What is your mission? 

You will provide the best service to our partner brands by performing these tasks:

• Own the end‑to‑end premium billing cycle, including invoice generation, premium collection, carrier remittance, and variance resolution
• Manage billing for fully insured and self‑funded U.S. group health plans, ensuring accuracy and compliance
• Apply deep knowledge of composite and age‑banded rating structures to validate invoice calculations
• Manage retroactive adjustments, mid‑month additions and terminations, and coverage effective date logic
• Reconcile carrier statements against internal billing records and resolve discrepancies
• Manage and reduce aged accounts receivable across multiple employer groups
• Oversee carrier termination timelines and mitigate risks related to missed or delayed payments
• Manage carrier remittance schedules across medical, dental, vision, life, and disability products
• Lead and supervise a premium billing or billing operations team, ensuring accuracy and timeliness
• Train, coach, and hold team members accountable to operational standards and service levels
• Monitor and manage operational KPIs including aging, reconciliation turnaround time, and error rates
• Create, maintain, and enforce standard operating procedures for billing workflows
• Ensure audit‑ready documentation, internal controls, and operational governance
• Identify process gaps and implement process improvements and automation initiatives
• Work within eligibility, billing, and carrier platforms, as well as CRM and workflow tools
• Communicate directly with U.S.‑based leadership, providing clear status updates, risk reporting, and escalations

Who are we looking for?

• Bachelor’s degree or equivalent professional experience in Business, Accounting, Finance, or a related field
• At least 5 years of supervisory or leadership experience managing premium billing or billing operations teams
• Direct hands‑on U.S. group health premium billing experience, with proven ownership of invoice generation, premium collection, carrier remittance, and reconciliation
• Experience managing aged receivables across multiple employer groups and insurance products
• Demonstrated ownership of end‑to‑end premium billing cycles as an operational authority, not solely a processor
• Deep knowledge of fully insured versus self‑funded plans, composite versus age‑banded rating, retro adjustments, and coverage effective date rules
• Strong experience reconciling carrier statements against internal billing records and resolving variances
• Experience managing multi‑product remittances, including medical, dental, vision, life, and disability
• Background working within U.S. General Agencies, Third‑Party Administrators, carriers, or benefits administration environments
• Experience with eligibility and billing platforms such as Plexis, Employee Navigator, BenefitPoint, or similar systems
• Understanding of ANSI X12 834 EDI transactions and enrollment‑to‑billing data flows
• Familiarity with SOC 2 or similar compliance frameworks is an advantage
• Strong written and verbal English communication skills, with comfort engaging U.S.‑based stakeholders and executives
• Highly detail‑oriented, process‑driven, and accountable, with confidence operating in compliance‑heavy environments