Director Product Management Risk Management

We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable high-quality healthcare to the millions who struggle to pay their healthcare bills.

Summary of Role:

The Director of Product Management Risk Management owns our stop loss and captive product portfolio. This means defining how risk is structured priced and transferred across our book and turning that expertise into products that give self-funded employers a smarter more sustainable way to manage their exposure.

Youll lead the full lifecycle of our risk products: program design captive strategy underwriting alignment reinsurance structure and ongoing performance management. Youll work across product underwriting actuarial finance and network teams and youll represent Centivos risk capabilities externally with brokers consultants and industry partners.

This is not a generalist PM role. Were looking for someone who has built and managed stop loss and captive programs knows the mechanics of quota share structures and can move fluently between product strategy and technical underwriting conversations.

If youve spent your career at a stop loss carrier MGU or the risk division of a health plan and youre ready to build something that actually changes how employers think about risk wed like to talk.

Responsibilities Include:

Stop Loss & Captive Product Ownership: Own the full lifecycle of Centivos stop loss and captive product offerings from program structure and feature design through launch iteration and ongoing performance management. Define and maintain product specifications for specific stop loss coverage aggregate stop loss and captive arrangements ensuring terms attachment points and program features are competitive and financially sound. Lead the evaluation and design of level funding minimum premium and partial self-funding structures as differentiated market offerings.

Risk Product Roadmap Development: Build and maintain a prioritized product roadmap for the risk management domain that balances underwriting discipline with market competitiveness. Translate emerging trends in stop loss reinsurance and captive markets into actionable product initiatives. Make and defend trade-off decisions between features risk appetite and time-to-market in partnership with underwriting actuarial and finance stakeholders.

Underwriting & Financial Program Design: Partner with underwriting to develop and refine risk selection criteria pricing frameworks and program structures including layered and quota share approaches. Define product guardrails that support sound underwriting outcomes while giving sales and client management the flexibility to compete effectively. Evaluate and recommend cost mitigation strategies including network performance levers and benefit design changes that reduce stop loss exposure.

Captive Program Strategy: Lead product strategy for captive program creation management and redesign. Define the criteria and structure for new captive formations assess performance of existing captives and drive product changes that optimize outcomes for captive members. Serve as the internal subject matter expert on captive mechanics governance requirements and financial performance levers.

Reinsurance & External Risk Partnerships: Define product requirements for reinsurance arrangements that support Centivos risk portfolio. Evaluate reinsurance structure options and in partnership with finance and actuarial to ensure program designs are appropriately protected. Maintain awareness of the provider reinsurance landscape as an adjacent opportunity.

Cross-Functional Alignment on Risk Products: Work across finance underwriting actuarial network and teams to ensure risk product designs are operationally viable and financially modeled accurately. Translate complex stop loss and captive mechanics into clear requirements for technology and operations teams. Communicate product strategy and performance to executive leadership and board-level stakeholders when relevant.

Market Intelligence & Competitive Positioning: Monitor the stop loss carrier MGU and captive market landscape. Identify structural shifts in how risk is being transferred priced or shared and translate those signals into product opportunities or defensive responses. Benchmark Centivos risk products against competitors across coverage terms pricing structures and program features.

KPIs & Portfolio Performance: Define the metrics that indicate healthy risk product performance loss ratios attachment point adequacy captive funding levels renewal rates and cost mitigation program effectiveness and use them to drive ongoing product decisions. Surface performance trends and recommend product adjustments proactively rather than reactively.

External Representation: Represent Centivos risk management product capabilities externally with brokers consultants reinsurers and at industry forums. Build credibility in the stop loss and captive market as a product leader who understands both the technical mechanics and the market dynamics.

