Stop Loss Analyst IV, Lead

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.
We are proud to say that for three years, HMA has been chosen as a 'Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, 'Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/
How YOU will make a Difference:
The Stop Loss Analyst, Lead at HMA provides essential analysis and management of stop loss insurance policies for our self-funded groups. Acting as a key liaison between clients and internal teams, the analyst safeguards clients from high dollar claims while supporting efficient benefit administration and regulatory compliance.
What YOU will do:

• Monitor inventory levels and ensure that resource capacity is sufficient to deliver work on-time
• Oversee Group Renewal activity to maximize stop loss coverage and reimbursement for Groups
• Understand systems and tools required to execute the stop loss function. Monitor for stable performance and potential operational enhancements
• Analyst capability: Provides strong analytical, conceptual, and problem-solving skills in managing the Stop Loss function and reducing risk to HMA and Groups
• Business requirement development: Ability to assess and write detailed business requirements
• Industry knowledge: Ability to research, risks, and trends that benefit the customer and HMA
• Technical capability: Ability to use Excel and other HMA systems to gather, assess, and perform detailed calculations
• Reporting: Ability to create actionable dashboard and ROI reporting
• SME: Working knowledge of program operations, systems, and associated regulations at the local, state, and federal level
• Business knowledge: Demonstrates operational business and claims processing subject matter expertise
• Critical thinking and troubleshooting: Ability to identify issues, recommend solutions, and manage situations to resolution
• Able to drive process improvement opportunities for increased efficiency and performance
• Understands the impact of the work being performed to identify any downstream impacts or risks to the HMA or the Client
• Coordination and multitasking: Assists with coordination, design, and execution of activities necessary to facilitate the stop loss functions on behalf of our Groups.

Knowledge, Experience, and Key Attributes needed for Success:

• Associate Degree minimum required
• 7-10+ years of experience in Stop Loss Reporting or Medical Claims
• 1-3+ years of proven leadership experience
• Proficiency in Microsoft Suite (Excel, Teams, Word, etc)
• Strong Customer Relations Skills
• Partnership with the portfolio manager, programs manager, and other Claims and Operations functions at HMA
• Team oriented: Works well as part of a solutions team, sharing ideas, supporting intended outcomes
• Customer response: Effectively responds to internal and external customer inquiries and focuses on issue resolution
• Stress management: Ability to keep focused and manage stress under pressure
• Continual Learner: Seeks out and finds ways to continually learn and evolve with the business

Compensation:
The base salary range for this position in the greater Seattle area is $86,000-$97,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available.
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
In addition, HMA provides a generous total rewards package for full-time employees that includes:

• Seventeen (IC) days paid time off (individual contributors)
• Eleven paid holidays
• Two paid personal and one paid volunteer day
• Company-subsidized medical, dental, vision, and prescription insurance
• Company-paid disability, life, and AD&D insurances
• Voluntary insurances
• HSA and FSA pre-tax programs
• 401(k)-retirement plan with company match
• Annual $500 wellness incentive and a $600 wellness reimbursement
• Remote work and continuing education reimbursements
• Discount program
• Parental leave
• Up to $1,000 annual charitable giving match

How we Support your Work, Life, and Wellness Goals
At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party.
We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.)
HMA requires a background screen prior to employment.
Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures.
HMA is an Equal Opportunity Employer.
For more information about HMA, visit www.accesshma.com .