About this job:
PartnerRe Ltd. is a leading global reinsurer, providing multi-line risk management solutions around the world. Risks reinsured include property, casualty, motor, agriculture, aviation/space, catastrophe, credit/surety, engineering, energy, marine, specialty property, specialty casualty, multiline and other lines, mortality, longevity, health, and alternative risk products.
PartnerRe Health, the global Health Division of PartnerRe, is an acknowledged leader in providing risk management solutions to accident and health markets. The PartnerRe team of experienced professionals develops innovative, client-specific solutions by thoroughly understanding our clients’ goals, market, risk tolerance and exposures. Using a suite of proven proprietary financial and analytical tools, an effective risk management program is designed with extensive support services.
PartnerRe’s PULSE + Plus™ Medical Management Program is an integrated, state-of-the-art program that partners with our clients to proactively manage healthcare risk exposures and find optimal solutions for evolving healthcare challenges. PULSE + Plus™ Medical Management helps optimize both clinical and financial outcomes through a wide range of value-creating services that enhance risk protection at multiple levels. Program features include:
- Rare, complex and chronic disease management and network solutions
- Transplant center of excellence networks and contract evaluation
- Proactive approach to managing quality and cost of care
- Board-certified specialty physician panel, with physician-driven consultation services
- Comprehensive analytical auditing services; hospital and physician claim audits
- Top-tier primary and supplemental PPO networks with supplemental contract negotiations
- Specialty pharmacy management and network
- Advocacy for supplemental payers
- Educational support and webinars
About the role:
The Clinical Support Coordinator plays a vital role in supporting the day-to-day operations of the PULSE Clinical Consulting Team. This position is responsible for managing referral workflows, triaging the team inbox, responding to client and network inquiries, and ensuring accurate documentation across systems. The role also involves conducting an initial review of high-cost claim notifications and other case alerts to help prioritize and route cases for clinical consultant follow-up. As a key support resource, this position helps streamline processes, enabling the clinical consultants to focus on delivering strategic clinical insights and cost containment solutions to clients and partners.
JOB DUTIES
The following reflects management’s definition of essential functions for this position but does not restrict the responsibilities that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.
- Manage referral intake, inbox and triage clinical service requests.
- Collaborate with clinical consultants on special projects and client engagement
- Maintain clinical team referral tracking logs
- Assist team with gathering documentation, medical records, and/or background information for complex case reviews
- Review and format various reports to identify potential ongoing risk.
- Participate in meetings, as needed, to address client questions and support clinical service delivery
- Coordinate with vendor network partners to facilitate referral placements, ensuring timely communication and alignment with client needs and service timelines
- Communicate with vendor partners to facilitate case updates, ensure service timelines are met and document outcomes in internal documentation systems.
- Assist with special projects, data gathering, and ad-hoc reporting requests
- Organize and maintain team resource libraries, SOPs, templates, and reference materials.
- Ability to consistently meet deadlines
- Act and respond with a sense of urgency
- Perform other duties as assigned to support the clinical team’s success
