S&S Health

Client Partner

• Manage a portfolio of clients with a strong focus on retention, satisfaction, and long-term partnership success.
• Serve as the central point of contact between clients, brokers, internal teams, and external vendors to ensure alignment and timely issue resolution.
• Develop and maintain strong, trust-based relationships with key stakeholders across client and vendor organizations.
• Coordinate and manage relationships with external vendors, including PBMs, utilization management, case management, and disease management partners.
• Track vendor performance against service levels and contractual expectations, identifying gaps and driving corrective action plans.
• Support the development and execution of account strategies focused on retention, cost containment, and improved clinical and financial outcomes.
• Partner with internal analytics teams and vendors to evaluate utilization trends and claims data, recommending solutions to improve plan performance.
• Act as a central hub across clients, brokers, internal departments, and vendors to ensure seamless service delivery.
• Assist with onboarding, renewals, and ongoing client management activities to ensure a smooth client experience.
• Support retention and growth objectives through proactive engagement, solution identification, and high-quality service.

Client Success Manager

Systems Engineer

• Identity & Access Management: Design, implement, and manage automated identity lifecycle processes, including user provisioning, role changes, and deprovisioning across cloud and business applications.
• Develop role-based access controls, automate approval workflows, enforce least-privilege access, and support periodic access reviews to maintain security and compliance.
• Workflow Engineering: Design, configure, and optimize Jira and Jira Service Management workflows, intake processes, automation rules, service queues, dashboards, and reporting.
• Streamline request management through standardized templates, intelligent routing, and automation to improve visibility, efficiency, and service delivery.
• Employee Onboarding Automation: Develop and maintain automated onboarding processes that ensure user accounts, system access, hardware, and software are prepared prior to employees' first day.
• Coordinate workflow automation between IT, Human Resources, and hiring managers while creating user-friendly onboarding resources that enhance the employee experience.
• Virtual Desktop Infrastructure (VDI): Engineer, deploy, administer, and support Reflect Health's virtual desktop infrastructure environment.
• Design standardized desktop images, application delivery processes, user profile management, monitoring, patching, capacity planning, and operational documentation to ensure a secure, reliable, and scalable platform.
• Automation & Process Improvement: Identify opportunities to automate manual IT processes, integrate enterprise systems using APIs and scripting, and implement solutions that improve operational efficiency, reduce administrative overhead, and enhance service quality.
• Security & Compliance: Support identity governance, access management, infrastructure security, and compliance initiatives by implementing security best practices, maintaining audit readiness, and protecting sensitive business and member information.
• Reporting & Documentation: Develop operational dashboards, system documentation, technical standards, workflows, and reporting to support performance monitoring, issue tracking, capacity planning, and continuous process improvement.
• Cross-Functional Collaboration: Partner with Infrastructure, Security, Human Resources, Operations, and business stakeholders to deliver technology solutions that improve employee productivity, strengthen security, and support organizational growth.

Lead IT Systems Engineer

Director

• Lead strategic modernization initiatives that advance the future capabilities of our claims and stop-loss platforms.
• Assess current-state capabilities, identifying operational gaps, designing future-state operating models, and leading complex initiatives.
• Partner closely with Executive Leadership, Claims Operations, Stop-Loss, Technology, Finance, Compliance, Client Success, and operational teams to evaluate current performance.
• Redesign workflows, establish accountability structures, and execute transformation initiatives that enable operational excellence.
• Evaluate current-state claims and stop-loss capabilities, including processes, technology platforms, organizational structures, workflows, controls, compliance posture, and performance trends.
• Conduct structured assessments and develop future-state operating models, transformation strategies, and implementation roadmaps.

