---
title: 'Senior Manager, Stop Loss Filling at Point C'
canonical: 'https://feeny.ai/job/senior-manager-stop-loss-filling-point-c-united-states-017fp7wm1bv3'
type: 'job'
last_seen: '2026-09-11'
---

# Senior Manager, Stop Loss Filling at Point C

- **Company:** Point C
- **Location:** United States
- **Compensation:** $80k–$90k
- **Work type:** remote
- **Posted:** 2026-08-17
- **Last confirmed live:** 2026-09-11
- **Apply:** https://job-boards.greenhouse.io/pointc/jobs/5382513008

## Job description

[Point C](https://pointchealth.com) is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market – to do more for clients – and take them beyond the standard “Point A to Point B.” We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company.

The Sr. Manager of Stop-Loss Operations is responsible for building and leading the stop-loss function that underpins Point C's self-funded health plan business, ensuring accuracy, compliance, and consistency across a growing and increasingly complex book of business. This role serves as the operational backbone for stop-loss, acting as a trusted expert and change agent who unifies teams, systems, and processes inherited through growth and acquisition. The Sr. Manager oversees all aspects of stop-loss operations, from policy setup and filings through renewals and claims reimbursement, ensuring zero-error execution and a seamless experience for Account Management and clients alike.

Job Responsibilities

- End-to-end leadership of the Stop-Loss Operations function, including policy setup, filing accuracy, laser and disclosure management, renewals, and claims reimbursement submissions.
- Integration of multiple stop-loss sub-teams — including those inherited through acquisition — that currently operate on different legacy platforms, workflows, and quality standards, into a single, consistent operating model.
- Design and enforcement of controls that drive the team toward zero processing errors and full compliance with carrier, regulatory, and contractual requirements.
- Development of standardized SOPs, quality-audit routines, and error-tracking mechanisms, with clear root-cause and corrective-action discipline.
- Direct oversight and coaching of stop-loss team leads and staff, including performance management, capacity planning, and career development.
- Serving as the primary operational partner to Account Management, Sales, and Client Services on all stop-loss matters — filings, coverage questions, escalations, and renewal readiness — protecting the client experience even when the underlying issue is internal.
- Partnership with carriers and MGUs on policy terms, filing requirements, timeliness standards, and issue resolution.
- Building and reporting KPIs and SLAs (filing timeliness, error rates, reimbursement turnaround, audit results) to executive leadership.
- Supporting platform migration work (including QicLink-to-VBA transition) as it relates to stop-loss data, workflows, and system configuration.
- Acting as a change agent across the broader Operations organization — identifying process gaps beyond stop-loss and championing a "systems over silos" approach to how teams work together.

## Qualifications

- 7+ years of progressive stop-loss experience at a TPA, carrier, MGU, or reinsurer, including direct management of a stop-loss operations team.
- Established rapport and working relationships with stop-loss carriers and MGUs, with a track record of managing day-to-day carrier communication, filings, and escalations, and maintaining credibility through renewals and disputes.
- Demonstrated success integrating or consolidating teams that operated on different legacy systems, workflows, or standards — you can point to a specific before-and-after.
- Deep working knowledge of stop-loss policy mechanics: specific and aggregate coverage, lasers, disclosure requirements, run-in/run-out, and claims reimbursement processes.
- A track record of building or overhauling processes to drive error rates toward zero and sustain full compliance — not just identifying problems, but fixing them permanently.
- Strong cross-functional partnership skills, with the credibility and communication style to work closely with Account Management and other client-facing teams without becoming purely reactive to them.
- Comfort operating in a fast-moving, private-equity-backed environment undergoing platform migration and acquisition integration.
- Experience with QicLink, VBA, or comparable TPA core administration platforms strongly preferred.
- Experience with Ringmaster or a comparable TPA stop-loss filing software strongly preferred.
- Excellent written and verbal communication skills, including the ability to translate operational detail into clear updates for executive leadership.

Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.

Pay Transparency $80,000—$90,000 USD

Benefits:

- Comprehensive medical, dental, vision, and life insurance coverage
- 401(k) retirement plan with employer match
- Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)

- Paid time off (PTO) and disability leave

- Employee Assistance Program (EAP)

Equal Employment Opportunity: At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.

