Manage professional staff to: Provide accurate and timely consultation on referrals from the Underwriting team and other internal clients
Identify members who could benefit from additional resources like Clinical 360 cost containment measures
Optimize both risk and health outcomes
Drive team performance and growth: Conduct regular Quality Assurance (QA) reviews and provide coaching
Set performance goals and conduct reviews using appropriate tools
Offer career development and training opportunities
Make key personnel decisions (hiring, terminations, promotions, salary increases)
Foster innovation and collaboration: Support staff in identifying and implementing innovative solutions
Build collaborative relationships within the Underwriting organization
Facilitate partnerships across the broader Health and Risk solutions claims organization
Lead strategic initiatives: Contribute to special projects and change management activities
Promote the company's philosophy, strategies, and business objectives
Develop an interdisciplinary clinical model aligned with business needs
Maintain operational excellence: Manage operating expenses within budget

Experience Registered Nurse (RN) with 3-5 years’ experience in Stop Loss or similar financial/insurance field.
Experience in Clinical UW for Stop Loss or similar financial or health products.
Registered Nurse in Good standing, additional certifications a plus
High level of medical expertise and business knowledge of claims risk management
Demonstrated ability to coach and develop others
Able to solve problems that don’t have clear solutions or outcomes
Strong analytical and critical thinking skills
Strong project management and organizational skills
Collaborative and comfortable in cross functional organizations

Associate Director, Clinical Services

Key skills