Senior Training Manager, TPA Job at Personify Health (Tempe)

Change Communications Manager, TPA Client Migrations

Because health is personal. That's why Personify Health created the first and on...

Location

United States

Salary:

85000.00 - 110000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor's degree in Communications, Marketing, Journalism, English, or related field (relevant work experience may replace degree)
5+ years experience in client communications, change communications, or related communications role
Experience in TPA, health plan, benefits administration, or managed care environment preferred
Demonstrated experience developing and executing communication strategies for technology migrations, platform transitions, or digital transformation programs
Proven track record producing communications across multiple formats and channels
Experience managing communications in client-facing B2B services environment with complex stakeholder expectations
Experience supporting claims system migrations, benefits platform transitions, or digital experience redesigns in TPA or health plan setting preferred
Experience partnering with senior leadership
Certification or formal training in change management (Prosci/ADKAR) a plus
Exceptional written communication skills for diverse audiences with varying technical sophistication

Job Responsibility

Develop communication strategy: Create, own, and maintain comprehensive external client communication plans aligned to platform migration phases, milestones, and go-live timelines
Design multi-audience framework: Build communication framework that segments messaging by client type, engagement level, migration tier, and channel preference
Own change communications accountability: Serve as primary point of accountability for client-facing change communications
Produce multi-format content: Draft, edit, and manage high volume of communications across formats
Create tailored messaging: Develop both broad 1-to-many communications and bespoke client-specific communications
Translate technical complexity: Convert technically complex changes into clear, accessible language
Maintain editorial standards: Ensure brand consistency and consistent voice
Assess change impact: Lead external change impact assessments
Identify readiness gaps: Recognize client readiness gaps, communication risk areas, and dependencies
Monitor client sentiment: Track client feedback

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support
Retirement planning
Financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture

Fulltime

Senior Manager, Consumer Experience Growth & Support

CommonSpirit Health is looking for a pivotal leadership role with this unique po...

Location

United States , Englewood

Salary:

60.24 - 89.60 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Bachelors Of Science Required
7+ years of progressive experience in Information Technology within a clinical or clinical information systems environment Required
5+ years of demonstrated success in a dedicated people management role, leading and developing high-performing teams, preferably an IT Support team, application development team, or highly matrixed Required
Proven experience leading complex projects and large matrixed teams with significant stakeholder engagement and a track record of achieving project goals Required
Bachelor’s degree in Computer Science, Information Technology, Healthcare Administration, Business Administration, or a related field, Required
Knowledge of legal, managerial, and organizational principles and standards for health systems Required
EHR and TPA build knowledge required (e.g., Epic, Adobe, GCP, etc.)
EPIC Certification (EPIC) Required
Architectural Awareness: Foundational understanding of the Software Development Life Cycle (SDLC) and key architectural concepts (e.g., Data Layer, API integration, Microservices, Cloud platforms to the consuming application) to facilitate effective partnership with development and engineering teams Required
Exceptional People Leadership: Demonstrated ability to lead, motivate, coach, and develop diverse teams, fostering a high-performance, collaborative, and empathetic culture, especially across operational and innovation functions Required

Job Responsibility

Strategic Leadership: Provide strategic leadership, oversight, and mentorship for a diverse team of IT professionals, encompassing both consumer support and Epic/EHR innovation analysts
Consumer Experience Support Vision: Set the vision for, and drive the transformation of, consumer-facing IT support to deliver a "white glove" experience
Performance Management and Strategic Cross-skilling: Provide performance feedback and complete performance evaluations for Team-members
Strategic Thinking and Bridging Capabilities: Strong skillset in matrixed management to bridge EHR analysts from implementation and support, with consumer web and app POC, development, and translating consumer and patient feedback into product and engineering requests
Application Stewardship: Responsible for support of clinical and/or business IT applications and systems
Operational Resource Management of a diverse team: Strategically manage team schedules, including on-call rotations and resource allocation
Epic, TPA and Engineering Upskilling: Drive the upskilling and cross-training of consumer support personnel in Epic applications and workflows
Innovation & Discovery Lead of EHR capabilities: Dotted line accountable leader, to pair with development teams from discovery, inception, development, and execution of Proof-of-Concept (POC) projects and discovery initiatives
EHR Relationship Management and Growth mindset, nimble team cultivation: Supports multiple business applications with key focus on Epic applications and upskilling direct reports on Epic support models
Seamless Integration and Implementation and Strategic Bridge Building: Collaborate with Epic Gold, Operations & Maintenance (O&M) teams, and other internal stakeholders to facilitate seamless transitions from POC to production

What we offer

medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Senior Process Manager

In a TPA environment, operational complexity is constant — and the difference be...

