Remote Clinical Stop-Loss Nurse: Risk & Cost Projections
HCSC Group
- Remote job
Health Care Service Corporation in the United States is seeking a Clinical Stop Loss Nurse to review case management notes and large claims for stop loss quotes and renewals. This remote role collaborates with internal claim, clinical, and underwriting teams to develop ongoing care and cost projections. You will communicate projections to underwriting, support timely cost analyses within 24-48 hours of receipt, and maintain accurate clinical summaries. #J-18808-Ljbffr HCSC Group
$67.9k
...customers manage risk with laser-focused... ...in Employer Stop Loss, Excess Medical,... ...Business and Team: The Clinical Risk Manager role... ...regarding nursing, medical conditions... ...current and next year cost projections and savings... ...giving. #LI-JA1 #LI-Remote #J-18808-Ljbffr...Remote workRiskFlexible hours$84.4k - $152.3k
...individuals and groups seeking stop loss insurance quotes and... ...with internal claim, clinical and case management... ...ongoing care and cost projections. The projections are then... ...evaluate potential risk and associated costs.... ...Bachelor's degree in nursing is preferred with current...RiskWork at officeWork from home- Captive Resources, LLC is seeking a Clinical Risk Specialist RN to provide high quality... ...identification, assessment and projections of high-cost cases to assist in underwriting. Qualifications... ...years of clinical and two years in stop loss/health payer experience. Occasional...Remote jobRisk
$137k - $150k
...Solutions / Medical Stop Loss Requisition Number:... ...Itasca, IL 60143, USA Remote, 1100 N Arlington... ...information. Description The Clinical Risk Specialist RN is... ..., assessment and projections of high-cost cases to assist in the... ...: ASN or BSN in nursing licensed in the State...Remote workRiskFull timeTemporary workShift work$90k - $120k
...serve. TPAC is looking for a Clinical Risk Nurse to join our team. This is a remote or hybrid, full-time... ...clinical data, and identifying cost drivers within the medical stop-loss portfolio. This role serves... ...handling Support special projects and ad hoc clinical analyses...Remote workRiskFull timeWork at office$90k - $125k
Job DescriptionLocation: Remote (United States)About... ...Job Summary:The Senior Stop Loss Underwriter is responsible... ...pricing, and managing risk for employer-sponsored... ...collaborates with sales, clinical, policy, and claims... ...clinical underwriting on high-cost casesCoordinate with...Remote workRiskFull timeContract workImmediate startFlexible hours- Stop Loss Underwriters-Multiple Positions. Hartford, CT to 120k(DOE)... ...authority.Analyze and select risks based on qualified underwriting... ...from the Company’s internal Clinical Underwriting staff.Properly... ..., etc.4 days in office 1 day remote.Qualified candidates should submit...Remote workRiskWork at office
- Syneos Health is seeking an experienced Clinical Project Manager to lead an inflammation program in a sponsor-dedicated, remote US environment. You will drive cross-functional... ...The role emphasizes independent leadership, risk management, vendor oversight, and rigorous study...Remote jobRisk
$89.3k - $148.8k
...We are seeking a Senior Project Manager, Clinical PMO to join our Peripheral Vascular... .... This role is Remote , though proximity to the Irvine... ...stakeholders Develop a risk management plan for the... ...forecast program budgets, driving cost efficiencies and financial...Remote workRiskFull timeWork at office$116.5k - $174.8k
...supplemental health, medical stop-loss insurance, and healthcare navigation... ...of our stop-loss and risk-based product strategy for self... ...experience, client services, clinical, L&D, and technology to... ...development, product strategy, or project leadership within a complex,...Remote workRiskWork at officeLocal areaFlexible hours- ## SR Clinical Project ManagerUS, Remote · Full-time#### About The PositionInsightec is a... ...closeout in a manner that manages risk and ensures compliance with... ...plans, strategy, cost and timelines* Identification... ...profile as per the protocol/stopping rules, local regulations, and...Remote workRiskFull timeContract workTemporary workLocal areaFlexible hours
- Syneos Health seeks a Clinical Project Manager II for Early Phase Virology (Healthy Volunteer studies). This sponsor‑dedicated, US‑remote role offers hybrid onsite in Foster City, CA and collaboration... ...‑up through CSR, drive timelines and risk mitigation, manage vendors and site...Remote jobRisk
$96.7k - $161.2k
...our team as a Manager, Stop Loss Claims!About the roleIn... ...support claims-related projects, system enhancements, and... ...!” - Gina B., Medical Risk Manager“I chose Symetra... ....Knowledge of cost containment strategies... ...Please review Symetra's Remote Network Minimum Requirements...Remote jobRiskFull timeWork at officeImmediate startWork from homeFlexible hours- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. This role covers underwriting... ...The Stop Loss Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound...Remote jobRisk
$105.4k
...history of helping our customers manage risk with laser-focused expertise, integrity and... ...analyses and reviewsAnalyze stop loss program experience and develop appropriate... ...efficient mannerAbility to manage multiple projects simultaneously while meeting deadlinesWork...Remote workRiskWork at office- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. You will underwrite new business... ...staying competitive. Collaboration with sales, clinical, policy, and claims teams is essential to deliver...Remote jobRisk
