An award-winning remote work environment POSITION OVERVIEW Our VP of Sales is responsible for ... PBMs, TPA's, Self-Insured Employers, and other healthcare payer organizations. This role is ...
An award-winning remote work environment POSITION OVERVIEW Our VP of Sales is responsible for ... PBMs, TPA's, Self-Insured Employers, and other healthcare payer organizations. This role is ...
... payer/TPA/PBM benefits. * Expertise in using SQL to join complex datasets, investigate ... Health, dental, and vision insurance. * 401(k) w/ 4% match. * Ample opportunity for career ...
... payer/TPA/PBM benefits. * Expertise in using SQL to join complex datasets, investigate ... Health, dental, and vision insurance. * 401(k) w/ 4% match. * Ample opportunity for career ...
Remote Tpa Insurance information
What is a remote TPA Insurance?
A Remote TPA (Third Party Administrator) Insurance job involves managing insurance claims, policies, and administrative tasks for insurance companies from a remote location. TPAs act as intermediaries between insurance companies and policyholders, handling claims processing, customer service, and compliance tasks. Working remotely means these professionals use digital tools and communication platforms to perform their duties outside of a traditional office setting. Remote TPA Insurance jobs require strong organizational, communication, and technical skills, as well as a good understanding of insurance processes and regulations.
What are the key skills and qualifications needed to thrive as a remote TPA Insurance professional?
To thrive as a Remote TPA (Third Party Administrator) Insurance professional, you need strong knowledge of insurance policies, claims processing, and regulatory compliance, typically supported by a relevant degree or insurance certifications. Familiarity with claims management systems, insurance software like Guidewire, and secure communication platforms is essential. Excellent attention to detail, organizational skills, and clear communication set top performers apart, especially in a remote environment. These skills ensure accurate claims handling, regulatory adherence, and efficient client service, which are crucial for client satisfaction and organizational success.
What are the main challenges faced by professionals working remotely in TPA Insurance roles, and how can they be addressed?
Professionals in remote TPA (Third Party Administrator) insurance roles often face challenges such as maintaining clear communication with clients, managing sensitive data securely, and staying updated on regulatory changes. To address these, it’s important to utilize secure collaboration tools, establish regular virtual meetings, and participate in ongoing training. Building strong digital workflows and maintaining responsiveness help ensure high service quality and effective teamwork, even when working from different locations.
What is the difference between Remote Tpa Insurance vs Remote Claims Adjuster?
| Aspect | Remote Tpa Insurance | Remote Claims Adjuster |
|---|---|---|
| Credentials | Insurance licenses, TPA certifications | Adjuster licenses, insurance knowledge |
| Work Environment | Home-based, insurance company or TPA firm | Home-based, insurance carriers or third-party administrators |
| Industry Usage | Used by TPAs managing claims for insurers | Handles claims processing and settlement |
| Job Focus | Managing claims processes, compliance, client communication | Evaluating damages, settling claims, investigations |
Remote Tpa Insurance and Remote Claims Adjuster roles both involve claims management but differ in focus. TPA professionals oversee claims processes for insurers, often working within third-party administration firms, while claims adjusters evaluate damages and settle claims directly. Both roles require insurance knowledge and licenses, but their daily tasks and employer types vary.
What are popular job titles related to Remote Tpa Insurance jobs in Utah?
For Remote Tpa Insurance jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Remote Tpa Insurance jobs in Utah look for?
The top searched job categories for Remote Tpa Insurance jobs in Utah are:
- Flexible Remote Insurance Claims
- Overnight Remote Medicare Insurance Sales
- Remote Small Farm
- Summer Life Insurance Agent Salary Plus Commission
- Remote Extra Mile
- Insurance Licensing Remote
- Professional Work From Home Equine Insurance
- P And C Insurance
- Remote Retirement Plan Sales
- Remote Insurance Agency Bookkeeper
What cities in Utah are hiring for Remote Tpa Insurance jobs?
