Job Information
CDPHP Stop Loss Manager in Albany, New York
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Stop Loss Manager, support new business sales and account retention through the marketing of competitive stop loss products and industry best practices stop loss claims administration and serve as CDPHP’s Stop Loss Insurance subject matter expert for internal and external customers. The Stop Loss manager will be responsible for strategic planning, cultivation, development, and management of preferred Stop Loss Carriers including compensation agreements. The Stop Loss Manager will be key in strategic and operations management of CDPHP Self-Funding marketing and proposal support. The Stop Loss Manager’s duties will include stop loss marketing, analysis, negotiation, and placement of stop loss coverage of new and renewal business. . Additionally, the Stop Loss Manager will be responsible for facilitating both clinical and non-clinical information as needed by the stop loss carriers, self-funded clients, assigned third party vendors and brokers for the purpose of stop loss claim reimbursement and stop loss policy management and referral to CDPHP’s Utilization Management team. The Stop Loss Manager will develop and execute on strategy and initiatives that will enable stop loss to grow as a revenue stream. Additionally, The Stop Loss Manager will collaborate with Account and Sales Executives as necessary for the purpose of contract maintenance, employer group sales, renewals, and new business implementation.
Qualifications:
NYS Life, Health and Accident License required
Bachelor’s degree or four (4) years of equivalent experience required.
Minimum five (5) years health care related marketing experience required with increasing levels of expertise and responsibility required.
Minimum three (3) years managing or supporting large accounts experience required.
Minimum three (3) years self-funded experience required.
Minimum three (3) years in marketing and analysis of Stop Loss Insurance and Stop Loss claims administration.
Must be thoroughly familiar with current health insurance market trends, services, contracts and pricing procedures, alternative funding arrangements.
Ability to analyze and understand insurance contracts, terms, provisions, limitations, and exclusions.
Strong organizational skills.
Established management of diverse operations and SME capability.
Ability to work collaboratively with internal and external constituents to assure timely and reliable data outputs.
Ability to successfully analyze and negotiate competitive and reliable Stop Loss product quotes on behalf of self-funded clients for new and renewal business
Ability to develop and evaluate favorable strategic relations with Stop Loss carriers and reinsurers.
Effective verbal and written communication skills are required.
Demonstrated ability at public speaking and/or facilitation of meetings required.
Demonstrated ability resolving complex issues across multiple areas within an organization required. Specific experience negotiating resolution of legal, medical, finance, and operational issues preferred.
Working knowledge of computers required. Microsoft Office required. Knowledge of COGNOS, Tableau, Salesforce and FACETS experience preferred.
CDPHP salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. In addition to cash compensation, CDPHP employees may be eligible for an incentive payment, a discretionary cash reward based on employee and company performance. Some roles may also be eligible for overtime pay.
CDPHP compensation packages go far beyond just salary. The company offers a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee assistance programs, flexible work environment, and much more. Learn about all CDPHP employee benefits at https://www.cdphp.com/about-us/jobs/benefits .
As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.
CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.