MMP - Mgr, TPA Operations Job Listing at Medical Mutual in United States of America (Job ID 2500032)

Description

Job Summary:

Leads the operations support function across all the subsidiary company's supplemental insurance product lines across multiple states. Applies understanding of the products and services provided to internal and external customers and works closely with multiple internal departments and vendors to coordinate operations support.   This is a Remote position.

Responsibilities

• Leads a team of subject matter experts responsible for ensuring that internal and external partners meet or exceed and maintain operational performance and service standards. Coaches, develops, and motivates staff. Identifies and addresses staff performance issues. Ensures staff is properly trained and stays current with ongoing business changes. 
• Provides direction to third party administrators (TPAs) to ensure compliance with company policies.  Assists with daily questions and oversight activities for the TPA.  Coordinates yearly audit on TPAs.   
• Manages business relationships with assigned vendors supporting company operations
• Serves as primary vendor liaison with internal departments to support required service and operational functions performed by vendor partners
• Works closely with internal resources and vendor partners to facilitate operational implementations and assists in supervising the operations resources supporting the implementation process.
• Collaborates with Legal and appropriate stakeholders in the creation and maintenance of vendor agreements
• Performs other duties as assigned.

Qualifications

Education and Experience:

• Bachelor's degree in business administration, marketing, or related field.  In lieu of degree, may consider equivalent combination of education and experience.
• 8 years progressive experience in health insurance operations, 3 years of which are in a leadership capacity
• Experience with specialty/supplemental insurance is preferred

Technical Skills and Knowledge:

• Advanced knowledge of specialty/supplemental insurance business operations
• in-depth knowledge of health insurance industry
• Strong vendor management skills
• Strong interpersonal and communication skills
• Intermediated proficiency with Microsoft Word, Access, Excel, and PowerPoint

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.