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Director Stop Loss Rn Jobs in Massachusetts (NOW HIRING)

Job Summary The Reinsurance Specialist will report to the Director of Underwriting. The Reinsurance Specialist ensures accurate, timely stop-loss premium, claims, reimbursement, and payment data for ...

Reinsurance Specialist

Canton, MA

$20.25 - $28/hr

Job Summary The Reinsurance Specialist will report to the Director of Underwriting. The Reinsurance Specialist ensures accurate, timely stop-loss premium, claims, reimbursement, and payment data for ...

Registered Nurse

Hingham, MA ยท On-site

$58/hr

Registered Nurse - Assistant Director Hingham, MA Pay From: $58 per hour MUST: The Registered Nurse ... management, weight loss, and dehydration Participating in Wound Rounds, Operations Meetings ...

RN

Cambridge, MA ยท On-site

$2.0K/wk

This position requires direct patient care. Essential Functions: Maintains accurate, detailed ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...

RN (Registered Nurse)

Boston, MA ยท On-site

$2.6K/wk

Details Client Name Tufts Medical Center Job Type Travel Offering Nursing Profession RN Specialty ... Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with ...

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

But our commitment doesn't stop at placement. We're here to ensure your success every step of the ... Weekly Pay & Direct Deposit * W2 Employee Status * 401(k) Retirement Plan * Medical, Dental and ...

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Director Stop Loss Rn information

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 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 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 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 cities in Massachusetts are hiring for Director Stop Loss Rn jobs? Cities in Massachusetts with the most Director Stop Loss Rn job openings:

Associate Director, Stop-Loss Product Development

Stryker Corporation

Wellesley, MA โ€ข On-site

$117 - $175/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

Job Description

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

At Sun Life, we're driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful.

When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK.

The opportunity

We are seeking an Associate Director, Stop-Loss Product Development to support the design, development, and execution of our stop-loss and risk-based product strategy for self-funded employers.

This role leads defined product initiatives and workstream within the broader product portfolio, contributing to innovation, growth, and ongoing competitiveness. This role combines handsโ€‘on execution, crossโ€‘functional leadership, and subject matter expertise, with opportunities to independently lead discrete product initiatives while operating within a Directorโ€‘led strategy and governance framework.

How you will contribute
  • Lead and support the endโ€‘toโ€‘end development of product initiatives, including concept development, design, implementation, launch, and postโ€‘launch evaluation.
  • Independently manage defined product enhancements, features, and programs aligned to product strategy, timelines, and governance.
  • Partner across underwriting, actuarial, claims, finance, legal, state filing, marketing, client experience, client services, clinical, L&D, and technology to execute initiatives.
  • Coordinate with external vendors and partners to support product delivery and implementation.
  • Monitor product performance using financial and operational metrics and recommend enhancements to improve outcomes.
  • Identify and implement process improvements to strengthen product development efficiency and effectiveness.
  • Serve as a subject matter expert on stopโ€‘loss products, supporting internal training, materials, and business enablement.
  • Partner with distribution teams to support growth, client engagement, and market expansion efforts.
  • Monitor industry, legislative, and competitor trends and support execution of product strategy and change initiatives.
  • Leverage data, analytics, and AI tools to support product research, development, and performance insights.
What you will bring with you
  • Ability to work with a diverse range of people.
  • 5+ years of experience in stop-loss, selfโ€‘funded healthcare, or related riskโ€‘based insurance products.
  • Experience in product development, product strategy, or project leadership within a complex, matrixed environment.
  • Strong understanding of stopโ€‘loss market dynamics, product design, and financial performance drivers is preferred.
  • Bachelor's degree is highly preferred
  • Demonstrated ability to lead crossโ€‘functional initiatives and influence without direct authority.
  • Ability to operate independently while aligning to broader strategic direction and governance.
  • Strong analytical, problemโ€‘solving, and data interpretation skills.
  • Excellent communication and collaboration skills, with the ability to influence across teams.
  • Strong organizational and execution skills, with the ability to manage multiple priorities.
  • Working knowledge of project management principles and tools.
  • Confidence in negotiating and presenting at a senior level.
Salary

$116,500-$174,800

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

Life is brighter when you work at Sun Life
  • generous vacation and sick time
  • marketโ€‘leading paid family, parental and adoption leave
  • medical coverage
  • company paid life and AD&D insurance
  • disability programs and a partially paid sabbatical program
  • 401(k) employer match
  • stock purchase options
  • employerโ€‘funded retirement account
  • flexible, inclusive and collaborative work environment that supports career growth
  • top employer
  • Proudly Great Place to Workยฎ Certified in Canada and the U.S.
  • recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row

Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwiseโ€‘qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

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

Job Category

Product

Posting End Date

23/08/2026

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