Director of Claims – Stop-Loss Transformation

Operations

• Own day-to-day operational execution across ASO, Fully Insured, ACA, and Stop-Loss lines of business.
• Ensure operational teams deliver accurate, timely, compliant, and high-quality services.
• Establish accountability across teams for service levels, productivity, quality, turnaround times, and client commitments.
• Manage operational priorities, workload capacity, resource allocation, and business performance.
• Ensure operational consistency across lines of business while managing the unique requirements of self-funded ASO administration, Fully Insured plan operations, ACA workflows, and stop-loss administration.
• Identify operational risks and opportunities while implementing solutions to improve performance, reliability, and client experience.
• Oversee execution of claims administration, eligibility coordination, billing support, stop-loss administration, carrier collaboration, recoveries, and operational controls.
• Ensure claims and operational processes meet quality, compliance, financial, and service expectations.
• Monitor claims and stop-loss performance, identify challenges, and implement corrective actions.
• Partner with internal teams and external stakeholders to resolve operational issues and improve outcomes.
• Recruit, develop, coach, and retain high-performing operational teams and leaders.
• Establish clear performance expectations, leadership capabilities, and professional development opportunities.
• Build a culture of accountability, collaboration, continuous improvement, and customer-focused execution.
• Develop organizational capacity to support business growth and evolving operational needs.
• Lead managers and teams through operational changes while ensuring engagement and adoption.
• Establish and manage operational KPIs, SLAs, quality standards, productivity measures, and service performance goals.
• Monitor operational results and implement improvement plans when performance expectations are not met.
• Maintain visibility into operational trends, risks, opportunities, and business outcomes.
• Provide leadership with insights and recommendations to improve operational effectiveness.
• Help identify opportunities to improve operational efficiency, reduce complexity, and enhance service delivery.
• Ensure operational teams successfully adopt and sustain new processes, technologies, and operating practices.
• Support continuous improvement efforts by identifying root causes, improving workflows, and strengthening operational discipline.
• Ensure compliance with applicable federal and state regulations, contractual obligations, internal policies, and healthcare industry requirements.
• Support audit readiness, quality assurance programs, and operational governance activities.
• Maintain appropriate operational controls and risk management practices.
• Ensure teams operate within established compliance and quality standards.
• Partner with Technology, Finance, Compliance, Client Success, Implementation, Transformation, and Executive Leadership to resolve operational issues and support business objectives, and work on initiatives involving process improvement, automation, technology enablement, and organizational change.
• Communicate operational performance, priorities, risks, and recommendations to executive leadership.
• Translate business strategy into effective operational execution.

Director of Operations

Associate

• Fulfillment Operations: Manage the fulfillment lifecycle for member ID cards, Welcome Letters, EOBs, and related materials, including production coordination, tracking, issue resolution, and final delivery.
• Vendor Management: Serve as the primary operational liaison between Reflect Health and external fulfillment partners, including Zelis/NOMI, to coordinate production activities, monitor progress, resolve issues, and maintain consistent communication throughout the fulfillment process.
• Quality Assurance: Oversee quality review and approval processes for fulfillment outputs, including pre-production samples, production validation, and final quality checks. Ensure member communications meet compliance, branding, and business requirements.
• Workflow Management: Maintain fulfillment workflows, documentation, templates, and operational resources while identifying opportunities to improve efficiency, reduce manual effort, and support scalable processes.
• Fulfillment & Issue Resolution: Monitor fulfillment status from initiation through completion, identify potential delays or risks, coordinate resolution efforts, and provide timely updates to internal stakeholders.
• Reporting & Analytics: Collect, analyze, and maintain fulfillment metrics and operational reporting to support performance tracking, identify trends, and drive continuous improvement.
• Compliance & Documentation: Ensure fulfillment processes and member communications align with regulatory requirements, organizational standards, and client expectations. Maintain documentation related to templates, workflows, approvals, and vendor processes.
• Cross-Functional Collaboration: Partner with Implementation, Operations, Client Services, and other internal teams to align fulfillment requirements, improve coordination, and support knowledge sharing across the organization.

Client Success Manager

Lead IT Systems Engineer

Director of Claims – Stop-Loss Transformation

Director of Operations

Fulfillment Associate