Sr. Manager Of Stop Loss (Medtech)

TL;DR

Sr. Manager of Stop Loss (Finance/Medtech): Defining and executing the stop loss operating model and overseeing reimbursement recovery with an accent on financial risk management and operational precision. Focus on leading enterprise transformation initiatives, optimizing claim filings, and managing high-risk carrier negotiations.

Location: On-site in Tempe, AZ (Full-time)

Salary: $107,000 - $140,000

Company

A personalized health platform integrating health plan administration, wellbeing solutions, and care navigation to reduce costs and improve health outcomes.

What you will do

• Define and execute the long-term Stop Loss operating model, strategic vision, and departmental goals.
• Drive financial performance by optimizing claim filings and eliminating financial leakage.
• Sponsor large-scale system implementations, automation strategies, and workflow redesigns.
• Oversee the full claim lifecycle, including high-risk carrier negotiations and complex escalations.
• Develop advanced analytics and reporting to surface actionable insights on reimbursement trends.
• Lead and coach a multi-level leadership team, focusing on succession planning and operational excellence.

Requirements

• Must be based in or available to work on-site in Tempe, AZ on a full-time basis.
• Bachelor's degree in Finance, Healthcare Administration, or Business (Master's preferred).
• 10+ years of experience in Stop Loss, TPA, or healthcare claims with reimbursement expertise.
• 5–7+ years of progressive leadership experience, including managing other managers.
• Expert knowledge of stop loss operations and claims adjudication.
• Proficiency in medical coding (ICD-10, CPT, HCPCS) and advanced Microsoft Excel.

Culture & Benefits

• Unlimited PTO to ensure rest and recharge.
• Comprehensive medical and dental coverage effective from day one.
• Professional development budgets and clear career progression paths.
• Retirement planning and mental health support.
• Mission-driven culture that values diverse perspectives.