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Director Stop Loss Rn Jobs (NOW HIRING)

Amwins

Amwins A&H- Claims Manager, Stop Loss

Seattle, WA · On-site

Manager, Stop Loss Claims (Remote) Amwins Accident & Health Underwriters, formerly known as Beacon ... Our employees pride themselves on prompt, personalized service and our customers have direct access ...

Amwins

Amwins A&H- Claims Manager, Stop Loss

Seattle, WA · Remote

Manager, Stop Loss Claims (Remote) Amwins Accident & Health Underwriters, formerly known as Beacon ... Our employees pride themselves on prompt, personalized service and our customers have direct access ...

Novacore

Medical Review Nurse

Conshohocken, PA · On-site

Carbon Stop Loss Solutions makes up Novacore's Healthcare Segment. The Medical Review Nurse is a registered nurse who can assist Novacore's Claim and Underwriting Departments in managing risk and ...

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

Carbon Stop Loss Solutions makes up Novacore's Healthcare Segment. The Medical Review Nurse is a registered nurse who can assist Novacore's Claim and Underwriting Departments in managing risk and ...

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Director Stop Loss Rn information

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$108.7K

$170.5K

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

As of Jun 29, 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 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 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:
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Director Stop Loss Rn jobs near you
Account Manager III- Stop Loss

Account Manager III- Stop Loss

Integrated Resources INC

Newark, NJ

Full-time

Posted yesterday

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Job Summary:

This position is accountable for the retention of existing stop-loss accounts and growing new business where appropriate and profitable for the self-insured markets. This specialist position will focus on growing Client's book of business in addition to coordinating with our preferred stop loss vendors by acting as a liaison between sales, marketing, underwriting, preferred vendors, brokers and other key stakeholders both internally and externally.

Responsibilities:

Coordinates with sales and underwriting on all upcoming renewals and new business opportunities that will maximize the potential for account retention and initial premium and enrollment growth which a focus on profitability.

Plans and negotiates terms and conditions of contracts with existing accounts.

Compares and evaluates various products features and scenarios to make appropriate recommendations based on client needs assessment.

Develops and conducts workshops for clients/groups relative to marketplace trends, claim procedures, and health industry regulations.

Ensures that all clients and stakeholders are promptly informed of relevant legislative and regulatory issues and their associated impact.

Additional duties:

Sells new business to potential accounts, working towards sales goals while ensuring the sale of prudent and profitable business.

Develops prospective accounts and clients.

Informs and educates prospects on client products and services.

Performs other duties as assigned by management.

Knowledge/Skills/Abilities:

Must be proficient and possess advanced skills in the sale of or administration of stop loss products and demonstrate prior success in selling the product or capacity to attain.

Use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, and PowerPoint) and Lotus Notes; should be knowledgeable in the use of intranet and internet applications.

Requires knowledge of Group Health products lines including Managed Care and Pharmacy.

Requires knowledge of rating and policy renewal practices.

Prefers knowledge of Client products, underwriting policies, enrollment, billing, and claims processing procedures.

Negotiation skills

Verbal and written communication skills

Public speaking and presentation skills

Interpersonal skills

Relationship-building

Education:

Requires a bachelor's degree.

Experience:

Requires a minimum of five (7) years of stop loss administration or professional Health sales/contract negotiation experience, preferably in the stop loss insurance industry, with a documented track record of success.

Additional licensing, certifications, registrations:

Requires a valid NJ driver's license.

Requires a New Jersey State Health/Life License

Qualifications

Requires a minimum of five (7) years of stop loss administration or professional Health sales/contract negotiation experience, preferably in the stop loss insurance industry, with a documented track record of success.

Requires a bachelor's degree.

Requires a New Jersey State Health/Life License certificate or Licence 

Additional Information

Kind Regards,

Pramod Kumar

Technical Recruiter

Integrated Resources, Inc.

DIRECT # - 732-844-8730

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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