Qualifications:

Experience & Background

Bachelors degree in mathematics finance underwriting actuarial science or a related quantitative field; advanced degree preferred

5 years of experience in stop loss captive or a closely related risk domain

5 years in product management or a related role with a proven track record of taking products from concept through launch and scale

Direct experience at a stop loss carrier MGU or the stop loss division of a health plan

Product Management Skills

Demonstrated ability to launch and scale innovative customer-centric products that create durable competitive advantage

Strong grasp of user experience principles market trend analysis and competitive assessment

Able to communicate product vision and strategy clearly to an underwriter an engineer and a CEO without changing what youre actually saying

Skilled at building consensus across stakeholders with competing priorities and comfortable making and defending trade-off decisions

Familiar with product management tools metrics and adoption methodologies; working knowledge of agile development processes

Risk Domain Expertise

5 years of hands-on experience with stop loss and captive program design and implementation

Deep knowledge of captive creation ongoing management and redesign; level funding programs; and other financial structures including minimum premium and partial self-funding

Strong working knowledge of layered and quota share approaches reinsurance mechanics stop loss underwriting cost mitigation strategies network performance and benefit design

Experience with self funded plans is required; fully insured or provider reinsurance arrangements is a plus

Leadership Skills:

Business Acumen A keenness and quickness in understanding and dealing with a business situation (risks and opportunities) in a manner that is likely to lead to a good outcome. Critical to this is an ability to think beyond their own function.

Accountability & Execution Taking ownership of actions following through on commitments actively carrying out tasks monitoring progress delivering results as promised and being answerable for positive and negative outcomes.

Executive Presence - The combination of gravitas charisma and trust/authenticity that shows up as a calm confident demeanor and that is behind the ability to have impact influence others and achieve desired outcomes within Centivo and with external stakeholders.

oGravitas - the ability to combine expertise knowledge and depth of understanding to be credible in a given area.

oCharisma - the ability to build rapport tell and story and hold a room

oEmpathy/Humility - the ability to put oneself in the shoes of others listen to others understand others needs and be attentive to their feelings and thoughts to build trust and an authentic connection to others.

Strategist Mindset - The ability see and articulate the bigger picture thinking proactively and anticipating both opportunities and obstacles in the context of setting direction and maintain alignment to long-term company goals.

oSystems Thinking The ability to see and articulate the patterns interconnections and interdependencies within a system

oProcess Orientation The ability to see and articulate the sequential flow of activities including anticipating impacts upstream and downstream when processes are changed.

oFlexibility/Working through Ambiguity Tendency to be energized by new experiences/perspectives working with both data and fragmented information to arrive at practical effective actionable next steps.

Leadership Behaviors

Communicate Managers discuss the companys vision and strategies the departments direction and goals and in times of crisis what we know and dont know to make sure team members know what they need to know.

Clarify As managers its up to us to clarify what good looks like. What do we expect What do our clients customers or colleagues need If our teams are not performing as expected managers must clarify expectations and ensure understanding.

Coach Managers provide recognition and feedback; help team members find solutions to challenges; amplify good and filter weaker aspects of organizational culture and the work as they coach employees in their day-to-day performance and their growth and career development.

Connect Managers help our teams see their collective purpose and how their work connects to the greater whole. We connect people within our company and network.

Centivo Values:

Resilient This is wicked hard. There is no easy button for healthcare affordability. Luckily the mission makes it worth it and sustains us when things are tough. Being resilient ensures we dont give up.

Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isnt working for members employers and providers. So were building it from scratch from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.

Positive We care about each other. It takes energy to do hard stuff build something better and to be resilient and unconventional while doing it. Because of that we make sure we give kudos freely and feedback with care. When our tank gets low a team member is there to be a source of new energy. We celebrate together. We are supportive generous humble and positive.

Work Location:

This position is remote eligible

Who we are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual) predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information visit .

Headquartered in Buffalo NY with offices in New York City and Buffalo Centivo is backed by leading healthcare and technology investors including a recent round of investment from Morgan Health a business unit of JPMorgan Chase & Co.

Required Experience:

Director