Top Tech Jobs & Startup Jobs

Own and lead Centivo's stop loss and captive product portfolio, defining program structure, pricing, reinsurance, underwriting alignment, and performance management. Build the risk product roadmap, design captive strategy, partner with underwriting/actuarial/finance, translate technical mechanics into operational requirements, and represent products externally to brokers, consultants, and partners.

Lead and coach a claims processing team for self-funded employer health plans, enforce SLAs and quality standards, manage claim inventory and backlog, develop policies and procedures, collaborate with Quality/Training and System teams, oversee appeals/subrogation/overpayments, and report performance metrics.

Design, document, test, and maintain end-to-end claims workflows and Confluence documentation. Build training materials and deliver instructor-led or virtual sessions, validate workflows in Javelina and HRP, support onboarding, and partner cross-functionally to ensure claims processes function as designed and remain accessible and accurate.

Own and grow strategic national self-funded employer relationships post-implementation; serve as executive-level trusted advisor; lead renewals, performance reviews, and expansion opportunities; coordinate cross-functional teams to ensure high-touch service delivery; produce data-driven insights and customized reporting; mitigate retention risks and resolve high-stakes issues; represent Centivo in sales pursuits and contribute client-informed product strategy.