... 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 ...
VP, Sales - TPA Markets
Phoenix, AZ · Remote
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 ...
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VP, Sales - TPA Markets
Phoenix, AZ · Remote
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 ...
Director of TPA Relations
Miami, FL · On-site
POSITION SUMMARY The Director of TPA Relations is responsible for overseeing and optimizing the ... Bachelor's degree in Business, Healthcare Administration, or related field, or equivalent practical ...
Director of TPA Relations
Miami, FL · On-site
POSITION SUMMARY The Director of TPA Relations is responsible for overseeing and optimizing the ... Bachelor's degree in Business, Healthcare Administration, or related field, or equivalent practical ...
Head of TPA Operations
Avenel, NJ · On-site
Head of TPA Operations City: New Jersey, Chicago, Minneapolis State/Province: Illinois, Minnesota ... Ensure all processes and procedures are fully compliant with all applicable healthcare regulations ...
Head of TPA Operations
Avenel, NJ · On-site
Head of TPA Operations City: New Jersey, Chicago, Minneapolis State/Province: Illinois, Minnesota ... Ensure all processes and procedures are fully compliant with all applicable healthcare regulations ...
Premise Health is the leading provider of advanced primary care to self-insured employers ... TPA / health plan partners. This is a full time, remote Associate Vice President of Health Plan ...
Premise Health is the leading provider of advanced primary care to self-insured employers ... TPA / health plan partners. This is a full time, remote Associate Vice President of Health Plan ...
Successful candidates will have a solid understanding of healthcare claims processing having gained experience working for a health plan or a TPA. Required Skills: 1) Healthcare Claims Auditing. 2) ...
Successful candidates will have a solid understanding of healthcare claims processing having gained experience working for a health plan or a TPA. Required Skills: 1) Healthcare Claims Auditing. 2) ...
Senior Business Analyst (LTC, Annuity and Life Insurance)
Piscataway, NJ · On-site
$94K - $121K/yr
Business analyst in Annuity and Life Insurance with Long-Term Care (LTC) insurance, Third Party Administration (TPA), TPA Health, LOMA and CBAP certificated Job Summary: We are seeking an experienced ...
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Senior Business Analyst (LTC, Annuity and Life Insurance)
Piscataway, NJ · On-site
$94K - $121K/yr
Business analyst in Annuity and Life Insurance with Long-Term Care (LTC) insurance, Third Party Administration (TPA), TPA Health, LOMA and CBAP certificated Job Summary: We are seeking an experienced ...
Account Manager, TPA
Tempe, AZ · On-site
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Account Manager, TPA
Tempe, AZ · On-site
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Account Manager, TPA
Tempe, AZ · On-site
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Account Manager, TPA
Tempe, AZ · On-site
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Account Manager, TPA
Tempe, AZ · On-site +1
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Account Manager, TPA
Tempe, AZ · On-site +1
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Account Manager, TPA
Tempe, AZ · On-site
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Account Manager, TPA
Tempe, AZ · On-site
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
The ideal candidate is a senior engineer who has lived inside a payer or TPA platform someone who ... Duties & Responsibilities 3.1 Healthcare Payer Domain Leadership (Primary Focus) Serve as the ...
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The ideal candidate is a senior engineer who has lived inside a payer or TPA platform someone who ... Duties & Responsibilities 3.1 Healthcare Payer Domain Leadership (Primary Focus) Serve as the ...
About the Role The Data Analyst plays a key role in monitoring, managing, and improving healthcare ... TPA experience preferred. * Associate or Bachelor's degree preferred, but not required. * Strong ...
About the Role The Data Analyst plays a key role in monitoring, managing, and improving healthcare ... TPA experience preferred. * Associate or Bachelor's degree preferred, but not required. * Strong ...
Healthcare Data Analyst
Dallas, TX · Remote
About the Role The Data Analyst plays a key role in monitoring, managing, and improving healthcare ... TPA experience preferred. * Associate or Bachelor's degree preferred, but not required. * Strong ...
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Healthcare Data Analyst
Dallas, TX · Remote
About the Role The Data Analyst plays a key role in monitoring, managing, and improving healthcare ... TPA experience preferred. * Associate or Bachelor's degree preferred, but not required. * Strong ...
