Assistant Vice President – Cost Containment, Employer Stop-Loss

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Skyward Specialty Insurance

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2007

🤝 B2B

💸 Finance

⚕️ Healthcare Insurance

💰 $177.3M Post-IPO Secondary - Skyward Specialty on 2024-05

B2B • Finance • Healthcare Insurance

Skyward Specialty Insurance is a Houston-based specialty insurance group that provides tailored risk solutions across niche and complex markets. The company offers a range of specialty insurance products including transactional Excess & Surplus (E&S), professional lines, medical stop-loss, surety, captives, programs, global property, agriculture & credit (re)insurance, and risk consulting. Skyward works primarily with brokers and agents, leverages technology (including e-surety capabilities) to deliver innovative underwriting and claims services, and focuses on high-complexity, non-standard risks and scalable specialty solutions.

📋 Description

• Own the day-to-day execution of Skyward's cost-containment program across the stop-loss portfolio • Develop and refine cost-containment protocols, standard operating procedures (SOPs), and playbooks • Monitor and evaluate cost-containment vendor performance • Assist the VP with vendor selection, due diligence, and contract evaluation • Track, quantify, and report cost-containment savings • Stay current on emerging cost drivers, treatment modalities, regulatory changes, and market trends • Provide senior-level clinical expertise on complex, high-cost, and sensitive claims • Build and maintain executive-level relationships with TPAs, producers, policyholders, and cost-containment vendors • Serve as a senior mentor and resource to Clinical Consultants • Identify opportunities to leverage data and analytics to improve cost-containment outcomes • Design and maintain SOPs, workflows, and documentation standards

🎯 Requirements

• 10 years of progressive experience in cost containment, clinical risk management, or managed care within a broker, stop-loss, reinsurance, or carrier environment • Demonstrated expertise in stop-loss or reinsurance cost-containment program design, vendor management, and savings delivery • Management or leadership experience • Deep knowledge of cost-containment vendors, strategies, and market landscape • Strong understanding of employer stop-loss contracts, claim adjudication, and the TPA/broker/policyholder ecosystem • Proven ability to build and maintain relationships with brokers, TPAs, and vendors at a senior level • Bachelor's degree or commensurate professional experience

🏖️ Benefits

• Health and welfare benefits • Tuition and professional certification assistance • 401k savings • Elective participation in the Employee Stock Purchase Program • Paid time off • Paid holidays • Child bonding leave • Other employee assistance