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Tpa Operations Jobs (NOW HIRING)

SISCO

TPA Sales Executive (Fully Remote)

Dubuque, IA · Remote

Knowledge of ERISA, Affordable Care Act, Insured Ancillary/Voluntary coverages, Affinity Programs, Captives, or TPA operations and related cost control point solutions * Prefer CEBS, Self-Funded ...

Talanto

$64K - $80K/yr

Process and Operational Efficiency Job Qualifications: Skills: Continuous Process Improvement ... No TPA Core Services Business Analyst Contribute to the strategic direction of the business and ...

Compunnel

Business Systems Analyst

Providence, RI · On-site

The ideal candidate will understand healthcare business processes, particularly TPA operations, and translate business requirements into effective reporting and analytics solutions. Experience with ...

New

ExlService Holdings, Inc.

Oversee large-scale Life & Annuity platform, TPA Operations, conversion, and strategic implementation programs. * Ensure delivery against scope, schedule, quality, financials, and client commitments.

VytlOne

Overview The Sr. Operations Analyst is responsible for the implementation of new clients and support ongoing maintenance of client and third-party administrator (TPA) electronic data interchange (EDI ...

VytlOne

Sr. Operations Analyst

Overview The Sr. Operations Analyst is responsible for the implementation of new clients and support ongoing maintenance of client and third-party administrator (TPA) electronic data interchange (EDI ...

Compunnel

Business Systems Analyst

Fresno, CA · On-site

The ideal candidate will have a strong understanding of healthcare business processes, particularly TPA operations, and the ability to translate business requirements into effective reporting and ...

Venbrook

Director of Client Experience

Success requires executive presence, sound knowledge of claims and TPA operations, disciplined execution, and the ability to influence outcomes across complex, cross-functional environments.

New

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Tpa Operations information

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How much do tpa operations jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for tpa operations in the United States is $24.15, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $27.64 per hour, depending on experience, location, and employer.

What is the difference between Tpa Operations vs Claims Processing Specialist?

AspectTpa OperationsClaims Processing Specialist
CredentialsTypically requires insurance or healthcare administration certificationsOften requires claims processing or insurance certifications
Work EnvironmentWorks within third-party administrator companies, handling multiple client accountsWorks within insurance companies or third-party vendors, focusing on individual claims
Industry UsageCommon in healthcare, insurance, and third-party administrationPrimarily in insurance companies and claims processing firms

While both roles involve insurance and healthcare processes, Tpa Operations focuses on managing overall third-party administration functions, whereas Claims Processing Specialists handle specific claims submissions and adjudication. Tpa Operations professionals oversee broader operational tasks, ensuring compliance and client management, while Claims Processing Specialists concentrate on accurate claims review and processing.

What are popular job titles for Tpa Operations?

Popular job titles for Tpa Operations:

Infographic showing various Tpa Operations job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $50,239 per year, or $24.2 per hour.

Regional Sales Director, TPA Solutions

Seattle, WA • Remote

Crumdale Specialty
See more jobs at Crumdale Specialtyexternal

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted yesterday

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.