Senior Director, Stop Loss and Funding Ops

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication-we can't wait to meet you.

HPI is unique. A respected industry leader that has been serving customers for over 44 years, we’re known for our innovation and adaptability. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide.

There isn't a challenge we won't accept and we're looking for people who have a passion to take it on. Not just a job-a mission.

In this role, you'll also:

• Lead the end-to-end administration of stop-loss programs, including implementation, policy administration, reimbursement management, renewals, run-out, and terminations.
• Ensure operational processes, policies, systems, and controls are aligned with stop-loss contract provisions, plan documents, eligibility requirements, and reimbursement terms.
• Provide oversight of high-cost claimant identification, reimbursement submissions, recovery efforts, carrier communications, appeals, and operational compliance.
• Manage carrier and stop-loss vendor relationships, including performance monitoring, audits, issue resolution, and operational effectiveness.
• Develop operational reporting, performance metrics, dashboards, and quality initiatives to improve reimbursement recovery, service delivery, and operational efficiency.
• Serve as the senior escalation point for complex reimbursement issues, contractual interpretations, audit findings, and client-impacting operational concerns.

• Direct operational processes supporting client claim funding, including funding calculations, cash calls, prefunding requirements, reconciliation activities, and exception management.
• Ensure accurate and timely reconciliation of client funding, paid claims, stop-loss reimbursements, refunds, and outstanding balances in partnership with Finance and Claims.
• Oversee premium-funding operations, including premium calculations, invoicing, collections, reconciliations, remittance coordination, and delinquency management.
• Establish and maintain strong financial controls, reporting processes, audit trails, and documentation standards that support contractual, regulatory, and business requirements.
• Monitor and communicate financial risks, unresolved variances, funding gaps, and operational exposures to leadership and key stakeholders.

• Lead, develop, and mentor managers and team members through effective coaching, performance management, goal setting, and professional development.
• Build organizational capability through workforce planning, succession planning, cross-training, onboarding, and talent development initiatives.
• Establish clear governance, service expectations, accountability measures, and escalation protocols across direct and cross-functional teams.
• Foster a culture of collaboration, ownership, operational excellence, innovation, and continuous improvement.

• Partner with Product, Claims, Clinical, Finance, Technology, Client Management, and Data teams to support operational readiness, process improvements, and new product capabilities.
• Translate business and carrier requirements into scalable operational workflows, procedures, system enhancements, training materials, and reporting solutions.
• Drive modernization and automation initiatives that improve efficiency, reduce risk, enhance reporting, and strengthen the client experience.
• Support client-facing teams by providing operational expertise, reimbursement updates, issue resolution, and analytical insights.

• Bachelor's degree in Business, Healthcare…