Senior Stop Loss Renewal Analyst

The Opportunity

The Senior Stop Loss Renewal Analyst is responsible for leading the renewal process for self-funded employer clients supported by the TPA. This role acts as a central analyst across internal departments (stop loss claims, underwriting support, account management) and external partners (stop loss carriers, brokers), ensuring accurate data, competitive renewal positioning, and seamless execution. The position plays a critical role in supporting client retention, managing risk, and optimizing stop loss outcomes.

What you'll do

Client & Renewal Portfolio Management

• Responsibility for a book of business consisting of self-funded employer groups
• Manage the full stop loss renewal lifecycle—from data gathering through final binding
• Partner with Account Management to align renewal strategy with client goals (cost, risk tolerance, plan design)

Data Integration & Risk Analysis

• Coordinate with internal medical and analytics teams to gather high-quality data (large claims, shock claims, utilization trends)
• Perform advanced analysis to identify risk drivers, high-cost claimants, and emerging trends
• Ensure underwriting packages are complete, accurate, and positioned effectively for carriers

Carrier & Broker Engagement

• Lead the marketing process to stop loss carriers, including RFP preparation and submission
• Serve as primary point of contact for carrier underwriters during the renewal process
• Negotiate timelines, clarify assumptions, and influence competitive quoting outcomes

Underwriting Support & Strategy

• Collaborate with underwriting to evaluate:
  • Deductible levels
  • Laser strategies
  • Contract terms (run-in, run out, paid vs. incurred)
• Provide strategic recommendations balancing cost, risk exposure, and client objectives

Cross-Functional Leadership

• Coordinate with:
  • Medical Advocacy for large claimant details
  • Analytics team for accurate reporting
  • Finance/accounting for premium and funding alignment
  • Implementation team for post-bind transition
• Act as escalation point for complex renewal issues

Client & Broker Communication

• Prepare and deliver renewal summaries, including:
  • Financial comparisons (current vs. renewal vs. market)
  • Risk analysis and cost drivers
  • Strategic recommendations
• Support Account Executives in client and broker presentations

Process Optimization & Governance

• Drive improvements in renewal workflows, tracking tools, and reporting
• Ensure compliance with TPA internal controls, audit standards, and client-specific requirements
• Maintain organized, documentation across all renewal files

Mentorship & Team Leadership

• Provide guidance and technical expertise to junior coordinators or analysts
• Assist in training on stop loss concepts, data requirements, and TPA processes
• Help standardize best practices across the renewal function

What we expect from you

• Bachelor’s degree in Business, Finance, Risk Management, Healthcare Administration, or related field (or equivalent experience)
• 5–8 years of experience in:
  • Stop loss insurance
  • TPA environment
  • Employee benefits or self-funded health plans
• Strong understanding of:
  • Specific and aggregate stop loss
  • Lasers, corridors, and contract types
  • Employer-level healthcare risk dynamics
• Advanced Excel skills (data analysis, pivot tables, modeling)

Preferred Qualifications

• Direct experience working within a TPA or closely with TPA data and processes
• Familiarity with claims systems and reporting platforms
• Experience supporting broker and employer client interactions

Skills & Competencies

• Strong analytical thinking with ability to interpret complex claims and financial data
• Deep understanding of the TPA-client-carrier-broker ecosystem
• Exceptional project management across multiple concurrent renewal cycles
• Ability to influence outcomes without direct authority (matrix environment)
• Strong communication skills, especially translating data into client-friendly insights
• High attention to detail with strong ownership mindset

We make healthcare EZ!

Additional Opportunity Details:

Target Base Compensation Range for this role is $95,000-$120,000*

*Factors that may be used to determine your actual salary include your job specific skills, education, training, job location, number of years of experience related to this role and comparison to other employees already in this role. *

Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time off, paid leave including parental leave and more.

HealthEZ recognizes its responsibilities under federal, state and local laws requiring non-discriminatory employment practices. All employment decisions, practices and procedures will be carried out without regard to race, color, creed, religion and sex (including pregnancy), sexual orientation, national origin or ancestry, age, marital status, disability, family status, status with regard to public assistance or any other characteristic protected under applicable local, state and federal laws.

HealthEZ is proud to be an equal opportunity employer.

Salary : $95,000 - $120,000