative efforts of medical record review. As a result, users achieve significant cost and time savings allowing for more opportunity to focus on quality results and improving the customer experience rather than spending time on mundane administrative tasks. 

Discovery Navigator is seeking a Clinical Specialist to serve as the team’s primary clinical expert and a key collaborative partner across the organization. In this role, the Clinical Specialist will help identify and evaluate new AI models that can enhance the product, partner with the Data Science team to develop and maintain models, support client requests and product enhancements, and provide clinical oversight for all models used within Discovery Navigator. The ideal candidate will bring a strong clinical background along with a solid understanding of AI, enabling them to ensure models are clinically accurate, effective, and aligned with client needs. This is a remote position, and the successful candidate must be able to meet all home office environment requirements.

• Serve as the primary clinical resource to the Data Science and Development teams in the design, evaluation, and implementation of new models. 
• Provide clinical quality assurance and validation for new data models to ensure accuracy, relevance, and practical application. 
• Partner with clients to define requirements for customizations and enhancements that align with clinical and business needs. 
• Monitor existing models for ongoing clinical accuracy and collaborate with the Data Science and Development teams to address opportunities for improvement.
• Identify new models, features, and outputs that enhance the Discovery Navigator product and deliver additional value to clients.
• Collaborate with cross-functional stakeholders, including Sales, Customer Care, Product, and Accounting, to support a seamless end-to-end client experience. 
• Stay current on market trends, customer priorities, and key performance indicators, and share insights and recommendations with leadership. 
• Translate market feedback and best practices into clear business requirements and user stories that support product enhancement initiatives.

• Bachelor’s degree preferred, with a minimum of 10 years of clinical experience in direct patient care, medical review, or a related clinical function. 
• Claims handling experience is strongly preferred. 
• Experience partnering with teams that develop AI or other data-driven models is preferred.
• Strong analytical and process-oriented mindset, with excellent written, verbal, and presentation skills. 
• Ability to manage multiple priorities effectively in a fast-paced environment while maintaining attention to detail and high-quality work. 
• Demonstrated ability to identify opportunities to improve models, outputs, and workflows in ways that enhance productivity, business impact, and revenue potential.
• Proven success collaborating across stakeholder groups and influencing partners across multiple functional areas. 
• Excellent strategic thinking, project planning, and organizational skills, with a high level of initiative and attention to detail. 
• Proficiency in Microsoft Office; experience with Jira is preferred. 
• Ability to travel as needed.

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For over 50 years, Verisk has been the leading data analytics and technology partner to the global insurance industry by delivering value to our clients through expertise and scale. We empower communities and businesses to make better decisions on risk, faster.

At Verisk, you'll have the chance to use your voice and build a rewarding career that's as unique as you are, with work flexibility and the support, coaching, and training you need to succeed. 

For the eighth consecutive year, Verisk is proudly recognized as a Great Place to Work® for outstanding workplace culture in the US, the fourth consecutive year in the UK, Spain, and India, and the second consecutive year in Poland. In addition, we’ve been recognized by The Wall Street Journal as one of the Best-Managed Companies and by Forbes as a World’s Best Employer, testaments to the value we place on workplace culture.

We’re 7,000 people strong.  We relentlessly and ethically pursue innovation. And we are looking for people like you to help us translate big data into big ideas. Join us and create an exceptional experience for yourself and a better tomorrow for future generations.

 Verisk Businesses

Underwriting Solutions — provides underwriting and rating solutions for auto and property, general liability, and excess and surplus to assess and price risk with speed and precision

Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences

Property Estimating Solutions — offers property estimation software and tools for professionals in estimating all phases of building and repair to make day-to-day workflows the most efficient

Specialty Business Solutions — provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance

Catastrophe and Risk Solutions — provides risk modeling solutions to help individuals, businesses, and society become more resilient to catastrophic events.

Marketing Solutions — delivers data and insights to improve the reach, timing,relevance, and compliance of every consumer engagement

Life Insurance Solutions – offers end-to-end, data insight-driven core capabilities for carriers, distribution, and direct customers across the entire policy lifecycle of life and annuities for both individual and group.

Verisk Maplecroft — provides intelligence on sustainability, resilience, and ESG, helping people, business, and societies become stronger

Verisk Analytics is an equal opportunity employer.

Verisk invests in a benefits package for all employees that includes the following: Health Insurance, a Retirement Plan, Disability benefits, and a Paid Time Off program. We offer a competitive total rewards package that includes base salary determined based on role, experience, skill set, and location.

All members of the Verisk Analytics family of companies are equal opportunity employers. We consider all qualified applicants for employment without regard to race, religion, color, national origin, citizenship, sex, gender identity and/or expression, sexual orientation, veteran's status, age or disability. Verisk’s minimum hiring age is 18 except in countries with a higher age limit subject to applicable law.

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