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Tpa Healthcare Jobs (NOW HIRING)

East-West

Benefits Administrator

Plano, TX

Serve as the primary onsite contact and daily operational anchor for the organizations self-funded healthcare plan. * Act as the vital liaison between staff, the Third-Party Administrator (TPA ...

East-West

Benefits Administrator

Plano, TX · On-site

Serve as the primary onsite contact and daily operational anchor for the organization's self-funded healthcare plan. * Act as the vital liaison between staff, the Third-Party Administrator (TPA ...

East-West

Benefits Administrator

Plano, TX

Serve as the primary onsite contact and daily operational anchor for the organization's self-funded healthcare plan. * Act as the vital liaison between staff, the Third-Party Administrator (TPA ...

Valenz Health

VP, TPA Markets

Phoenix, AZ · On-site +1

Vālenz ® Health is the platform to simplify healthcare - the destination for employers, payers ... About Our Opportunity As the VP, TPA Markets, you will be responsible for driving new business ...

Valenz Health

VP, Sales - TPA Markets

Phoenix, AZ · On-site +1

Vālenz ® Health is the platform to simplify healthcare - the destination for employers, payers ... About Our Opportunity As the VP Sales - TPA Markets (aka VP, TPA Markets), you will be responsible ...

BC&L INC

TPA Services Manager

Austin, TX · On-site

Bachelor's degree in Business, Healthcare Administration, Insurance, or a related field; or equivalent work experience. * 3-5 years of experience in TPA operations, health insurance claims, or ...

Personify Health

Sr. Manager of Healthcare Claims - TPA

$107K - $140K/yr

... health plan administration, holistic wellbeing solutions, and comprehensive care navigation ... TPA environment * 5+ years of leadership or supervisory experience in claims management Technical ...

Personify Health

Sr. Manager of Healthcare Claims - TPA

$107K - $140K/yr

... health plan administration, holistic wellbeing solutions, and comprehensive care navigation ... TPA environment * 5+ years of leadership or supervisory experience in claims management Technical ...

Acrisure

TPA Specialist

Grove City, PA · On-site

$86K/yr

Job Summary We are seeking a TPA Specialist to join our Employee Benefits Third-Party ... Associate's degree or Bachelor's degree in Business, Finance, Human Resources, Healthcare ...

Acrisure

TPA Specialist

Grove City, PA · On-site

$86K/yr

Job Summary We are seeking a TPA Specialist to join our Employee Benefits Third-Party ... Associate's degree or Bachelor's degree in Business, Finance, Human Resources, Healthcare ...

Reliant

OR

... healthcare services or enterprise solutions * Hands-on knowledge of out-of-network claims repricing ... TPA organizations * Strong executive presence and ability to navigate channel sensitivity and ...

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Tpa Healthcare information

What is the difference between Tpa Healthcare vs Medical Claims Processor?

AspectTpa HealthcareMedical Claims Processor
CertificationsTypically requires health insurance or healthcare administration certificationsOften requires medical billing or claims processing certifications
Work EnvironmentOffice-based, healthcare insurance companies, third-party administratorsMedical offices, insurance companies, healthcare facilities
Employer & Industry UsageUsed by insurance companies, third-party administrators, healthcare providersEmployed by insurance companies, healthcare providers, billing companies

While both Tpa Healthcare and Medical Claims Processors handle insurance claims, Tpa Healthcare typically refers to third-party administrators managing a broad range of healthcare insurance services, whereas Medical Claims Processors focus specifically on processing and reviewing medical claims. The roles overlap in certifications and work environments but differ in scope and responsibilities.

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What cities are hiring for Tpa Healthcare jobs? Cities with the most Tpa Healthcare job openings:
What states have the most Tpa Healthcare jobs? States with the most job openings for Tpa Healthcare jobs include:
What job categories do people searching Tpa Healthcare jobs look for? The top searched job categories for Tpa Healthcare jobs are:
Tpa Healthcare jobs near you
Infographic showing various Tpa Healthcare job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 96% In-person, and 4% Remote job distribution.

Benefits Administrator

East-West

Plano, TX

Other

Medical

Posted 20 days ago

Job description

Position Summary:

The Benefits Administrator serves as the dedicated onsite expert and primary day-to-day anchor for the organization's self-funded Healthcare plan. Reporting directly to the HR Manager, this highly collaborative role acts as the vital, empathetic liaison connecting staff with the Third-Party Administrator (TPA), Health Reimbursement Arrangement (HRA) vendors, and all critical components of the healthcare ecosystem. Working closely with the Compensation and Benefits Specialist, the Administrator manages the continuous flow and auditing of eligibility data using Google Workspace, while actively monitoring claims utilization to ensure plan benefits are used accurately and cost-effectively. As a fierce advocate for both the employee and the organization, the position balances strict compliance oversightensuring adherence to HIPAA privacy standards and driving key annual ERISA and ACA filings. The Benefits Administrator champions healthcare literacy across the workforce while meticulously maintaining the operational integrity of this vital corporate asset. This position is responsible for playing their part to achieve the bigger mission of East-West and for ensuring that all Human Resources activities are clearly aligned with East-West Vision, Mission, Values, Statement of Faith, and Biblical principles.

As an ambassador of faith in Christ and rooted in Biblical principles, the Benefits Coordinator will actively minister to EW leadership, staff, partners and the community in a manner that exhibits Christ-character through personal and corporate spiritual disciplines.

Essential Duties and Responsibilities

  • Plan Operations & Vendor Management
    • Serve as the primary onsite contact and daily operational anchor for the organizations self-funded healthcare plan.
    • Act as the vital liaison between staff, the Third-Party Administrator (TPA), Health Reimbursement Arrangement (HRA) vendors, and other external plan partners.
    • Actively monitor claims utilization data to ensure plan benefits are being used accurately, efficiently, and cost-effectively.

  • Data Integrity & HR Collaboration

    • Manage the continuous data flow and auditing of benefits eligibility records

    • Collaborate closely with the Comp and Benefits Specialist to ensure seamless cross-departmental HR workflows and a unified employee benefits experience.

  • Compliance, Advocacy & Privacy Oversight

    • Maintain strict regulatory oversight of the healthcare plan, ensuring absolute adherence to HIPAA privacy standards.

    • Drive the preparation and execution of critical annual compliance requirements, including ERISA framework guidelines and ACA employer filings.

    • Act as a trusted advocate for both employee care and the financial interests of the organization.

  • Healthcare Literacy & Employee Education

    • Promote healthcare literacy across the organization through proactive communication and ongoing employee education.

    • Provide dedicated, empathetic guidance to staff members navigating the complexities of the self-funded healthcare ecosystem.

Qualifications

  • Experience with Christian Healthcare Ministries or other health sharing organizations, highly preferred

  • Experience with basic accounting principles, highly preferred

  • Bachelors degree or equivalent professional experience, highly preferred

  • 13 years of experience in HR or benefits administration (group health plans preferred)

  • 13 years of ministry or nonprofit experience, preferred

  • Basic familiarity with ERISA, ACA, and HIPAA compliance frameworks

  • Basic familiarity with medical coding

  • Uphold a close and growing relationship with Jesus Christ

Apply