Stop Loss Program Manager

HMA is one of the nation’s largest administrators of high-quality, innovative, and affordable health plans and distinctive services for self-funded organizations. Employers trust HMA’s team of caring experts to protect two of their most important assets; their people and their health plan dollars.

In 2021, HMA was 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 looking to hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team and helping others succeed, are motivated by tackling complex challenges, are courageous enough to share ideas, are action-oriented, are resilient, and are results-driven.

What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, benefits, and time off packages 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:

As the Stop Loss Program Manager at HMA, you will play a key role in building and maintaining our relationships with our stop loss partners and negotiating contracts. The role supports both internal and external customers with evaluation of renewal and proposals leveraging carrier overview analysis. Your contributions to HMA’s success include improving global understanding of the stop loss market, providing recommendations regarding partnerships and continued improvement of processes.

What YOU will do:

• Be a direct contact for Account Managers, Health Informatics, Sales, Sales Operations and Stop Loss Team. Support questions regarding reporting and renewals providing direction as needed.
• Support Account Managers and Sales Ops with marketing for renewals and proposals. Provide assessment of carriers supporting conversations with brokers, Account Managers and Sales Executives.
• Develop a process to collect renewal stop loss polices and work with Account Managers to obtain signed SPDs and send to stop loss carriers for mirroring endorsement.
• Maintain Stop Loss partnerships and keep individual carrier procedural requirements updated. Including carrier comparison overview, semi-annual meetings, participate in trainings and other stop loss carrier sponsored events.
• Track market loss ratio.
• Documentation of issues and trends in the stop loss market.
• Negotiate contracts, renew service agreements, enhance carrier vetting process for new relationships, create marketing comparisons, develop relationship strategies and present to stop loss committee.
• Manage and maintain backlog, process and procedures. Update documentation of process and procedures as necessary. Train the team on stop loss concepts as well as report out market updates and trends.
• Must be able to assess internal and external customers' needs and respond to inquiries both timely and professionally.
• Strong emphasis on verbal communication with our clients, stop loss markets, vendors and departments within our organization.
• Collaborate with Operations and Sales for end of contract reviews.
• Pipelining of new groups

Knowledge, Experience, and Key Attributes needed for Success:

• 1-2 years previous health insurance claims experience.
• Thorough understanding of Self-Funding and Third-Party Administrating concepts.
• Facilitation skills for internal and external stakeholder meetings
• Passionate about delighting customers by consistently exceeding expectations
• Computer skills with knowledge of MS Office Suite products, SmartSheet, Microsoft Dynamics etc.
• Strong problem solving, time management, business analysis and analytical skills
• Strong interpersonal and communication skills

How we Support your Work, Life, and Wellness Goals:

We offer a comprehensive total rewards package including: competitive pay; annual incentive; medical, dental, and vision insurance; 401K retirement plan with match; generous PTO and holidays; an onsite gym facility; a gym subsidy; Life, AD&D, Short-Term and Long-Term Disability Insurances; an Employee Assistance Plan; year-round wellness activities; the ability to earn a $500 wellness incentive; monthly events; paid volunteer hours and more! For local employees- free parking and easy freeway access to I-405 and I-520 and a well-stocked kitchen on-site with subsidized snacks and refreshments.

HMA requires a background screen prior to employment.

Protected Health Information (PHI) Access Healthcare Management Administrators (HMA) employees may encounter protected health