Location

United States , Tempe

Salary:

75000.00 - 90000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor's degree in business, project management, operations, or a related field — or equivalent experience
Minimum 5 years managing cross-functional projects end-to-end, including scope, schedule, risk, budget, and stakeholder communications
Prior experience in a TPA, healthcare, or technology-powered organization strongly preferred
PMP, Six Sigma, or equivalent certification is a plus
Project management platforms including Asana, JIRA, MS Project, or similar
Process modeling and mapping tools such as Visio or BPMN
Microsoft Suite (Word, Excel, PowerPoint, Outlook, Teams, OneDrive) and virtual meeting platforms

Job Responsibility

Own a portfolio of cross-functional projects: Draft project charters, build and maintain detailed project plans, manage milestones and dependencies, and drive teams through to completion — across one-time initiatives and annually recurring programs alike
Redesign how work gets done: Analyze existing processes for bottlenecks and inefficiencies, then design and implement solutions that reduce cycle times and sharpen operational performance across the organization
Keep documentation and governance sharp: Develop and maintain SOPs, process flowcharts, and diagrams — partnering with functional SMEs to ensure documentation stays accurate, current, and usable in practice
Lead change with intention: Build change management strategies, communication plans, and training rollouts that help cross-functional teams adopt new processes and frameworks without losing momentum
Coordinate incident response: Manage communications across internal and external stakeholders during incidents and outages, maintaining escalation protocols and ensuring the right people have the right information at the right time

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Senior Account Manager

Senior Account Managers don't just manage accounts—they own the success of our m...

Location

United States

Salary:

90000.00 - 100000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor's degree or equivalent in related discipline
6+ years experience in TPA, health plan administration, or benefits account management
Strong understanding of ERISA, COBRA, ACA, and plan funding mechanisms
Experience supporting self-funded clients and managing complex plan designs
Proven leadership or mentoring experience strongly preferred
Proficiency with Microsoft Office Suite
Experience with client management platforms (Gainsight, Salesforce, Confluence, Jira)
Strong relationship-building, presentation, and negotiation capabilities

Job Responsibility

Own complex client service delivery: Manage day-to-day service for high-priority and complex existing accounts, ensuring superior service delivery and proactive issue resolution
Monitor and strategize proactively: Track performance metrics, identify potential service issues or trends early, and develop engagement strategies in collaboration with Strategic Account Executives
Lead client relationships: Maintain comprehensive knowledge of client expectations and goals to effectively present information, respond to questions, and follow up on inquiries with authority
Drive client meetings: Lead client meetings and present performance data, reports, and strategic recommendations that demonstrate value and identify opportunities
Partner on implementation: Collaborate with Implementation team to ensure successful onboarding for new clients transitioning into your portfolio
Serve as client advocate: Act as customer advocate within Personify Health, partnering with internal departments to develop, implement, and drive strategies that meet requirements and enhance offerings
Collaborate strategically: Work closely with Strategic Account Executive on strategic planning, growth opportunities, and year-round client program plans
Mentor team members: Guide and support junior Account Managers, serving as knowledge resource and helping build their capabilities
Manage escalations: Handle complex escalations and serve as liaison between clients, internal departments, and leadership for issue resolution
Maintain client management systems: Keep internal tools current (Gainsight, Salesforce, Confluence, Jira) and serve as subject matter expert responsible for training clients on tool utilization

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Senior Complex Claims Manager

As a Senior Complex Claims Manager, you will play a vital role in safeguarding t...

