MANAGER OF STOP LOSS

| Greater Denver Area
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Apostrophe is building the health plan that can fix America.

The largest, most innovative self-insured employers have figured out how to cut 40% from their healthcare costs. Our Intelligent Health Benefits Platform makes their best practices plug-and-play for the other 80% of US employers who self-insure their health benefits. In an industry defined by complexity, opacity and indifference — Apostrophe is delivering simplicity, transparency and love.

We seek fresh ideas, new perspectives, a diversity of experiences and a dedication to delight that will help us better meet the needs of the many people and businesses that rely on us every single day. Learn more about our values.

Who You Are

You are detail-oriented, results-oriented and enjoy delivering high quality, on-time solutions for your stakeholders. You have a minimum of 3 years of experience administering Stop-Loss policies for self-funded employers. Individuals who will be successful in this role are motivated to understand complex Stop-Loss arrangements and possess the requisite industry knowledge to resolve all Stop-Loss challenges.

What You’ll Do

  • Review Stop-Loss contracts and provide detailed business requirements to configuration team
  • Examine plan documents to ensure that claims are processed in accordance with employer and Stop-Loss expectations
  • Ensure proper cost containment techniques have been employed in support of loss ratio targets
  • Coordinate all Stop-Loss services along with large dollar claims in order to achieve ongoing employer satisfaction
  • Build and maintain all necessary Stop-Loss reporting including notification reports, funding requests and monthly aggregate reporting
  • Develop implementation plans and manage the implementation of new or changed Stop-Loss processes
  • Follow relevant Stop-Loss and self-funded insurance regulatory developments and determine how core operational processes and workflows need to be modified
  • Ensure operational processes are analyzed for continuous process improvement
  • Define performance metrics as necessary to measure the impacts (positive or negative) of current and new business processes
  • Establish and maintain positive working relationships with internal and external stakeholders

Preferred Experience

  • Minimum of 3 years of experience supporting self-funded employer administration along with experience managing Stop-Loss teams
  • Broad knowledge of self-funded health insurance payer practices
  • Knowledge of regulations that apply to self-funded clients
  • Knowledge of all industry Stop-Loss processes and procedures
  • Experience communicating and influencing effectively at all levels and with vendors
  • Solid mathematical aptitude with ability to quantify impact and ROI of initiatives
  • Strong technical skills, business intelligence, and a full understanding of the needs of customers

Who We Are

Apostrophe Intelligent Health Benefits replace your current administrator and legacy provider network to deliver better benefits for less money to self-insured employers. Apostrophe is driven by simplicity, transparency and love to provide market-leading member care and put employers back in control of cost and experience.

We are a Techstars Boulder 2017 company and certified B Corporation. Blue Cross Blue Shield Kansas, Royal Street Capital and Ulu Ventures are helping us build a fast-growing, sustainable business based around our core values.

Apostrophe is a Denver tech company, but many of our clients are in the midwest and the southeast, in both mid-sized cities and rural areas, and representing traditional industries and public sector. We will spend extra effort to seek out people familiar with these areas and backgrounds.

Our home base is in the RiNo area of Denver. There is ample free parking and we are just a couple blocks from the new 38th and Blake Light Rail stop.

Apostrophe does not discriminate based on race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. We are committed to providing an inclusive and welcoming environment for all members of our staff, volunteers, subcontractors, vendors, and clients.

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Location

999 18th Street, Denver, CO 80201

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