Senior Director, TPA Key Accounts

📋 Description

• Lead account operations: Manage all facets of the Northwell account, including Member Services, Claims Operations, Account Management teams, and a fully dedicated workforce to ensure operational excellence.

• Build executive relationships: Forge strong connections and credibility with account stakeholders at all levels of the organization through a consistent executive presence, extensive domain knowledge, and thorough preparation.

• Drive clinical cost strategy: Collaborate with the medical management team to analyze clinical cost experiences, develop cost containment strategies, and achieve significant savings from these initiatives.

• Own strategic outcomes: Take responsibility for dependable revenue, growth, and clinical outcome goals that convert deep relationships into substantial value.

• Identify client objectives: Actively comprehend client goals, challenges, and leadership priorities while identifying obstacles and creating actionable, client-specific strategic plans that enhance satisfaction, success, and ROI.

• Deliver business insights: Create and present business reviews that extract insights from data, assisting clients in planning future directions with a focus on health costs and procedural cost experiences, alongside executive reporting, strategic planning, product capability overviews, and thought leadership presentations.

• Ensure client satisfaction: Promote positive client satisfaction metrics and oversee proactive action plans necessary to maintain strong relationships and secure referenceable client status.

• Monitor contractual obligations: Verify compliance with all client contractual obligations and communicate any contractual risks to the appropriate Personify Health leadership.

• Lead by example: Establish high standards, provide valuable coaching, support cross-functional teams, and exemplify diligent preparation, consistent performance, and continuous improvement in all accountable actions.

• Contribute to leadership team: Act as a member of the Client Growth Leadership Team to develop and promote consistent standards of excellence while guiding and sustaining diverse, high-performing teams.

• Represent Personify Health externally: Engage in thought leadership presentations, industry conferences, and client events as necessary to enhance brand visibility.

• Support broader organization: Collaborate with other departments within Personify Health as required to drive overall enterprise success.

⛳️ Requirements

• Bachelor's degree in Business Administration, Finance, or a related field (MBA preferred)

• 10-15 years of experience in third-party administration, insurance, or a related industry

• 5+ years in a leadership role

• Solid experience in TPA operations is required

• Experience managing tiers within hospital systems is essential

• Proven skills in account service, consultative selling techniques, product knowledge, procedures, and administration

• Proficiency in Microsoft Office Suite and Salesforce

• Ability to extract insights from data and present complex health cost and procedural cost information to executive audiences

• Strong understanding of clinical cost containment strategies and medical management practices

• Knowledge of regulatory issues impacting benefit plans

🏝️ Benefits

• Competitive base salary and comprehensive benefits effective from day one

• Extensive medical and dental coverage through our own health solutions (yes, we utilize what we create)

• Unlimited PTO—time to rest and recharge is non-negotiable

• Support for mental health, retirement planning, and financial security

• Opportunities for professional development with clear career progression and learning budgets

• A mission-driven culture where diverse perspectives create a real impact on people's health