Vice President, TPA Key Accounts

🕒 Maio 12

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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

• Lead account operations: Oversee all aspects of Northwell account including Member Services, Claims Operations, Account Management teams, and all 100% dedicated personnel to ensure operational excellence. • Build executive relationships: Establish rapport and credibility with account stakeholders at all organizational levels through consistent executive presence, depth of domain knowledge, and diligent preparation. • Drive clinical cost strategy: Partner with medical management team to review clinical cost experiences, strategize cost containment approaches, and realize significant savings from these strategies. • Own strategic outcomes: Maintain accountability for reliable revenue, expansion, and clinical outcome targets that translate deep relationships into material value. • Identify client objectives: Proactively understand client objectives, challenges, and leadership priorities while uncovering barriers and developing actionable, client-specific strategic plans that maximize satisfaction, success, and ROI. • Deliver business insights: Develop and present business reviews deriving insights from data, helping clients plan future direction with insights into health costs and procedural cost experience, plus executive reporting, strategic planning, product capability overviews, and thought leadership presentations. • Ensure client satisfaction: Support positive client satisfaction scores and provide oversight for proactive action plans required to maintain positive relationships and secure referenceable client status. • Monitor contractual obligations: Confirm all client contractual obligations are met and communicate contractual risks to appropriate Personify Health leadership. • Lead by example: Set high standards, provide meaningful coaching, support cross-functional teams, and model diligent preparation, consistent delivery, and continuous improvement across all accountable actions. • Contribute to leadership team: Serve as member of Client Growth Leadership Team to develop and instill consistent standards of excellence while guiding and sustaining diverse, high-performing teams. • Represent Personify Health externally: Participate in thought leadership presentations, industry conferences, and client events as needed to elevate brand presence. • Support broader organization: Collaborate with other Personify Health departments as needed to drive enterprise success.

🎯 Requisitos

• Bachelor's degree in Business Administration, Finance, or related field (MBA preferred) • 10-15 years experience in third-party administration, insurance, or related industry • 5+ years in leadership role • Solid TPA operations experience required • Hospital systems experience managing tiers required • Proven expertise in account service/consultative selling techniques, product knowledge, procedures, and administration • Proficiency with Microsoft Office Suite and Salesforce • Ability to derive insights from data and present complex health cost and procedural cost information to executive audiences • Strong understanding of clinical cost containment strategies and medical management approaches • Knowledge of regulatory issues affecting benefit plans

🏖️ 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