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

As of Jun 5, 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 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 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 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 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:
Director Stop Loss Rn jobs near you

Director, Stop Loss Market Relations

Crumdale Specialty

Paoli, PA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 10 days ago

Job description

About Crumdale Specialty:

Crumdale Specialty is a diversified insurance firm providing custom solutions to businesses nationwide. We leverage industry expertise, superior talent, and a disruptive mindset to provide agile, transparent, and cost-saving solutions to optimize self-funded health plans. Founded in 2014, we are the fastest-growing purveyor of integrated insurance solutions, with deep-rooted experience in program management, TPA administration, PBM consulting, stop-loss coverage, compliance, risk management, underwriting, and analytics.  

At Crumdale, people come first. Our clients, colleagues, trading partners, and communities are our strength. Our company culture is rooted in alignment, innovation, and integrity. We are proud to be named an Inc. Magazine Best Places to Work in multiple years. 

Reporting to the SVP of Stop Loss & Sales Operations, the Director of External Market Stop Loss Relations will act as Crumdale's external market stop loss relationship subject matter expert responsible for developing new, and enhancing existing, relationships with external stop loss carrier partners.Working collaboratively and in the interest of Crumdale, drive detail, discipline, and accountability with external stop loss carriers with respect to communication, expectations, timelines, and results. The successful Director will increase the number of stop loss carrier partners and the number of competitive stop loss quotes produced by Crumdale through Crumdale's Stop Loss Center of Excellence but is not accountable for the sale. 

The Director of External Market Stop Loss Relations will provide ongoing stop loss expertise to internal and external stakeholders to include working across various functional areas. This role will work on both tactical and strategic aspects of stop loss quoting and pricing for new business and renewals, working closely with Regional Sales Directors and Sales VPs. This role will also drive forward the orchestration and execution of stop loss related initiatives on behalf of the SVP of Stop Loss & Sales Operations, thereby extending the effectiveness of the organization. 

Duties & Responsibilities:  

  • Develop strong stop loss carrier partnerships with Crumdale's existing stop loss partners as well as identify and cultivate new stop loss carrier partnerships.  
  • Implement new, and enhance existing, processes to improve efficiency and speed to quote while driving competitive performance from Crumdale's stop loss partners. 
  • Mastery of Crumdale's cost containment programs, how they impact plan pricing and their application to stop loss insurance.  
  • Work closely with the Pricing, Quoting, & Center of Excellence teams to develop proper quote requests and process to maximize impact to the organization.  
  • Negotiate proposals with and without direction to secure the best possible quotes prior to releasing to the sales team.  
  • Help the team drive more stop loss proposals to go firm and final and ultimately close as new sold business. 
  • Leverage technology and artificial intelligence to amplify the expertise of the team and Crumdale's carrier partners, and accelerate quote throughput thus reducing time to quote at all stages of the process. 

Requirements

Qualifications & Skills:

  • Self-funded employee benefits industry experience with minimum 5 years' experience in stop loss / medical reinsurance sales (10+ years' preferred)
  • Extensive knowledge of, and relationships in, medical stop loss underwriting
  • Captive experience, preferred
  • Excellent communication, interpersonal, and organizational skills 
  • Superior critical thinking and analytic skills
  • Ability to form strong relationships with internal and external teammates 
  • Proven ability to lead and develop a high performing team
  • Ability to maintain a high level of confidentiality 

Education:

  • Bachelor's degree in business, finance, and / or similar discipline with analytic basis*
  • Experience with Salesforce, preferred
  • Proficient with MS Office suite 

*Equivalent military service at E4 or higher is acceptable in place of a bachelor's degree
 

Travel Requirement:

  • Ability to travel overnight up to 20%, required

Benefits

At Crumdale, we strive to provide a comprehensive and supportive benefits package to ensure the well-being of our employees. Our benefits include:

  • Medical
  • Telemedicine
  • Dental
  • Vision
  • Life, AD&D, Disability
  • 401(k)
  • Flexible Time-off

Please note: Crumdale Specialty is not engaging with external recruitment agencies; please refrain from contacting us regarding this position.

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