Strategic Client Executive - TPA Job at Zelis

Strategic Account Executive - TPA

We're seeking a proven account executive who can drive annual revenue growth thr...

Location

United States

Salary:

105000.00 - 115000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor's degree or equivalent in related discipline
8+ years experience in sales and/or client success roles in health insurance, employee benefits, healthcare industry, or related field
TPA experience required
Direct experience with client management, benefits strategy management, data analytics, health promotion research, or related sales experience
Solid understanding of employee benefits and managed care products, self-funded business, and labor community
Knowledge of pharmacy and stop loss underwriting and pricing disciplines
Proven ability to develop and maintain high level of expertise in account service/consultative selling techniques, product knowledge, procedures, and administration
Proven ability to handle complex situations, deliver renewals, and increase lines of business on existing clients
Excellent knowledge and skill using Microsoft Office Suite and Salesforce
Experience with complex RFP proposals, negotiations, and contract oversight

Job Responsibility

Drive revenue growth: Own reliable revenue and expansion targets, supporting all aspects of complex renewals and expansion sales efforts including Salesforce pipeline management, RFP proposals, negotiations, and contract oversight
Build executive relationships: Establish rapport and credibility with account stakeholders at all organizational levels through consistent executive presence, depth of domain knowledge, and diligent preparation
Provide strategic consultation: Proactively identify and understand client objectives, challenges, and leadership priorities while uncovering barriers and developing actionable, client-specific strategic plans
Deliver thought leadership: Develop and deliver presentations including business reviews, executive reporting, strategic planning, product capability overviews, and research presentations that derive insights from data
Ensure client satisfaction: Support positive client satisfaction scores and provide oversight for proactive action plans required to maintain positive relationships and secure reference-ability
Monitor contract compliance: Confirm all client contractual obligations are met while communicating any contractual risks to appropriate Personify Health management
Lead internal communications: Maintain ongoing and consistent leadership and stakeholder communications regarding client feedback, status, and strategic action plans for your book of business
Partner with Account Management: Collaborate with assigned Account Managers to ensure seamless client service, aligned strategy execution, and shared accountability for client success

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life, not the other way around
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Competitive base salary plus commission plan that rewards your success

Fulltime

Director, Client Migrations

We're seeking an experienced leader who can oversee a team of solution design an...

Location

United States

Salary:

135000.00 - 150000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

10+ years in healthcare, insurance, or TPA environments required
At least 5 years in leadership roles with proven success overseeing teams managing large-scale client implementations
Prior TPA experience strongly preferred
Strong understanding of claims administration platforms and digital engagement tools
Advanced project management skills (PMP or similar certification preferred)
Ability to guide teams through complex technical transitions and platform migrations
Exceptional leadership: Committed to coaching and mentoring team members for professional growth and development
Strategic alignment: Ability to align implementation strategies with organizational goals and client objectives
Decision-making excellence: Makes timely, data-driven decisions under pressure while managing complex, competing priorities
Change management expertise: Skilled in guiding clients and teams through complex transitions with confidence and clarity

Job Responsibility

Lead team excellence: Develop high-performing team with diverse roles managing client migrations while setting priorities, allocating resources, and ensuring accountability for project delivery
Foster collaborative culture: Build culture of collaboration, continuous improvement, and client-centricity while serving as leadership liaison to Enterprise Project Management team
Provide executive oversight: Monitor all client implementation projects ensuring on-time delivery within scope and aligned with client expectations and organizational standards
Serve as escalation point: Address critical issues and client concerns with strategic problem-solving while maintaining strong relationships with client executives and stakeholders
Define strategic direction: Establish implementation strategies for claims platform and digital experience migrations while partnering with cross-functional leaders across organization
Manage risk proactively: Monitor project risks and drive resolution of complex challenges while ensuring technical solutions meet client requirements and compliance standards
Guide technical excellence: Direct team in understanding claims administration systems and digital engagement platforms while ensuring solutions align with client needs
Communicate effectively: Provide clear project status updates, risk assessments, and milestone tracking to stakeholders at all organizational levels including executive leadership

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts
Flexible work arrangements
Retirement planning support
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders
Learning budget
Unlimited PTO policy

Fulltime

Client Network Solution Coordinator - APAC

Allianz Partners Medical Provider Management (MPM) has a unique and exciting job...

Location

Philippines , Makati

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

2+ years’ experience in international health insurance / TPA / travel insurance / assistance or related industries including experience in medical provider / TPA management
Understanding of international medical provider network management or related activities eg IPMI operations
Educated to degree level or appropriate professional qualification
Logical thinking mind set and ability to problem solve
Strong communication (verbal & written), presentation and interpersonal skills
Relationship and stakeholder management
Project management skills
People management and motivation
Analytical skills
Negotiation

Job Responsibility

Plan, deliver and execute medical provider network expansion for a key client in APAC region, in support of MPM’s strategic ambition and AzP growth, reporting to Team Leader
Own and manage client’s network-related issues and escalations in APAC and provide first-time resolution
Work in conjunction with MPM regional APAC and central teams who manage provider and TPA relationships to ensure delivery of network expansion, issues and escalations management and other key topics on behalf of key client
Resolve issues by co-ordinating directly with client and providers / TPAs as needed
Act as key “advocate” for the client, ensuring customer-centric approach to delivery
Work closely with Team Lead and other key client Service team members within AzP MPM and Operations as part of a dedicated “virtual team” to ensure service excellence for the client
Establish and implement project management tools to support the delivery of network expansion
Deliver regular (weekly / monthly) dashboards and reporting on delivery against plan
Drive, co-ordinate with and provide support to regional and central MPM team managers and their team members to ensure delivery against targets
Establish and maintain governance in relation to a network development, client network / TPA reporting and performance management, and issues/escalations

What we offer

A competitive remuneration and benefits package is offered
The successful candidate will have the opportunity to work in growing multicultural company committed to empowering its employees and furthering their development

Fulltime

Vp, Tpa National Sales

We're seeking a proven sales leader who can develop broker relationships while c...