Location

United States

Salary:

125000.00 - 145000.00 USD / Year

Airbnb

Expiration Date

Until further notice

Requirements

10+ years of Insurance Claims Coverage and Litigation experience with an emphasis on liability and property, including severe losses and strong global exposure
Demonstrated portfolio-level leadership: setting strategy, vision, defining KPIs for immediate team
Strong data acumen: Analytical fluency working with large data sets, comfortable defining metrics and working with Analytics and Data Science
Strong knowledge complex complex resolution: Understand techniques, investigative methodologies, and legal aspects related to complex, severe claims resolution
Strong communication: Strong verbal and written communication skills, with the ability to explain complex topics to diverse audiences. Skilled in presenting complex and sensitive customer issues, with the ability to analyze large data sets and draw reasonable conclusions
Influence Airbnb cross-functional teams globally: Proven ability to collaborate effectively across disciplines, regions, and seniority levels. Strong negotiating skills and experience in communicating recommendations to both internal and external stakeholders
Judgement
Proactively work towards achieving a fair and suitable resolution for claims in a timely manner by employing effective conflict resolution strategies
Evaluate and interpret policy language and relevant case law alongside specific loss details to make informed coverage decisions
Coordinate loss investigations with external experts across various exposures and manage the adjustment process until final resolution

Job Responsibility

Assess how the new policies /products impact the risk and exposure mitigation for high severity claims, and how our operating model should evolve
Builds partnerships and leads Large Loss Claim reviews with our insurers on a monthly / quarterly basis depending upon the insurer/market. Ensure we are managing insurers claim handling and potential coverage/relationship issues as well as material reserve changes that could impact Airbnb and the Captive
Craft a Resolution Plan for Complex and Large Loss Claims driving the Carrier and/or TPA to resolve the claim while meeting the needs of internal stakeholders
Partner with Legal, GCM, Trust and our Brokers, Insurers, Outside Counsel, and TPA’s on complex claims resolution which may also involve coverage issues and settlement authority
Accountable for performance and results Insurance Carrier and Partners worldwide over Complex Claims which may impact policy limits or trigger need of notice to Brokers and Carriers under the insuring policies
Build an executive ready dashboard for the Complex Claims team (Top drivers, cycle time, reserve adequacy)
Develop and execute end to end strategies for handling Complex Claims integrating with Legal Litigation, Safety and Trust teams
Author clear process, policy changes and ensure clear change management across the team
Training and SME for L6, L7, and L8 Host Damage Protection and Host Liability Protection Specialist on claims. Works to upskill partners for growth and development. Supports the team by guiding through complex claims and changes
Complex Claim Lead for training and upskilling of AirCover Specialists on new processes, program changes, and workflows

What we offer

bonus
equity
benefits
Employee Travel Credits

Fulltime

Legal Counsel - Insurance

Responsible for primarily providing legal support to the Insurance division of C...

Location

United Kingdom , London

Salary:

Not provided

Collinson

Expiration Date

Until further notice

Requirements

Legally Qualified in England and Wales (approximately 3-5 years PQE)
Excellent knowledge and experience of insurance distribution, the UK insurance sector and the law surrounding both
Litigation experience preferred
Good commercial awareness with strong ability to think strategically and creatively see legal issues in their wider context
Excellent independent drafting skills with strong experience of commercial contracts and negotiation
Experience of working closely with key business stakeholders, including at board level to provide commercial legal advice
Experience of drafting/negotiating technology contracts, data protection agreements and working on Intellectual Property Rights issues
Experience of working within an international business across multi jurisdictions
Able to work on a high volume of matters across the group at one time

Job Responsibility

Drafting and negotiating a wide range of insurance contracts – including Agency, Introducer, TPA and Claims Handling agreements with new and existing clients
Drafting and negotiating commercial contracts – including confidentiality, services and technology agreements
Drafting, updating and contributing to contract precedent templates and associated guidance materials including assisting with internal training programmes
Advising on litigation matters both pre-action protocol and litigation stage
Advising on a wide range of Insurance Regulatory matters
Identifying and mitigating legal risks and upwards management of key risks and issues to the Senior Counsel
Potential to be involved in drafting and negotiating contracts for other divisions within the group – including supplier contracts, IT contracts, Intellectual Property agreements and Confidentiality Agreements across the Loyalty and Assistance divisions
Assisting other team members with wider group matters as and when required, including involvement in group wide projects and corporate matters

Fulltime

Claims Fraud Consultant

Are you looking for a new challenge? Fancy helping us shape the future of motor ...

