Job Description
| Job Summary This position will be the overall business owner for Horizons Stop Loss business This will include Profit Loss responsibility business strategy relationships contracts and results of any business partners operational aspects pricing and underwriting relationship with actuarial support and partnership with SalesAccount Management regarding marketing and sales strategy and results This position will work cross functionally within Horizon and with outside vendors and consultants to provide direction ensure results and build Horizons capability as a stop loss insurer Act as business owner PL owner and thought leader in strategically and tactically designing and implementing Horizons stop loss products business strategy business partnerships operational approach sales marketing approach and results pricing and policies Responsibilities Build consensus with leadership of SalesAccount Management Actuarial Underwriting and Enrollment Billing Own relationships contracts and results of business partners Provide insight into the stop loss market from a competitive standpoint including but not limited to products offered and marketing Recommend initial approach and ongoing changes to stop loss position Include recommendations related to partners and tools (eg administrative and pricing) Determine financial impact of recommended approaches to revenue generation efforts and PL Maintain update enforce and test Horizons underwriting actuarial pricing and marketing policies and procedures related to stop loss Train enterprise staff as necessary on stop loss and ongoing changes in policies and procedures Ensure regulatory compliance of stop loss products contracts and pricing Champion the needs of the Stop Loss business within the enterprise securing enterprise resource support and funding as necessary Requires creative thinking strong leadership and communication analytical and financial technical skills Must understand complex financial concepts Requires excellent interpersonal skills the ability to interact cross functionally build relationships and drive change Internal Relationships ActuarialChief Actuary Director ActuarialLiaison to Actuarial Department FPAVP Director Financial Planning and AnalysisConsensus regarding level of risk tolerance to be retained at Horizon Analysis of Current and Anticipated Expense Levels Impact on Product Pricing SalesAccount ManagementVP of Sales Sales DirectorsDetermination of Sales Marketing Strategy Group and Market specific analysis and implementation of changes Enrollment Billing Senior Director Enrollment and BillingEnsuring that Billing system can meet the strategic needs of todays modernized stop loss products External Relationships BrokersConsultantsVariedVaried CustomersVariedVaried BCBSAConsortium Health PlansVariedVaried Caremark PBMVariedPharmacy Analysis Education Four year college degree required Concentration in Finance or other businessanalytical area a plus Prefer MBA Additional licensing certifications registrations Prefer FSAASA Work experience Requires a minimum of 8 years stop loss industry experience Experience negotiating with external vendors required Experience leading for change is required Actuarial or underwriting expertise in stop loss required Consulting experience desired Travel (If applicable) Light travel possible |
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