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This is a rare senior role overseeing a 500+ FBO trust account portfolio supporting employer-sponsored medical plans. You’ll manage the book as a strategic risk portfolio, using advanced analytics to ensure reserve adequacy, plan solvency, and ERISA-aligned fiduciary governance. You’ll partner closely with executive leadership to assess utilization risk, inform pricing strategy, and guide long-term financial decisions in a rapidly growing healthcare organization.
Job Responsibility:
Manage portfolio-wide utilization, reserve, and solvency risk across 500+ client accounts
Perform monthly and quarterly reserve adequacy evaluations (30–90 day claims lag)
Identify surplus release and deficit strengthening recommendations
Prepare and reconcile client accounts by ID within NetSuite
Reconcile reserve balances, claims disbursements, and bank activity
Support Return of Reserve (ROR) calculations and documentation
Serve as fiduciary subject matter expert for internal and client committees
Execute FBO account replenishments and ACH payment processes
Track and process broker compensation and statements
Support financial, internal, and regulatory audits
Requirements:
7–10+ years of progressive experience in benefits finance, fiduciary trust management, or high-volume financial risk analysis
Reconciliations is a MUST
Documented history of managing a portfolio of at least 200+ entities/accounts, ideally in the healthcare or self-funded benefits space
Experience with (NetSuite preferred, Oracle, or Workday) etc.
Advanced Excel skills (pivot tables, VLOOKUPs, modeling) and proficiency in data analytics tools such as SQL, Python, or Tableau
Familiarity with banking operations (ACH, lockbox, wires)
What we offer:
medical, vision, dental, and life and disability insurance