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Director Stop Loss Rn Jobs in Kentucky (NOW HIRING)

$80 - $120/hr

Group Underwriting, Stop Loss Voya's Employee Benefits division is seeking Stop Loss Underwriters ... Associate Group Underwriter: Entry-level underwriting role working under direct supervision on ...

New

$68 - $102/hr

The opportunity Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this ... Direct the evaluation, investigation, negotiation, and settlement of complex claims, ensuring ...

Medical at JCW Bellevue, Kentucky

Bellevue, KY · On-site

$17.25 - $22.25/hr

... stop loss business, supporting pricing, risk assessment, and case management for self funded and level funded health plans. * You will have direct exposure to senior leadership given the size of the ...

Registered Nurse

Lexington, KY · On-site

$36 - $40/hr

Provide comprehensive nursing assessments and direct patient care * Assist physicians and advanced ... One Stop Recruiting is an equal opportunity employer. We offer equal employment and contract ...

$61 - $130/hr

Candidate must have active and unrestricted Compact Registered Nurse (RN) Licensure in OH or in ... You must have or be able to obtain a direct/hardwired internet connection to a modem/router within ...

$54 - $156/hr

Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or ... A RN who resides in a compact state is required to have an active multistate license through the ...

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Director Stop Loss Rn information

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 in Kentucky are hiring for Director Stop Loss Rn jobs?

Cities in Kentucky with the most Director Stop Loss Rn job openings:

Stop Loss: Group Underwriting (Various Levels)

Voya Financial, Inc.

On-site

$80 - $120/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New


Voya Financial rating

7.9

Company rating: 7.9 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

86th of 151 rated financial services


Job description

Together we fight for everyone’s opportunity for a better financial future. We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future. We know that reaching this future depends on our actions today. Like our Purpose Statement, Voya believes in being bold and committed to action. We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully bringing our differences together to positively influence our culture, serve our clients and enrich our communities is essential to our vision.

Are you ready to join a company with a strong purpose and a winning culture? Start your Voyage – Various Levels: Group Underwriting, Stop Loss Voya’s Employee Benefits division is seeking Stop Loss Underwriters to evaluate employer group medical stop loss submissions and support underwriting decisions for both new business and renewal opportunities. This role analyzes risk and pricing factors, including group demographics, claim experience, large claimant activity, participation, plan design, contract terms, funding arrangements, and overall profitability, while ensuring proposed stop loss coverage aligns with underwriting guidelines and can be effectively administered. The underwriter partners with internal teams, field personnel, brokers, and clients to gather information, communicate decisions, and support competitive, financially sound solutions across the stop loss book of business. Successful candidates bring strong analytical judgment, attention to detail, problem-solving ability, and clear communication skills, with responsibilities and approval authority increasing by level.

Key level differences:
  • Associate Group Underwriter: Entry-level underwriting role working under direct supervision on basic group insurance applications; approval authority up to 1,000 lives; typically requires 0–2 years of underwriting experience.
  • Senior Group Underwriter: Independently underwrites more difficult and complex group insurance applications; approval authority up to 5,000 lives; typically requires 3–4 years of group underwriting or voluntary benefits experience; may provide training and guidance to lower-level underwriters.
  • Lead Group Underwriter: Independently underwrites the most complex cases and provides broader guidance, work direction, training, and quality/performance input; approval authority up to 10,000 lives; typically requires 5–8 years of underwriting experience, with supplemental health experience preferred.
Compensation Pay Disclosure

Voya is committed to pay that’s fair and equitable, which means comparable pay for comparable roles and responsibilities. The below annual base salary range reflects the expected hiring range(s) for this position in the location(s) listed. In addition to base salary, Voya offers incentive opportunities (i.e., annual cash incentives, sales incentives, and/or long-term incentives) based on the role to reward the achievement of annual performance objectives. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Voya Financial is willing to pay at the time of this posting. Actual compensation offered may vary from the posted salary range based upon the candidate’s geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked. $80,000 - $120,000 (aligned to experience)

Be Well. Stay Well.

Voya provides the resources that can make a difference in your lives. To us, this means thriving physically, financially, socially and emotionally. Voya benefits are designed to help you do just that. That’s why we offer an array of plans, programs, tools and resources with one goal in mind: To help you and your family be well and stay well.

Learn more about Voya benefits (download PDF)

What We Offer
  • Health, dental, vision and life insurance plans
  • 401(k) Savings plan – with generous company matching contributions (up to 6%)
  • Voya Retirement Plan – employer paid cash balance retirement plan (4%)
  • Tuition reimbursement up to $5,250/year
  • Paid time off – including 20 days paid time off, nine paid company holidays and a flexible Diversity Celebration Day.
  • Paid volunteer time — 40 hours per calendar year
Critical Skills

At Voya, we have identified the following critical skills which are key to success in our culture: Learn more about Critical Skills

  • Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations.
  • Critical Thinking: Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution.
  • Team Mentality: Partnering effectively to drive our culture and execute on our common goals.
  • Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions.
  • Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage.
Equal Employment Opportunity

Voya Financial is an equal-opportunity employer. Voya Financial provides equal opportunity to qualified individuals regardless of race, color, sex, national origin, citizenship status, religion, age, disability, veteran status, creed, marital status, sexual orientation, gender identity, genetic information, or any other status protected by state or local law.

Reasonable Accommodations

Voya is committed to the inclusion of all qualified individuals. As part of this commitment, Voya will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please reference resources for applicants with disabilities.

Misuse of Voya's name in fraud schemes

Voya Financial, Inc., is a leading retirement, employee benefits and investment management company. Voya’s services and solutions help clear the path to financial confidence and a more fulfilling life for individual, workplace and institutional clients, supporting more than 18 million customer relationships. Certified as a “Great Place to Work” by the Great Place to Work® Institute, Voya fosters a culture that values customer centricity, integrity, accountability, agility and inclusivity. Together with customers and partners, Voya employees fight for everyone's opportunity for a better financial future.

For more information visit https://www.voya.com/

Voya’s values serve as our compass, bringing together our culture, performance, brand, vision, strategy and corporate responsibility activities. Our values guide our decision-making and behaviors allowing us to deliver worth to our customers, distribution partners, shareholders and each other. With a lens on balance, health & welfare, our work environment offers flexibility. The majority of our roles have adopted a hybrid schedule — working some days in the office and some days remotely, providing flexibility for work-life balance and still allowing the benefit of in-person collaboration. Some functions will continue to be 100% on-site and others may be fully remote, depending on business needs.

We care We do the right thing We have customer passion We have a winning spirit We are the We Certified by the Great Place to Work® Institute as a Great Place to Work® for the 10th consecutive year, Voya is equally committed to conducting business in a way that is socially, environmentally, economically and ethically responsible. Voya’s culture is proudly recognized by multiple organizations. See a full listing of our awards and recognition.

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