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Medical Tpa Jobs (NOW HIRING)

SISCO

TPA Sales Executive (Fully Remote)

Dubuque, IA · Remote

... independent TPA. Why SISCO? * "Privately Owned" does not mean private equity - Our family of ... medical and insured ancillary benefits. Optional services include a suite of advocacy and ...

Catalis Holdco Inc.

Benefits Specialist

Alpharetta, GA · Hybrid

Coordinate with benefits vendors and carriers across 401(k), RRSP, pharmacy, medical TPA, stop-loss, and other plan areas to resolve issues and maintain accurate eligibility and plan information.

New

CATALIS

Benefits Specialist

Alpharetta, GA · On-site

Coordinate with benefits vendors and carriers across 401(k), RRSP, pharmacy, medical TPA, stop-loss, and other plan areas to resolve issues and maintain accurate eligibility and plan information.

New

Paylocity

Supervisor, TPA/Spending Accounts

Schaumburg, IL · On-site

$61K - $85K/yr

We offer medical, dental, vision, life, disability, and a 401(k) match, as well as perks that ... Position Overview The primary function of the Supervisor, TPA/Spending Accounts (TPA Ops Team Lead ...

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$36.5K

$164.7K

$337K

How much do medical tpa jobs pay per year?

As of Aug 8, 2026, the average yearly pay for medical tpa in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 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.

What does a Medical Tpa do in healthcare?

A Medical TPA (Third-Party Administrator) manages health insurance claims, processes reimbursements, and coordinates between insurance companies, healthcare providers, and patients. They ensure claims are handled accurately and efficiently, often requiring knowledge of insurance policies, medical billing, and relevant regulations.

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.
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Medical Tpa jobs near you
Infographic showing various Medical Tpa job openings in the United States as of August 2026, with employment types broken down into 95% Full Time, 3% Part Time, and 2% Contract. Highlights an 85% In-person, 3% Hybrid, and 12% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.

Sales Leader - Benefits Wholesale Services

HealthCheck360

Dubuque, IA • On-site

Full-time

Medical, Life

Re-posted yesterday

Job description

Job Title: Benefit Services Sales Manager
Reports To: Executive Vice President, Benefit Services
Position Summary: As our Benefit Services Sales Manager, you'll lead a high-performing team that sells an integrated solution-SISCO(medical TPA), HealthCheck360 (wellness & advocacy), medical management, and BCC (HRIS/consolidated billing). Your charter: grow a sales team, build broker relationships coast-to-coast, win complex business and scale a connected platform that lowers claims cost, boosts engagement, and simplifies administration. You'll hire, coach, and elevate sales executives, set strategy, and partner with executive leadership on product and marketing to accelerate new business and retention.
Essential Functions:
  • Supervise all sales executives, including setting activity metrics, holding regular sales meetings, and ensuring that the sales team has the necessary resources to succeed.
  • Accompany sales executives on calls as necessary to close business.
  • Hire, train, and develop new sales executives; implement formal development plans and ensure comprehensive training.
  • Define sales territories to avoid overlap and inefficiency.
  • Develop policies and procedures for handling incoming leads from national portals, conferences/events, and web-generated opportunities.
  • Formulate strategies to increase penetration and engagement with top brokers in the US.
  • Provide feedback to the Executive Vice President on product and pricing requirements to remain competitive.
  • Collaborate with the Executive Vice President on marketing budget, priorities, and conference attendance; suggest new target verticals and distribution channels.
  • Become an expert in the company's products and differentiation; ensure all sales executives understand and can articulate these differences.
  • Complete other duties as assigned by the Executive Vice President.

Metrics of Success:
  • New business generated each year
  • Business retention rates
  • Number of successful sales executives
  • Significant penetration of new brokers

Education: Four-year degree.
Experience: Minimum of 5 years of sales management experience, preferably within the employee benefits industry.
Specific Skills & Knowledge:
  • Strong leadership skills with the ability to hold others accountable.
  • Excellent sales management skills and practices.
  • Ability to hire and develop sales talent.
  • Solid understanding of the employee benefits business.
  • Knowledge of the wellness business and its applicability for companies.
  • Basic knowledge of CRM systems; proficiency in Hubspot and/or Salesforce is a plus.
  • Obtaining and maintaining a Life and Health Insurance License is recommended but not required.

Supervisory Responsibility: This individual will manage the sales team, which includes 10+ sales executives.
About HealthCheck360:
At HealthCheck360, we turn our passion into your program. We're leaders in population health management and well-being solutions. Our services are like a choose your own adventure book. Select the options you need to fill gaps in your current benefits or create a comprehensive program to fit your organization's unique culture. We can even work with your brokers, third party administrator, insurance companies or other benefit provider for a complete integration of services.
The HealthCheck360 difference is our focus on you. Our approach includes developing a well-being strategy to address individual and population health and get you the data you need to take action. When your employees are healthy, we all win.

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