## About Point C

## Company Overview
- **One-liner**: Point C is a national independent Third-Party Administrator (TPA) that designs and administers self-funded health plans through an integrated model of administration, clinical support, and partner coordination.
- **Entity Type**: Private (Venture-backed; raised a Venture Round in November 2024 led by Shore Capital Partners)
- **Headquarters**: Chicago, Illinois, United States
- **Founded**: Not publicly available (leadership team has 40+ years of combined experience; company has been in business for decades)
- **Founders**: Not publicly available

## Core Business
- Primary industry: Healthcare Administration / Third-Party Administration (TPA) / Health Plan Services
- Target customers: Brokers and employers (self-funded health plans); B2B, primarily mid-market and enterprise
- Mission or purpose statement: "Drive value and reduce costs for our customers by thoughtfully administering benefit plans and providing innovative cost containment solutions."

## Products & Services
- **Self-Funded Health Plan Administration**: Full-service claims administration, eligibility management, compliance coordination, account management, and plan operations for self-funded employer groups.
- **Clinical Integration & Cost Containment**: Clinical guidance and pharmacy insight built into the model to reduce unnecessary spend and strengthen the member experience.
- **Data Transparency & Reporting**: Clear reporting and plan insights that help brokers and employers understand cost drivers, track performance, and act with confidence.
- **Consumer-Directed Benefits Support**: Support for HSAs, HRAs, and other consumer-directed benefit programs.
- **High-Touch Customer Service**: Responsive, hands-on support for brokers, employers, and members, with real people helping plans run smoothly.

## Market Standing
- **Valuation/Market Cap**: Not disclosed (private company)
- **Key Metric**: Annual Revenue estimated at $1.0M–$5.0M (LinkedIn estimate); supports 100k+ employee lives and 650+ employer groups; 6 offices coast-to-coast
- **Notable Investors/Partners**: Shore Capital Partners (lead investor in 2024 venture round); independent board includes leaders from Optum, Navia Benefit Solutions, Centivo, and HPOne
- **Growth Signals**: 124 employees (+111.9% YoY, +94 people); LinkedIn followers grew 44.7% YoY; actively hiring across multiple departments (Account Management, Operations, Data Science, Finance, Sales, Claims)

## Competitive Advantages
- **Independent TPA Model**: Unlike many TPAs that are owned by carriers or large health systems, Point C is independent, allowing strategies to be shaped purely around client needs.
- **Integrated Operating Model**: Combines administration, clinical programs, reporting, and vendor coordination into one connected structure, reducing fragmentation common in self-funded plans.
- **National Scale with Local Service**: Operates 6 offices coast-to-coast while maintaining a service approach built around responsiveness and regional presence.
- **Deep Leadership Expertise**: Executive team with decades of experience from Optum, Coventry, and other major health plan organizations.

## Strategic Focus
- **Growth & Expansion**: Scaling the team aggressively (+111% headcount YoY) and expanding national presence.
- **Technology & Data**: Investing in data science, AI, and healthcare informatics (multiple AI intern roles posted) to enhance transparency and decision-making.
- **Member Experience**: Ongoing focus on improving the member experience across the healthcare journey.
- **Integrated Value Delivery**: Continuing to refine the connected model that aligns administration, clinical support, and partner coordination.

## Why Work Here
- **Remote-First Culture**: Nearly all roles listed as "United States - Remote" (with some in-person roles in Bellingham, WA and New York).
- **Growth Trajectory**: Rapidly scaling company (124 employees, up 111% YoY) with significant career advancement opportunities.
- **Meaningful Impact**: Work that carries "real operational and human impact" in healthcare.
- **Culture Values**: Accountability, collaboration, transparency, integrity, and thoughtful execution.
- **Hiring Activity**: Actively recruiting across Account Management, Operations, Data Science, Finance, Sales, and Claims.
- **Team Size**: Small enough for individual impact, large enough for national reach.

## Sources
1. [pointchealth.com](https://pointchealth.com/)
2. [pointchealth.com/about](https://pointchealth.com/about)
3. [pointchealth.com/about/leadership](https://pointchealth.com/about/leadership)
4. [job-boards.greenhouse.io/pointc](http://job-boards.greenhouse.io/pointc)
5. [linkedin.com/company/point-c](https://www.linkedin.com/company/point-c)

## Other roles at Point C

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- [Sales Director, West](https://feeny.ai/job/sales-director-west-point-c-united-states-5fb49rv1t938) — United States
- [CDP Flex Customer Service Representative](https://feeny.ai/job/cdp-flex-customer-service-representative-point-c-united-states-vz6ydyqteq19) — United States
- [VP, Insights and Analytics](https://feeny.ai/job/vp-insights-and-analytics-point-c-united-states-h621mqb8ken8) — United States
- [Claims Examiner](https://feeny.ai/job/claims-examiner-point-c-bellingham-94qfz99g5m62) — Bellingham, WA
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