Senior Manager, Stop Loss Risk & Proposals

Our company is a start-up that specializes in episodes of care benefit plans. We have a deep expertise in episode pricing and analytics and our goal is to bring transparency and efficiency to the healthcare market. Our company is committed to providing high-quality, affordable healthcare to our customers.

• Review incoming cases and assess the risk before they go to underwriting, including claims experience, census, and plan design.
• Advise sales leadership on how a case is likely to be viewed and priced by stop-loss carriers, and on which cases to pursue.

• Own the RFP and proposal process for self-funded stop-loss cases, from intake through submission, quote, and follow-up.
• Check every submission and proposal for accuracy and completeness before it goes out.
• Gather and compare carrier quotes and recommend the best placement for each case.

• Work as the day-to-day contact for our stop-loss carrier underwriting partners.
• Stay current on how each carrier evaluates specific and aggregate stop-loss risk, and on pricing and competitive trends in the self-funded market.

• Partner with sales, brokers, and consultants on case strategy and quotes.
• Work across sales, finance, and actuarial partners so that pricing, risk, and proposals stay aligned.
• Build the tools and repeatable processes behind submissions and quoting, and coach junior sales support staff.

• Describe the experience and attributes of the ideal candidate
• Stop-loss underwriting experience, ideally at a stop-loss carrier, reinsurer, or managing general underwriter and/or Business-side experience supporting a sales team or broker channel through the RFP, proposal, and quoting process.
• 7+ years of combined experience in self-funded group health stop-loss on either the carrier or business side.
• Working knowledge of specific and aggregate stop-loss, including how cases are underwritten and priced.
• Bachelor’s degree or equivalent experience.