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
Skills Required
- Stop-loss underwriting experience at a carrier, reinsurer, managing general underwriter, or business-side experience supporting sales or broker channels through RFP, proposal, and quoting processes
- 7+ years of combined experience in self-funded group health stop-loss on the carrier or business side
- Working knowledge of specific and aggregate stop-loss, including case underwriting and pricing
- Bachelor's degree or equivalent experience
What We Do
We are Oxbridge Health™, an early-stage healthcare company designed to challenge the current paradigm of how people access healthcare, how providers are organized and paid, and how employers engage their employees, to finally break the curve that has been crushing corporations and consumers alike for decades. Comprised of seasoned pioneers in the field of healthcare, whose experience spans multiple organizations and approaches, we have identified a need for a new form of health insurance: one which is built around the power of Episodes of Care. Join us as we work to create the ultimate healthcare logistics company, designed to truly deliver the right care, at the right time, at the right place, for the right price; and as we answer the question: "what if we could present information in a way that consumers could truly be activated--by adding a Fifth Right: the right choice?"
