Senior Manager, Stop-Loss Risk and Proposals

About this role

Company Overview:

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.

Role Description
The Senior Manager, Stop-Loss Risk and Proposals owns the front end of our sales process for self-funded cases. You will evaluate the risk on each case, prepare it for our stop-loss carrier underwriting partners, and manage the proposal through to a quote. This is not a carrier underwriting seat. It is a role for someone who has underwritten stop-loss, knows how underwriters will look at a case before they see it, and wants to use that knowledge on the business side to help our sales team bring better-prepared cases to market and win them.

Responsibilities

Risk Evaluation and Management

• 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.

RFP and Proposal Management

• 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.

Carrier and Underwriter Relationships

• 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.

Sales Enablement and Team

• 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.

Qualifications

• 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.

Benefits

• Health: Medical, dental, and vision insurance

• Retirement: 401(k) with company match

• Paid leave: Vacation, Sick, and company holidays

• Ancillary: Company-paid life and disability insurance

Originally posted on Himalayas