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
$65K - $85K/yr
... healthcare industry, specifically with TPA/self-funded groups * Prior TPA experience strongly ... preferred Technical Skills: * Knowledge of health plan testing, regulatory compliance, and ...
Healthcare Data Analyst
Dallas, TX · On-site +1
About the Role The Data Analyst plays a key role in monitoring, managing, and improving healthcare ... TPA experience preferred. * Associate or Bachelor's degree preferred, but not required. * Strong ...
Healthcare Data Analyst
Dallas, TX · On-site +1
About the Role The Data Analyst plays a key role in monitoring, managing, and improving healthcare ... TPA experience preferred. * Associate or Bachelor's degree preferred, but not required. * Strong ...
Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules ... healthcare data management. Broad knowledge of medical terminology, customer service, claims ...
Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules ... healthcare data management. Broad knowledge of medical terminology, customer service, claims ...
Webilent Technology, Inc. is seeking a Chief Operating Officer (COO) to lead operations for a growing Third-Party Administrator (TPA) serving self-funded health plans. This onsite executive role ...
Webilent Technology, Inc. is seeking a Chief Operating Officer (COO) to lead operations for a growing Third-Party Administrator (TPA) serving self-funded health plans. This onsite executive role ...
Healthcare Configuration and Data Integrity Manager
Miami, FL · On-site
$60K - $70K/yr
... of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of ... healthcare data management. • Broad knowledge of medical terminology, customer service, claims ...
Healthcare Configuration and Data Integrity Manager
Miami, FL · On-site
$60K - $70K/yr
... of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of ... healthcare data management. • Broad knowledge of medical terminology, customer service, claims ...
Tpa Healthcare information
What is the difference between Tpa Healthcare vs Medical Claims Processor?
| Aspect | Tpa Healthcare | Medical Claims Processor |
|---|---|---|
| Certifications | Typically requires health insurance or healthcare administration certifications | Often requires medical billing or claims processing certifications |
| Work Environment | Office-based, healthcare insurance companies, third-party administrators | Medical offices, insurance companies, healthcare facilities |
| Employer & Industry Usage | Used by insurance companies, third-party administrators, healthcare providers | Employed 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.
More about Tpa Healthcare jobs
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:
Job description
Reliant is seeking a National Director of TPA Growth to drive enterprise-level new logo acquisition across the TPA market. This role is centered on selling high-impact, complex solutions - most notably out-of-network claims repricing and No Surprises Act (NSA) / IDR workflow management - directly to TPA executive leadership. Opportunistically, this role will also pursue Group Health Plan Replacement prospects within the TPA ecosystem.
This is a senior hunter role with a clear path toward Vice President and broader growth leadership as the TPA channel scales.
Primary Responsibilities:
- Own and execute the full enterprise sales lifecycle from initial outreach through contract close
- Drive net-new logo acquisition across the national TPA market
- Develop and execute strategic account plans within complex TPA organizations
- Lead multi-threaded sales cycles involving executive, claims, and operations leadership
- Position Reliant against incumbent and bundled alternatives without relying on feature-by-feature parity
- Navigate channel sensitivity and competitive dynamics while maintaining executive trust
- Partner cross-functionally with Product, Operations, Compliance, and Finance to ensure scalable delivery and strong unit economics
- Represent Reliant Health Partners at industry conferences, executive meetings, and strategic events
Qualifications:
- 7+ years of experience selling complex healthcare services or enterprise solutions
- Hands-on knowledge of out-of-network claims repricing and No Surprises Act / IDR workflows required
- This is a hunter role - proven track record of net-new logo acquisition and displacing incumbents required
- Track record of closing complex, long-cycle enterprise deals involving C-suite and senior operational buyers at TPA organizations
- Strong executive presence and ability to navigate channel sensitivity and competitive dynamics within the TPA ecosystem
- Self-directed and comfortable building pipeline from scratch in a growth-stage environment
OTE: $225K-$275K + uncapped commission
About Reliant Roofing, Solar, & Hurricane Shutters
Sourced by ZipRecruiter
Industry
Construction
Company size
51 - 200 Employees
Headquarters location
Jacksonville, FL, US
Year founded
2015