Clinical Consultant - IntelliScript (Remote)

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 data analytical skills to immediate use in a unique and exciting environment.

What you will be doing

• Apply clinical managed care experience to advance product innovation and client relationships.
• Utilize knowledge of clinical practice and morbidity data to assist internal teams with their development initiatives and client support activities.
• Assist in the maintenance of clinical information systems to ensure up-to-date, consistent, and accurate results from our interpretation solutions.
• Develop and maintain groupings of clinical codes to facilitate our client's risk assessments.
• Consult with data science team to align predictive model features with clinical data concepts and medical knowledge.
• Ensure accurate data capture, management, and reporting within clinical systems.
• Analyze clinical data to identify trends, outcomes, and areas for improvement.
• Support client-facing teams as a subject matter expert to help clients adopt, implement, and use our products.
• 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.
• 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

• Articulate and professional when speaking with clients as well as with colleagues
• 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
• Ability to tackle a problem by using a logical, systematic, sequential approach to generate sensible, realistic, practical solutions to problems
• Generate new approaches to problems or innovations to established approaches
• Proficient in navigating complex organizational communication
• 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
• Detailed oriented with excellent verbal and written communication skills

Wish list

• Clinical experience in commercial insurance, Medicare Advantage, and/or ACA managed care
• Proficiency in complex data analysis
• 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 September 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%).

Compensation

The overall salary range for this role is $84,100 - $185,400. For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Pennsylvania, Virginia, Washington, or the District of Columbia:
  
  
  
  • $93,610 - $154,550 if overall experience is less than 5 years; and
  • $103,070 - $169,950 for experience greater than 5 years.
  
  
  
  
• New York City, Newark, San Jose, or San Francisco:
  
  
  
  • $102,120 - $168,600 if overall experience is less than 5 years; and
  • $112,440 - $185,400 for experience greater than 5 years.
  
  
  
  
• All other states:
  
  
  
  • $85,100 - $140,500 if overall experience is less than 5 years; and
  • $93,700 - $154,500 for experience greater than 5 years.
  
  
  
  

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

Benefits

We offer a comprehensive benefits package designed to support employees' health, financial security, and well-being. Benefits include:

• Medical, Dental and Vision - Coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges.
• 401(k) Plan - Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program - Recognizing employee contributions.
• Flexible Spending Accounts (FSA) - Pre-tax savings for dependent care, transportation, and eligible medical expenses.
• Paid Time Off (PTO) - Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
• Holidays - A minimum of 10 paid holidays per year.
• Family Building Benefits - Includes adoption and fertility assistance.
• Paid Parental Leave - Up to 12 weeks of paid leave for employees who meet eligibility criteria.
• Life Insurance & AD&D - 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability - Fully paid by Milliman.

Equal Opportunity

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