Associate Director, Clinical Services

Job Description Sun Life embraces a hybrid work model that balances in‑office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. Opportunity The Associate Director, Clinical Services leads a staff of Registered Professional Nurses (RN’s) and a Clinical Underwriting Team to ensure accurate and timely clinical reviews. The role focuses on optimizing health, mitigating risk, and supporting internal and external clients in understanding disease processes and treatment needs. How you will contribute 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 & 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 & 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 What you will bring with you Ability to work with a diverse range of people Experience as a Registered Nurse (RN) with 3‑5 years’ experience in Stop Loss or a similar financial/insurance field Experience in Clinical Underwriting 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 Excellent communication skills Salary Salary $101,000–$151,500 Equal Opportunity Employer 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. We will make reasonable accommodations to the known physical or mental limitations of otherwise‑qualified individuals with disabilities or special disabled veterans unless the accommodation would impose an undue hardship on the operation of our business. Please email View email address on click.appcast.io to request an accommodation. Posting End Date 30/06/2026 #J-18808-Ljbffr