Director of Client Services - Third Party Administration - TPA

VHA Inc. is a health care provider alliance of more than 2,200 not-for-profit health care organizations. We help members deliver safe, effective and cost-efficient care. VHA has 18 regional offices in 48 states as well as an office in Washington D.C.

Founded in 1977, we are dedicated to the success of not-for-profit, community-based health care. To help our members meet the needs of their communities, our mission is to improve members’ clinical and economic performance. We deliver on our mission by providing industry-leading supply chain management services and facilitating the development of member networks to drive sustainable results.

VHA (002759, Zone 4)
Contact: Paul Dao x6875

Internal employees must apply via internal job application on @work

Location: Oklahoma City, Oklahoma


DIRECTOR OF CLIENT SERVICES - TPA Insurance


Responsible for all client activities related to third party administration of self-funded benefits plans, renewal activity, renewal implementation, new client implementation, and vendor relations.

Will work directly with new and existing clients to assess benefits plan information, eligibility criteria, vendor information, etc… to develop and manage the implementation of benefits processing program. Manage relationships with clients and vendors including but not limited to Drug Card Companies, Managed Care Networks, Reinsurance Companies, and Enrollment agents.
REQUIREMENTS
Minimum 5 + years experience in implementation, management, and administration of self-funded employee benefits plans and specifically process development to include but not limited to third party administration, claim processing, disclosure process, pre-certification, case management process, internal dissemination of information, and plan changes for external clients.