Owns stop-loss risk evaluation and proposal management for self-funded healthcare cases. Reviews claims, census, and plan design; prepares RFPs and submissions; manages carrier relationships; compares quotes; advises sales on case strategy; and builds repeatable quoting tools and processes. Partners with sales, brokers, finance, and actuarial teams while coaching junior sales support staff.
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
Similar Jobs
Blockchain • Fintech • Payments • Financial Services • Cryptocurrency • Web3
Build and evaluate fraud models for onboarding, login, account changes, and money movement. Develop labels, features, sampling strategies, thresholds, and production monitoring to detect account takeover, scams, money mules, and identity fraud. Transition third-party risk models to in-house solutions, measure model performance and drift, collaborate with fraud, risk, operations, and compliance teams, and evaluate AI agent workflows for transaction review and fraud-ring analysis.
Top Skills:
Ai AgentsBlockchain AnalyticsLightgbmPythonSQLXgboost
Blockchain • Fintech • Payments • Financial Services • Cryptocurrency • Web3
Senior Data Analyst responsible for building financial reporting data models, business logic, reporting layers, and automated solutions supporting regulatory compliance. Partners with product, engineering, accounting, treasury, and finance teams to investigate data issues, improve financial system transparency, resolve reporting problems, and communicate findings to technical and non-technical audiences.
Top Skills:
PythonRSQLSuperset
Blockchain • Fintech • Payments • Financial Services • Cryptocurrency • Web3
Provides legal leadership for M&A, strategic transactions, venture investments, and financial partnerships with banks and financial institutions. Independently manages deals from structuring and diligence through negotiation, signing, closing, and integration. Drafts and negotiates transaction and financial services agreements, coordinates cross-functional stakeholders, develops legal playbooks, and leads AI-enabled workflow improvements while protecting confidentiality, privilege, and legal judgment.
Top Skills:
BlockchainDigital AssetsGenerative AiPayments TechnologyStablecoins
What you need to know about the Colorado Tech Scene
With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.
Key Facts About Colorado Tech
- Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
- Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
- Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
- Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute
