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Tpa Operations Manager Jobs (NOW HIRING)

... the Account Management team is 8+ years. * True Integration - SISCO's "One Roof" service model ... operations and related cost control point solutions * Prefer CEBS, Self-Funded Specialist ...

TPA core services Business Analyst

WV · On-site +1

$64K - $80K/yr

No TPA Core Services Business Analyst Contribute to the strategic direction of the business and ... operations. Utilize requirements management tools, workflow modeling skills, healthcare ...

$64K - $80K/yr

No TPA Core Services Business Analyst Contribute to the strategic direction of the business and ... operations. * Utilize requirements management tools, workflow modeling skills, healthcare ...

Oversee large-scale Life & Annuity platform, TPA Operations, conversion, and strategic ... Guide Program Managers, Project Managers, and Scrum Masters to drive accountability and execution ...

The Assistant Operations Manager will be a part of our airport leadership team, reporting to the General Manager and leading and driving the daily floor operations at your station. The ideal ...

The Assistant Operations Manager will be a part of our airport leadership team, reporting to the General Manager and leading and driving the daily floor operations at your station. The ideal ...

Director, TPA Vendor Relations

Omaha, NE · On-site +1

$110K - $200K/yr

In this role, you will lead the strategic and operational management of third-party administrator (TPA) relationships to ensure consistent, high-quality performance delivery aligned with ...

In this role, you will lead the strategic and operational management of third-party administrator (TPA) relationships to ensure consistent, high-quality performance delivery aligned with ...

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Tpa Operations Manager information

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$31K

$63.5K

$118.5K

How much do tpa operations manager jobs pay per year?

As of Sep 11, 2026, the average yearly pay for tpa operations manager in the United States is $63,456.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $77,500.00 per year, depending on experience, location, and employer.

What is a TPA Operations Manager?

TPA Operations Managers oversee the daily operations of Third Party Administrator (TPA) organizations, which often manage insurance claims, employee benefits, or administrative services for other companies. They are responsible for ensuring efficient workflows, compliance with regulations, and high-quality service delivery. TPA Operations Managers coordinate teams, streamline processes, and resolve issues to meet client expectations. Their role is crucial for maintaining smooth operations and building strong client relationships.

What are the key skills and qualifications needed to thrive as a TPA Operations Manager?

To thrive as a TPA Operations Manager, you need expertise in insurance operations, process optimization, and regulatory compliance, typically supported by a bachelor's degree in business or a related field. Familiarity with claims management systems, analytics tools, and industry certifications like AINS or CPCU is valuable. Strong leadership, problem-solving, and effective communication skills help drive team performance and client satisfaction. These skills are crucial for ensuring operational efficiency, regulatory adherence, and the delivery of high-quality service in third-party administration.

What are some common challenges faced by a TPA Operations Manager and how can they be addressed?

A TPA (Third Party Administrator) Operations Manager often faces challenges such as ensuring compliance with ever-changing regulations, managing diverse client requirements, and maintaining efficient claim processing. Balancing operational efficiency with high-quality customer service can also be demanding, especially during peak periods. Effective solutions include implementing robust process automation, continuous staff training, and fostering clear communication between internal teams and external clients. Staying proactive with regulatory updates and leveraging technology can help streamline operations and reduce errors.

What is the difference between Tpa Operations Manager vs Claims Supervisor?

AspectTpa Operations ManagerClaims Supervisor
CredentialsTypically requires a bachelor's degree in business, insurance, or related field; certifications like CPCU or ARM are commonUsually requires a bachelor's degree; certifications like CPCU or similar are advantageous
Work EnvironmentManages operations within third-party administrator (TPA) companies, overseeing multiple teams and processesSupervises claims processing teams within insurance companies or TPAs, focusing on claims handling
Employer & Industry UsageFound in TPA firms, insurance companies, and healthcare organizationsCommon in insurance carriers, TPAs, and claims departments

The Tpa Operations Manager oversees overall TPA operations, including process improvements and team management, while the Claims Supervisor focuses specifically on managing claims processing teams. Both roles require similar credentials and work in related environments, but their scope differs: one manages broader operations, the other concentrates on claims handling.

What cities are hiring for Tpa Operations Manager jobs?

Cities with the most Tpa Operations Manager job openings:

What states have the most Tpa Operations Manager jobs?

States with the most job openings for Tpa Operations Manager jobs include:

What are popular job titles related to Tpa Operations Manager jobs?

For Tpa Operations Manager jobs, the most frequently searched job titles are:

Regional Sales Director, TPA Solutions

Oceanside, CA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 3 hours ago


Job description

About Crumdale Specialty

Crumdale Specialty is a diversified insurance firm providing custom, self-funded healthcare solutions to a limited distribution network of brokers, consultants, and agents nationwide. Ranked on the Inc. 5000 Fastest Growing Companies and Best Workplaces, we leverage industry expertise, superior talent, data analytics, and a disruptive mindset to manufacture, underwrite, and administer agile, transparent, and cost-saving solutions.

At Crumdale, people come first. We strive to make a positive impact on the people we serve. Our company culture is rooted in alignment, innovation, and integrity.

About the Job

As a Regional Sales Director, you will be a cornerstone of our growth strategy. This role demands a highly driven, organized, and strategic professional with a passion for sales, broker development, and consultative solution selling. You will be responsible for building strong broker relationships, managing a robust sales pipeline, and closing high-quality business aligned with our integrated health platform.

We’re looking for a driven, broker-focused sales leader who knows how to win in the self-funded health plan space, with a focus on positioning and growing our Third Party Administration (TPA) platform.

Requirements

Key Responsibilities

  • Drive regional revenue growth by developing and executing a strategic sales plan focused on TPA solutions within the broader health plan ecosystem
  • Cultivate and expand relationships within the limited distribution network of brokers, consultants, and agents
  • Identify, develop, and close new business opportunities while strengthening existing partner relationships
  • Educate broker partners on the full suite of health plan solutions, with an emphasis on TPA-led plan design and administration strategy
  • Serve as a trusted advisor to brokers and consultants by delivering data-driven insights and strategic plan design recommendations
  • Collaborate cross-functionally with underwriting, actuarial, operations, and leadership teams to deliver competitive, customized proposals
  • Lead finalist presentations, strategy meetings, and executive-level discussions with brokers and employer groups
  • Maintain a disciplined pipeline management process, providing accurate forecasting and sales reporting
  • Monitor regional market trends and competitor activity to proactively position solutions
  • Achieve and exceed assigned sales targets, growth metrics, and profitability goals
  • Ensure alignment with underwriting discipline and long-term profitability strategy
  • Represent Crumdale at industry events and broker functions to expand market presence
  • Uphold culture of alignment, innovation, and integrity

Qualifications

  • 5+ years of successful sales experience in self-funded health plans, TPA platforms, stop-loss, or employee benefits markets
  • Demonstrated success building and managing broker/consultant relationships
  • Proven track record of meeting or exceeding revenue and growth targets
  • Strong understanding of alternative funding, captives, cost-containment strategies, and TPA operations
  • Ability to articulate complex solutions in a consultative, value-driven manner
  • Experience navigating multi-stakeholder sales cycles and leading executive presentations
  • Strong pipeline management and CRM proficiency
  • Financial acumen with focus on profitability
  • Entrepreneurial mindset and ability to operate independently
  • Willingness to travel within assigned region

Benefits

At Crumdale, we strive to provide a comprehensive and supportive benefits package to ensure the well-being of our employees. Our benefits include:

  • Medical
  • Telemedicine
  • Dental
  • Vision
  • Life, AD&D, Disability
  • 401(k)
  • Flexible Time-off

Please note: Crumdale Specialty is not engaging with external recruitment agencies; please refrain from contacting us regarding this position.