The TPA Manager holds end-to-end accountability for the TPA operating model, ensuring alignment with health business growth, profitability, customer experience, and risk management
Job Summary
The TPA Manager holds end-to-end accountability for the TPA operating model, ensuring alignment with health business growth, profitability, customer experience, and risk management.
The role is positioned as a strategic advisor to senior leadership on vendor strategy and operating model design.
We’ll empower you to learn and grow the career you want, recognize and support you in a flexible environment where well-being and inclusion are more than just words.
Matching Summary
The TPA Manager holds end-to-end accountability for the TPA operating model, ensuring alignment with health business growth, profitability, customer experience, and risk management.
Skills & Requirements
Must-have
TPA operating model accountability
Strategic advisor to senior leadership
Manage TPA relationship and performance
Ensure efficient claims processing
Monitor KPIs and SLAs
Oversee TPA operations
Manage TPA-related budgets
Nice-to-have
Drive adoption of AI technologies
Foster a culture of continuous improvement
Promote a customer-first culture
Support digital transformation initiatives
Key Requirements
5 years of solid experience in TPA management
University graduate
Proven ability to build and lead high-performance teams
Strong analytical and problem-solving skills
Excellent report writing skills
Strong collaboration and interpersonal communication skills
Demonstrated ability in team management, coaching, mentoring, and people development