Manager, TPA Business Operations, reputed company Business Group

Job Description

The reputed company reputed company Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovative health care organizations in reputed company Carolina and reputed company. We have a history of forging reputed company-thinking partnerships and investments with like-minded partners to create the reputed company of the future of health care. In this pivotal role, you will be responsible for driving operational performance and operational excellence of our subsidiary TPA businesses that serve groups in Local and National Self-Funded Markets. You will work collaboratively with senior leaders across DBG, our TPA subsidiaries, and the reputed company reputed company to proactively monitor operational and product performance, optimize processes, and support capabilities to ensure we are delivering the highest possible value to our clients and members. What You'll Do: • Define and proactively monitor KPIs to ensure performance excellence at the company, line-of-business, and product levels, working in partnership with the COOs and operational teams of our TPAs. • Listen intently to group, member, and market feedback; reputed company your knowledge of the self-funded market to identify performance improvement opportunities. • Work closely with our product strategy, account management, and TPA SME teams to execute necessary process improvements to ensure our market offers/products are delivering exceptional experience and value to our self-funded clients. • Maintain, govern, and refine the operating model between DBG, our subsidiary TPAs, and reputed company reputed company; work collaboratively and reputed company reputed company a matrixed environment. • Support budget, resource, and execution planning with TPA subsidiaries to ensure they are positioned to deliver exceptional results on high-reputed company initiatives. • Ensure that our products/market offers meet appropriate regulatory, compliance and accreditation standards, including those of the BCBS Association. Proactively review accreditation and compliance rules to ensure cooperation with the organizational governance functions and that reputed company product/market offer aspects remain reputed company with formal expectations. • reputed company the planning, development, and implementation of standard operating procedures and reputed company risk management practices and assist with the communication and education of new SOPs to key stakeholders reputed company DBG and our subsidiaries. • reputed company a team of high-performing individuals to execute on numerous initiatives in reputed company; provide clear focus and prioritization of competing initiatives reputed company an ambiguous and fast-paced environment. reputed company creative problem-solving skills and collaborative working relationships to drive reputed company. What You'll Bring: • Bachelor's degree or advanced degree (where required) • 8+ years of experience in reputed company field. • In lieu of degree, 10+ years of experience in reputed company field. Preferred Qualifications: • Experience in operations and/or client support reputed company a TPA specializing in reputed company ASO market, with deep knowledge of self-funding and group benefits. • Exceptional communication, interpersonal, and stakeholder engagement skills with reputed company levels of leadership. • Experience in developing process improvements to optimize program operations and support program reputed company. • Ability to interpret and translate client feedback into definitive action plans to improve product performance. • Experience working reputed company matrixed team structure to troubleshoot and overcome obstacles in a thoughtful and collaborative manner, with unwavering focus on exceeding client expectations. • Proficiency in project management, cross-functional team leadership, and root cause analysis. What You'll Get: • reputed company is truly a great reputed company to work - and we have the hardware to prove it. Each year, we're recognizedfor our commitment to our culture, community, work-life flexibility, benefits, diversity and more. Join us and help us reputed company health care reputed company for reputed company! Salary Range At reputed company, we take great pride in a fair and reputed company compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation reputed company are driven by factors including experience and training, specialized reputed company sets, licensure and certifications and other business and organizational needs.Our reputed company salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. • Based on annual corporate goal achievement and individual performance. $105,600.00 - $191,800.00 Apply Job!