$61 - $65.21 per hour
Clinical Project Lead II for Life Cycle Management (LCM) in Vision care 4 days ago Be among the first... ...(LCM) in Vision care Location: Remote Duration: 06 months Pay Range: $(61.00 -... ...Regulation (MDR) remediation and Post production Risk Reviews (PPRRs). Review large documents...Remote workRiskContract work- ...RN Clinical Consultant The RN Clinical Consultant... ...decision-making, risk stratification, and... ...other duties and projects as assigned... ...Associate's degree in nursing Minimum 1+ years... ...bereavement, reproductive loss, and therapy ~... ...healthcare works to reduce costs, ensure better...Remote workRiskTemporary workWork at officeFlexible hours
$84k - $140k
...insurance company is seeking an experienced Clinical Risk Manager for their Accident & Health division. This position requires a strong nursing background, preferably with experience in... ...medical conditions with associated cost analyses and collaborating closely with underwriters...Risk- ...2Posted: 2026-08-04Location: Remote, New YorkCompany: Planet Pharma... ...@staffingfuture.comThe Clinical Project Manager II is responsible for... ...ResponsibilitiesMajor duties during the cost proposal process: *... ..., if needed. Discusses major risks and issues with Senior Project...Remote workRiskFor contractorsLocal area
$90k - $110k
...Berkley Accident and Health is a risk management company that... ...products, including employer stop loss, benefit captives, provider stop... ...position can either be fully remote (if not within commutable... ...understanding of the Company’s clinical, actuarial, claims and distribution...Remote workRiskFull timeWork at office- Manager, Stop Loss Claims(Remote)Amwins Accident & Health Underwriters, formerly known as Beacon Risk Strategies, is conducting a search looking for an experienced Manager, Stop loss... ...our tenacious focus on delivering superior cost containment, claims administration and...Remote workRiskContract workWork at office
- ...of how to drive better outcomes at lower cost. Over the years, we grew into a national... ...We are seeking a Director of Claims & Stop-Loss Transformation to lead strategic modernization... ...visibility into performance trends, risks, and opportunities. Transformation Governance...Remote workRiskContract workWork at office
$142.9k
...portfolio, which spans both special risk and medical solutions, A&H... ...and reviews for employer stop loss business Analyze stop loss program... ...Ability to manage multiple projects simultaneously while meeting... ...pay programs. #LI-BS1 #LI-REMOTE #J-18808-Ljbffr Crum & ForsterRemote jobRiskWork at officeFlexible hours$135k - $155k
...complex commercial large loss claims, supporting the... ...approach tailored to each project. Your focus will be on... ...pricing and providing expert cost guidance to inform... ...industries such as builders’ risk, manufacturing, real... ...the country, this is a remote-based Hybrid position which...Remote workRiskFor contractorsHome office$125k - $170k
...Clinical Project Manager At Alto Neuroscience, you will play a pivotal... ...Identify study- and program-level risks and develop and implement... ...meet quality, timeline, and cost expectations Provide strong... ...Mountain View, CA *will consider Remote Salary Range $125,000 -...Remote workRisk- ...Senior Clinical Project Manager Precision for Medicine is not your typical CRO. At Precision... ...help the life sciences improve the speed, cost and success rate of bringing life-changing... ..., including timelines and proactive risk management and mitigation, to guide all...Remote workRiskWork at officeFlexible hoursNight shift
- ...Clinical Project Manager (Oncology)- United States or Canada- Remote ICON plc is a world-leading healthcare intelligence... ...financial acumen and a risk mitigation mindset. As... ..., quality/scope, and cost deliverables).... ...professional (i.e., registered nurse), preferred Minimum...Remote workRiskWork visaFlexible hours
$107k - $140k
Sr. Manager, Stop Loss Claims Operations - Healthcare TPA Because health... ...-driven solutions that reduce costs while actually improving... ...Stop loss is where financial risk, operational precision, and client... ...position offers flexibility for remote candidates. For candidates...Remote workRiskContract workWork at office- ...Syneos Health/ inVentiv Health Commercial LLC is seeking a Clinical Project Manager II for virology Phase I programs in a sponsor‑dedicated... ...study delivery. The role emphasizes operational leadership, risk management, and end‑to‑end study oversight across the trial lifecycle...Remote workRisk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Stop-Loss Nurse: Risk & Cost Projections. Be the first to apply!
- nurse practitioner urology Richardson, TX
- hospice nurse practitioner Richardson, TX
- nurse supervisor Richardson, TX
- nurse practitioner - telehealth Richardson, TX
- full time nurse practitioner Richardson, TX
- telemedicine nurse practitioner Richardson, TX
- advanced nurse practitioner Richardson, TX
- outpatient nurse practitioner Richardson, TX
- nursing home nurse practitioner Richardson, TX
- nurse practitioner Richardson, TX


