Third Party Admin. Mgr. , El Paso Health

El Paso Health • El Paso, TX

1d

About The Position

Responsible for managing the day-to-day functions of the TPA Department which includes assessing, planning, developing, implementing, coordinating, and evaluating the TPA benefit plan. Develops and maintains relationships with Preferred Administrators’ new and existing client base. Ensures continuous department workflow, effective and efficient communication with internal departments, and provides training, guidance and professional and technical development for the department team members. Oversees the TPA department to ensure that Associates meet performance goals, benchmarks, and handles issue resolution with client(s), members and provider community with overall customer service satisfaction.

Requirements

• Excellent bilingual oral/written skills in English and Spanish
• Exceptional communication and presentation skills
• Excellent interpersonal skills
• Strong knowledge of Microsoft Excel and Access programs
• Ability to perform basic functions of arithmetic: add, subtract, multiply, and divide all units of measure
• Ability to compute ratio and percent
• Ability to create and interpret bar graphs
• Ability to perform reading, writing, and speaking at an intermediate level
• Demonstrates good oral and written communication skills
• Attention to detail
• Strong organization, leadership, and customer relations skills
• Ability to communicate effectively with members, physicians, public, staff and administration
• Ability to exercise good judgment, tact and diplomacy in all public and private dealings
• Strong background in health insurance and employee benefits
• Three years of supervisory/management experience
• Strong background in benefit administration for third party/commercial and/or managed health care

Responsibilities

• Managing the day-to-day functions of the TPA Department
• Assessing, planning, developing, implementing, coordinating, and evaluating the TPA benefit plan
• Developing and maintaining relationships with Preferred Administrators’ new and existing client base
• Ensuring continuous department workflow
• Ensuring effective and efficient communication with internal departments
• Providing training, guidance and professional and technical development for the department team members
• Overseeing the TPA department to ensure that Associates meet performance goals, benchmarks
• Handling issue resolution with client(s), members and provider community with overall customer service satisfaction

What This Job Offers

• Job Type: Full-time
• Career Level: Manager