Cities in Utah with the most Remote Tpa Insurance job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 8 days ago
Job description
Description
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we're a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
POSITION OVERVIEW
Our VP of Sales is responsible for growing sales in excess of 20% annually through long-term planning and execution, along with building long-lasting relationships with Health Plans, Value-based providers, PBMs, TPA's, Self-Insured Employers, and other healthcare payer organizations. This role is integral to the long-term success of the Company and will need to partner with the customer success, clinical, and operations teams to focus on delivering on revenue growth, customer satisfaction metrics, customer and product level profitability, and supporting the overall growth of the business.
Roles:
Major Responsibilities or Assigned Duties:
Travel:
Requirements
Experience:
Skills
Education:
Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we're a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
- A competitive compensation package.
- Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays.
- Growth and training opportunities.
- An award-winning remote work environment
POSITION OVERVIEW
Our VP of Sales is responsible for growing sales in excess of 20% annually through long-term planning and execution, along with building long-lasting relationships with Health Plans, Value-based providers, PBMs, TPA's, Self-Insured Employers, and other healthcare payer organizations. This role is integral to the long-term success of the Company and will need to partner with the customer success, clinical, and operations teams to focus on delivering on revenue growth, customer satisfaction metrics, customer and product level profitability, and supporting the overall growth of the business.
Roles:
- Direct all lead generation and sales activities to impact new business growth and cross-selling at existing accounts to drive increased revenue.
- Direct end-to-end sales process for all product lines and services offered by the Company to drive new revenue growth and increase opportunities for core business expansion.
Major Responsibilities or Assigned Duties:
- Build and demonstrate in-depth understanding of MRIoA solutions and services.
- Be the industry expert for Peer-to-Peer Review sales into targeted market segmentation.
- Understanding of the over-utilization issues with healthcare, the competitive landscape, the clinical terminology associated with the payer space, and individual market needs of each customer and segment to craft and communicate the appropriate value proposition.
- Manage the entire end-to-end sales process, from lead generation to pipeline management through deal execution and enablement of implementation to meet or exceed the quarterly and annual sales quota.
- Maintain key client relationships and expand the current client portfolio.
- Build a territory plan by strategically targeting prospects and identifying opportunities that will lead to pipeline growth (e.g., email campaigns, cold calls, tradeshows, LinkedIn Sales Navigator, ZoomInfo, and working with inside sales and customer success).
- Secure meetings with necessary buying influencers, including clinical directors & VPs, purchasing leadership, and C-level audiences.
- Prepare and perform all product demonstrations and presentations to key stakeholders.
- Define the decision-making process for each prospect including identification of champion(s), decision maker(s), and influencers, clear identification of next steps with appropriate urgency to close opportunities.
- Collaborate with clinical support, product management, inside sales, and account management during the sales process and through handoff.
- Provide feedback and input for marketing/product/service enhancements.
- Maintain up-to-date account information in Salesforce, including contacts, opportunities, and pipeline, with appropriate placement of opportunities by sales stage, revenue amount, and close date to ensure accurate forecast.
Travel:
- Must be able to travel to client and prospective accounts; approximately 40% travel expected.
Requirements
Experience:
- 8 to 10 years of demonstrated success as an individual contributor carrying a quota selling to Health Plans, TPAs, PBMs and/or specialty care management organizations.
- Experience selling to healthcare payers.
- Experience in the use of Salesforce.com or other customer relationship management systems.
Skills
- Motivated self-starter who is able to work independently and effectively from a home office environment.
- Demonstrated track record of successful execution of VP/C-Suite sales strategies with the ability to personally close deals.
- Excellent presentation, communication (written and verbal), and interpersonal skills.
- Demonstrated ability to conduct remote meetings by phone and use of Webcam (Zoom, Teams, etc.).
- Excellent negotiation, collaboration, and organization skills are required.
- Ability to work both independently and as a team; highly collaborative.
- Demonstrate consultative selling experience by assessing and capturing the needs of prospective clients and defining the unique value of MRIoA solutions for each prospect.
- Demonstrated ability to craft and present proposals and negotiate for a win-win.
- Strong attention to detail with follow-through on commitments and timelines.
Education:
- Bachelor's Degree
Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.