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Director Stop Loss Rn Jobs (NOW HIRING)

Possibility of some active distribution sources may be directed to the Senior Medical Stop-Loss Underwriter. Someone in this position must develop distribution sources and foster a dynamic ...

Possibility of some active distribution sources may be directed to the Senior Medical Stop-Loss Underwriter. Someone in this position must develop distribution sources and foster a dynamic ...

Direct oversight and coaching of stop-loss team leads and staff, including performance management, capacity planning, and career development. * Serving as the primary operational partner to Account ...

Direct oversight and coaching of stop-loss team leads and staff, including performance management, capacity planning, and career development. * Serving as the primary operational partner to Account ...

$50K - $80K/yr

Reporting to the Director of Account Management, you'll ensure a smooth experience from renewal ... Act as a primary day‑to‑day contact for assigned Stop Loss renewal accounts * Manage the full ...

This role contributes to the achievement of national and regional stop loss sales goals by supporting the Director of Stop Loss Alternate Distribution Channels, Executive Regional Managers, and ...

The Director, Medical Underwriting role utilizes a high level of experience and advanced clinical ... Registered Nurse), as well as 5-10 years of Stop Loss or Reinsurance experience required * 10+ ...

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Director Stop Loss Rn information

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$55.5K

$108.7K

$170.5K

How much do director stop loss rn jobs pay per year?

As of Sep 13, 2026, the average yearly pay for director stop loss rn in the United States is $108,675.00, according to ZipRecruiter salary data. Most workers in this role earn between $83,000.00 and $125,500.00 per year, depending on experience, location, and employer.

What does a Director Stop Loss RN do?

A Director Stop Loss RN is a registered nurse who oversees and manages stop loss insurance programs within healthcare organizations. Their primary responsibility is to evaluate high-cost claims, coordinate care management, and ensure that stop loss coverage is effectively utilized to protect the organization from excessive financial losses. They also collaborate with clinical teams, insurers, and third-party administrators to optimize patient outcomes and cost containment strategies. Additionally, they may be involved in policy development, compliance, and reporting related to stop loss insurance.

What are some common challenges faced by a Director Stop Loss RN, and how can they be addressed?

A Director Stop Loss RN often encounters challenges such as balancing complex case reviews with administrative responsibilities, ensuring compliance with changing regulations, and effectively communicating with both clinical and non-clinical teams. Addressing these challenges requires strong organizational skills, continuous education on industry updates, and fostering open communication channels with underwriters, claims analysts, and healthcare providers. Prioritizing tasks and leveraging technology for data management can also help streamline workflows and enhance team collaboration.

What are the key skills and qualifications needed to thrive as a Director Stop Loss RN, and why are they important?

To thrive as a Director Stop Loss RN, you need extensive clinical nursing experience, a current RN license, and strong knowledge of stop loss insurance and healthcare risk management. Familiarity with claims adjudication systems, utilization review software, and relevant certifications such as CCM (Certified Case Manager) are highly beneficial. Leadership, analytical thinking, and effective communication are crucial soft skills for overseeing teams and collaborating with stakeholders. These skills ensure accurate risk assessment, efficient claims processing, and optimal financial and clinical outcomes for organizations.

What is the difference between Director Stop Loss Rn vs Stop Loss Nurse?

AspectDirector Stop Loss RnStop Loss Nurse
CredentialsRN license, industry certificationsRN license, specialized training
Work EnvironmentManagement, policy development, oversightPatient care, clinical support
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, insurance providers
Search & Comparison IntentLeadership roles in stop loss insuranceClinical roles related to stop loss coverage

The main difference is that the Director Stop Loss Rn focuses on managing stop loss insurance programs from a leadership and policy perspective, often overseeing teams and strategy. In contrast, the Stop Loss Nurse is primarily involved in clinical patient care and support within the stop loss insurance context. Both roles require RN credentials but serve different functions within the healthcare and insurance industries.

What cities are hiring for Director Stop Loss Rn jobs?

