Account Manager (TPA)

TL;DR

Account Manager (TPA): Managing relationships and operational workflows for self-funded group clients within the healthcare sector with an accent on service delivery, client reporting, and cross-functional coordination. Focus on resolving complex operational issues, ensuring contractual compliance, and optimizing client retention through proactive account management.

Location: Remote, United States

Salary: $65,000 - $85,000

Company

hirify.global simplifies and personalizes the health experience to improve health outcomes and reduce costs for companies and their employees.

What you will do

• Serve as the primary point of contact for assigned self-funded group clients, responding to inquiries and providing creative solutions.
• Monitor service levels to ensure timely issue resolution, compliance, and adherence to contractual commitments.
• Develop and deliver standard and custom client reports covering claims, utilization, and other key metrics.
• Partner with cross-functional teams across claims, eligibility, and compliance to deliver seamless service.
• Support renewals, plan changes, and the execution of Quarterly Business Reviews (QBRs).
• Maintain accurate client records, communication logs, and CRM system entries.

Requirements

• Bachelor's degree or equivalent in a related discipline.
• 3+ years of account management experience.
• 3+ years of experience in health insurance, employee benefits, or healthcare, specifically with TPA/self-funded groups.
• Proficiency with CRM systems and experience preparing client reports and presentations.
• Must be based in the United States.
• Ability to travel for multiple days at a time when needed.

Culture & Benefits

• Comprehensive medical and dental insurance effective day one.
• Unlimited PTO to ensure rest and recharge time.
• Mental health support, retirement planning, and financial protection.
• Professional development with clear career progression and learning budgets.
• Mission-driven culture celebrating diversity, equity, and inclusion.