Account Manager, TPA

🕒 4 dias atrás

🌵 Arizona – Remoto

🌵 Arizona – Remote

💵 $65.000 - $85.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💰 Gerente de Contas

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Personify Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2023

⚕️ Seguro de Saúde

🧘 Bem-estar

🤖 Inteligência Artificial

Healthcare Insurance • Wellness • Artificial Intelligence

A Personify Health é a primeira empresa de plataforma de saúde personalizada, projetada para capacitar indivíduos e organizações a alcançar melhores resultados de saúde através de soluções e serviços sob medida. Eles oferecem uma gama abrangente de soluções, incluindo navegação de bem-estar, gerenciamento de cuidados e administração de planos de saúde, atendendo a empregadores, sistemas de saúde, planos de saúde e corretores. Seu objetivo é simplificar as experiências de saúde e aumentar o engajamento, ajudando, em última análise, as empresas a otimizar seu investimento na saúde e bem-estar dos colaboradores.

Descrição

• Serve as primary client contact: Act as the main point of contact for assigned clients, responding promptly to inquiries and providing creative solutions that meet client needs. • Monitor service delivery: Track and manage service levels to ensure timely issue resolution, compliance, and adherence to contractual commitments. • Prepare client reporting: Develop and deliver standard and custom client reports covering claims, utilization, and other key metrics for client review. • Coordinate internal resources: Partner with cross-functional teams across claims, eligibility, and compliance to meet client needs and deliver seamless service. • Support strategic initiatives: Assist with renewals, plan changes, and strategic initiatives while supporting delivery of QBRs and renewal processes. • Maintain documentation: Keep accurate client records, communication logs, and CRM system entries to ensure continuity and accountability. • Escalate appropriately: Identify and escalate complex issues to Strategic Account Executive or Director when client needs exceed standard resolution pathways. • Support client onboarding: Assist with new client onboarding and internal system setup to ensure smooth transitions. • Stay regulatory-informed: Maintain knowledge of regulatory issues affecting benefit plans and proactively update clients when requirements change. • Develop product expertise: Build thorough knowledge of Personify Health benefit-related products through ongoing training and product updates.

🎯 Requisitos

• Bachelor's degree or equivalent in related discipline • 3+ years account management experience • 3+ years experience in health insurance, employee benefits, or healthcare industry, specifically with TPA/self-funded groups • Prior TPA experience strongly preferred • Knowledge of health plan testing, regulatory compliance, and insurance plan administration mandates • Experience preparing client reports and presentations • Proficiency with CRM systems for documentation and relationship management • Ability to travel for multiple days at a time when needed

🏖️ Benefícios

• Competitive base salary and benefits effective day one • Comprehensive medical and dental through our own health solutions (yes, we use what we build) • Unlimited PTO—rest and recharge time is non-negotiable • Mental health support, retirement planning, and financial protection • Professional development with clear career progression and learning budgets • Mission-driven culture where diverse perspectives drive real impact on people's health