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Medical Tpa Jobs in Raleigh, NC (NOW HIRING)

Marpai Administrators ("Marpai") is an AI-powered national TPA (third party administrator) using ... Generous PTO * Medical and Prescription * Health and Wellness Programs * EAP * FSA / HSA ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

TPA License required. * Prior clinical optometry experience in a retail, educational, or medical office setting a plus; all are welcome to apply. * This position requires the ability to communicate ...

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Showing results 1-20

Medical Tpa information

See Raleigh, NC salary details

$35.5K

$160.1K

$327.6K

How much do medical tpa jobs pay per year?

As of Aug 29, 2026, the average yearly pay for medical tpa in Raleigh, NC is $160,132.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,200.00 and $261,000.00 per year, depending on experience, location, and employer.

What is a Medical TPA?

Medical TPAs, or Third Party Administrators, are organizations that act as intermediaries between insurance companies and policyholders in the healthcare sector. They manage various administrative tasks such as processing insurance claims, coordinating with hospitals, and ensuring that policyholders receive timely medical benefits. TPAs help streamline the claims process, reduce paperwork, and often offer customer support services to both insurers and insured individuals. Their main goal is to ensure efficient and transparent handling of health insurance claims.

How does a Medical TPA typically interact with healthcare providers and insurance companies during claim processing?

Medical TPA professionals serve as a crucial liaison between healthcare providers, insured individuals, and insurance companies. They review and process medical claims, ensuring that all documentation is accurate and that claims comply with policy terms. This often involves coordinating with hospitals and doctors to verify treatment details and with insurers to facilitate timely approvals or settlements. Strong communication and organizational skills are essential, as TPAs must balance the needs and expectations of all parties involved while adhering to regulatory requirements.

What are the key skills and qualifications needed to thrive as a Medical TPA, and why are they important?

To thrive as a Medical TPA, you need a solid understanding of health insurance processes, claims management, and medical terminology, typically supported by a degree in healthcare administration or a related field. Familiarity with claims processing software, insurance databases, and regulatory compliance tools is essential. Strong analytical skills, attention to detail, and effective communication are vital soft skills for ensuring accuracy and resolving client or hospital queries. These competencies ensure efficient claims processing, regulatory adherence, and strong relationships with policyholders and healthcare providers.

What cities near Raleigh, NC are hiring for Medical Tpa jobs?

Cities near Raleigh, NC with the most Medical Tpa job openings:

Infographic showing various Medical Tpa job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $160,132 per year, or $77 per hour.

Account Manager

Marpai Administrators LLC

Cary, NC โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Job description


Marpai Administrators (Subsidiary of Marpai Inc. (NASDAQ: MRAI)) is a technology company transforming the Third Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. 
 
ABOUT THE POSITION: 
 
The Account Manager will work in a fast-paced, dynamic work environment working collaboratively with other departments and business partners requiring the ability to be adaptive, innovative and flexible with regards to our customers and clients. This position is responsible for providing account management service and consulting to all Marpai clients
 
 
WHAT YOU WILL BE DOING: 
  • Provide account management services and consulting to a book of business of Marpai clients
  • Maintain positive relationship with customers, brokers, and consultants, and ensure satisfaction with Marpai services, monitor and maintain service level expectations, and perpetuate a best in class reputation.
  • Provide interpretation and recommendations related to reports that Marpai provides to customers on an ongoing basis.
  • Effectively renew business within their book of business.
  • Work with operations teams to resolve elevated service issues. 
  • Remain current on trends and industry knowledge establishing self as subject matter expert
  • Travel across the US to client/broker sites, as needed
  • Other duties as required
 
WHAT SUCCESS LOOKS LIKE: 
  • Successfully manage and renew a book of business by delivering strategic, consultative account management and best-in-class client service
  • High client satisfaction, strong renewal rates, on-time delivery of strategy plans and reporting, and effective management of client relationships.
  • Retained and expanded revenue, successful renewals, increased product adoption, and minimized escalations.
  • Strong cross-functional collaboration, accurate and timely CRM updates, proactive communication, and contribution to team best practices.
 
WHAT DO YOU NEED: 
  • Minimum 5 years of account management experience with results in the TPA or benefits industry
  • Four-year college degree preferred or experience equivalent
  • Active State Health agent license preferred
  • Strong verbal and written communication skills to effectively and accurately execute duties  
  • Strong customer service and relationship skills to ensure timely response, effective resolution and build consensus 
  • Strong follow up skills leading to timely and effective completion of duties and resolution of tasks
  • Superior organizational skills and attention to detail enabling efficient, effective and comprehensive solutions/resolution
  • Flexibility in work schedule to meet demands of clients and colleagues as well as meet deadlines consistently 
  • Strong knowledge, understanding of broker and consultant channels and competitive market leading to success in those related channels.
  • Working knowledge and understanding of TPA operational functions, including Stop Loss
  • Able to work independently in a fast-paced environment

WORK REQUIREMENTS:
  • Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible
  • In this role, expected to travel for client meetings, around the Country, as required
 
 WHY WORK AT MARPAI?  
We have great benefits: 
  • Generous PTO
  • Medical and Prescription 
  • Health and Wellness Programs 
  • EAP 
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield 
  • Identity Theft Protection
       
    Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.
     
     

This is a remote position.