Location

United Kingdom , Manchester

Salary:

Not provided

Prima

Expiration Date

Until further notice

Requirements

Proven experience in managing Claims Fraud
Aware of current market strategies
High level of technical competency, which can be demonstrated in case handling and through case discussion
High level of knowledge of market-leading Fraud tools such as SIRA
Ability to utilise data to interpret performance trends and translate insights into actionable commercial strategies
Highly effective communicator and influencer with strong influencing skills, capable of building credibility and managing relationships with both internal senior leaders and external partners

Job Responsibility

TPA Oversight & Relationship Management: Supervise and manage the Third Party Administrator, conduct case reviews and audits, identify leakage or process gaps, and maintain a strong, constructive working relationship
Technical Expertise & Complex Claims Support: Provide fraud expertise, supporting the UK Claims Manager with large or complex cases and presentations to reinsurers and internal stakeholders
Fraud Claims Handling & Team Development: Initially manage fraud claims directly, later supporting leadership as the team grows, and contribute to the design and delivery of technical training to strengthen fraud capability
Platform & System Development: Contribute to the development of the Global Claims Platform, shaping efficient processes and driving its evolution to become market-leading
Strategy, Governance & Compliance: Support the long-term fraud strategy, establish robust governance and performance frameworks, and ensure adherence to protocols and case strategies
Process Improvement & Escalation Management: Lead change initiatives to improve efficiency, digital adoption, and customer experience, while acting as the final escalation point for complex or high-value fraud cases

What we offer

Hybrid working, with a mix of home and office days
Access to learning resources, mentorship and a growth plan tailored to you
Private healthcare, gym discounts, wellbeing programs and mental health support

Fulltime

Claims Manager - Third Party Complex

A senior claims specialist required to actively manage a diverse portfolio of sp...

Location

United Kingdom , London

Salary:

Not provided

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

Legal training or past claims experience establishing liability and/or settlement resolutions
Experience of Professional Liability, M&A (Mergers and Acquisition) and/or W&I (Warranties and Indemnities)
Functional knowledge & understanding: Claims management process, US/RoW Insurance market (general & focus group), US/RoW legal and regulatory environment, Alternative resolution approaches
Analytical skills: Problem solving (broad-based, analytical, conceptual, creativity), Analysis of financial statements, Financial assessments of claims, Data analysis, Decision-making
Work management skills: Time and workload management, Self-starter, Planning, Achievement orientation, Productivity focus
Interpersonal skills: Ability to influence others, Client and broker management skills, Purposeful communication, Flexibility, Active listening
Aptitude and Disposition: Outcome focussed, self-motivated, flexible and enthusiastic, Professional approach to successfully interact with senior management/ colleagues/ external suppliers, Diplomatic
Competencies: Problem-solving, Decisiveness, Customer-focused, Influencing others, Attention to detail, Team work, Self-starter, Analytical thinking, Managing resources effectively, Technical competency and expertise

Job Responsibility

Manage reinsurance claims on a proactive basis from notification to closure
Manage portfolio of Category 2 and some Category 1 claims (i.e., claims with an expected or actual value in excess of $250,000)
Adhere at all times to Beazley’s Claims Reserving Philosophy and Standards
Develop, iterate, document, and execute claims strategies
Understand and implement Beazley’s Conduct Risk Policy
Manage a reinsurance claims portfolio to optimise performance
Maintain an awareness of the overall strategic objectives and business plans of the Beazley claims function
Develop an understanding of marketing and underwriting strategies for the respective business area
Contribute to business development and renewal opportunities
Provide inputs to client meetings regarding specific claims issues

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Senior Training Manager, TPA

Job Description

Job Responsibility

Requirements

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