Cities with the most Director Stop Loss Rn job openings:

What are the most commonly searched types of Stop Loss Rn jobs?

The most popular types of Stop Loss Rn jobs are:

What states have the most Director Stop Loss Rn jobs?

States with the most job openings for Director Stop Loss Rn jobs include:

What are popular job titles related to Director Stop Loss Rn jobs?

For Director Stop Loss Rn jobs, the most frequently searched job titles are:

Sr. Director, Stop Loss

Chicago, IL • On-site

Health Care Service Corp.
Outpatient Health Care • 10K+ employees

$133K - $247K/yr

Other

Medical, Life, Retirement, PTO

Posted 18 days ago


Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for providing overall strategic leadership over the performance, management and development of enhancements to Stop Loss; assuming role of Product Strategist for Stop Loss, ensuring Stop Loss meets company profitability and operational requirements, supporting Sales and Account Management in achieving stop loss targets, managing performance of Stop Loss with input from other stakeholders, coordinating all Stop Loss activities across corporate areas to ensure performance meets targets and development and implementation initiatives meet assigned deadlines. This person is also responsible for developing, in collaboration with others, the vision and future roadmap for all stop loss related product activities including defining business requirements, leading product development, implementing and sustaining the strategic product roadmap, competitive positioning and product design for both existing and next-generation product offerings.

Job Responsibilities
  • Develop, in collaboration with others, the long-term stop loss product vision and strategic direction
  • Develops and manages the stop loss product roadmap and prioritization process
  • Develops and implements strategies that significantly increase product revenue
  • Responsible for deploying strategies to improve customer acquisition, engagement, and retention
  • Serves as Product Owner for Stop Loss Product Partners and engages with IT and Operations for end-to-end success
  • Leverages data to influence and shape product design decisions
  • Operates with a high level of autonomy to drive results
  • Partners with Marketing Teams on Go to Market plan for Stop Loss Product
  • Assess strategic partnerships and opportunities that advance the priorities of the stop loss product
  • Responsible for achieving strong ROI in applicable markets
Required Job Qualifications
  • Bachelor’s Degree in business or Health Administration AND 10 years’ experience in health care, health insurance, or strategic consulting environment OR 14 years’ experience in health care, health insurance, or strategic consulting environment 5 years management experience
  • 5 years of stop loss related experience Enterprise-wide project coordination, project management, facilitation, presentation, and leadership experience
  • Knowledge of field sales operations and business strategies in the insurance industry
  • Experience leading and mentoring staff
  • Clear and concise verbal and written communication skills
  • Experience interacting successfully with senior management and staff across multiple departments
  • Organizational skills, including ability to prioritize tasks
  • Creativity and innovation, risk analysis, analytical rigor, and implementation expertise
  • Business acumen and project/process integration skills
  • Overseeing the annual budget and allocating resources for various projects and operational needs
  • Translating needs and initiatives into compelling business cases
  • Conducting cost-benefit analyses to justify investments and ensure ROI
Preferred Job Qualifications
  • Proven track record of managing complex products through product development lifecycle
  • Excellent interpersonal and leadership skills with demonstrated ability to build effective working relationships with individuals and groups at all levels
  • Demonstrated ability to communicate effectively both orally and in writing, including formal presentations and the facilitation of group planning sessions
  • Ability to work within cross-functional teams
  • Ability to write executive level documents and make executive level presentations
  • Demonstrated excellent attention to detail including proven ability to manage multiple projects and priorities in parallel
  • Demonstrated ability to dive deep in understanding the product, business, and market trends (including the competitive landscape)
  • Demonstrated ability to move abstract concepts and early product ideas through product development phases to deliver effective and successful product solutions with strong ROI

#LI-TR1 INJLF

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.

Base Pay Range $133,400.00 - $247,700.00 Exact compensation may vary based on skills, experience, and location.

From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. https://careers.hcsc.com/totalrewards

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned.

All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to 'candidate home' to view your job submissions.

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