Location

United States

Salary:

230000.00 - 250000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor's degree or equivalent experience
15 years experience in employee benefit commercial sales and employee benefit design
Expertise and proven track record in Employer, Private Equity, Public Sector, Labor & Trust, or Tribal membership markets
Demonstrable success in consultative sales/business development roles selling complex healthcare services
Deep knowledge of employee benefits, self-funded employer groups, other TPAs, and broker dynamics
Active and productive relationships in brokerage community required
Fluent in self-funded and stop loss models with intermediate understanding of PBM landscape
High performance attitude: Documented history of consistent quota over-achievement and year-over-year performance growth
Consultative seller: Uses sales approach prioritizing relationships and open dialogue to identify and provide compelling solutions
Strong business acumen: Knows how businesses work with knowledge of current practices, trends, benchmarks, and competitive landscape

Job Responsibility

Drive national revenue growth: Work directly with self-funded employer prospects and broker/consultant advisors to initiate, manage, and close sales of Personify Health solutions
Execute strategic planning: Develop territory plans that maximize revenue while identifying customer targets and formulating successful stakeholder engagement strategies to exceed goals
Build strategic partnerships: Create and cultivate authentic relationships with current and future business partners both internal and external, including brokers and consultants
Provide revenue intelligence: Deliver meaningful insights and leading indicators of revenue growth and risk to leadership while maintaining accurate pipeline data and forecasts
Champion the Personify model: Passionately educate and advocate on behalf of Personify Health's documented track record of exceptional cost savings, care quality, and client satisfaction
Ensure implementation success: Work with Account Services for optimal customer implementations while maintaining contact post-implementation to ensure positive experiences
Drive organizational excellence: Work cross-functionally to improve processes and products while providing recognition to those supporting team success

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Unlimited PTO policy

Fulltime

Account Executive II

This job is directly responsible for the retention, growth and profitability of ...

Location

United States , Working at Home - California

Salary:

64000.00 - 96000.00 USD / Year

Canonsburg General Hospital

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Business Administration/Management or related field
6 years of progressive related experience in lieu of Bachelor's degree
2 - 5 years of proven experience in Account Management, Sales, Marketing, Client Facing position
State specific Producer License in Accident & Health or obtained within 90 days from hire date
Valid Drivers License
Proven ability to develop strong customer/client relationships to influence people and affect change
Negotiation skills and demonstrated ability to influence decision makers
Demonstrated ability to teach new insights and perspectives to customers, producers, consultants & partners
Proven problem solving and analytical skills
Strong business acumen

Job Responsibility

Account Planning & Management
Develop account renewal strategy to retain customers, membership and drive UCD profitability
Perform Product & Network assessments and develop competitor positioning and strategies to market against the competition
Identify growth and retention opportunities and develop strategies to win this business
Perform profitability analysis and develop strategies to increase customer profitability and interface and collaborate with underwriting, actuarial, provider relations, and product to deliver total product solution and best value to customer
Engage with customer to identify and implement meaningful customer specific reporting
Manage customer open enrollment needs (materials, meetings, etc.)
Manage customer issues to timely and complete resolution while ensuring customer satisfaction and aligning with corporate goals and objectives and meet with customer to perform plan reviews and consultative assessments
Manage customer specific performance guarantees (PGs) including annual confirmation of sold PGs, reporting accuracy of PGS, and timely delivery of PGs to customer
Ensure document compliancy with customer (i.e. documented renewal letters, contracts, Performance Guarantees and other legal documents) and file within corporate repository

Fulltime

Director, Consultant and Broker Relations

As the Director of Consultant and Broker Relations, you will lead strategic rela...

Location

United States

Salary:

140000.00 - 165000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Deep knowledge of healthcare payors, networks, and the TPA space
Proven ability to develop and implement growth and positioning strategies
Strong relationship management and strategic engagement skills
Experience navigating consultant and broker firms and collaborating across internal teams
Ability to analyze feedback and communicate solution needs, gaps, and opportunities to internal stakeholders

Job Responsibility

Develop and execute business plans and growth strategies for assigned markets
Build and maintain trusted relationships with key stakeholders at designated consultant and brokerage firms
Act as a strategic advisor to position Personify Health’s solutions effectively
Identify emerging market trends and contribute insights to inform our solution roadmap
Partner with internal teams to resolve client relationship challenges and ensure seamless hand-offs between sales and client success
Gather and share feedback from partners to influence strategy, approach, and product development
Drive year-over-year growth in market presence and consultant/broker engagement and satisfaction

What we offer

Comprehensive medical and dental coverage
Mental health support and wellness programs
Flexible work arrangements
Retirement planning support
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders
Learning budget
Unlimited PTO policy

Fulltime

Regional Sales Director

Personify Health is on a mission to simplify and personalize the health experien...

Location

United States

Salary:

140000.00 - 180000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent experience
10 years of experience in employee benefit commercial sales and employee benefit design
Demonstrable track record of success in consultative sales/business development roles selling complex/multi-stakeholder healthcare services, benefits, and/or related services
Deep knowledge of employee benefits, self-funded employer groups, other TPAs, and broker dynamics
Active and productive relationships in the brokerage community required
Fluent in self-funded and stop loss models with intermediate understanding of PBM landscape

Job Responsibility

Work directly with broker/consultant advisors and their employer prospects to initiate, manage and close sales of Personify Health self-funded solutions
Develop strategic territory plans to maximize new sales revenue in assigned geographic market segments
identify customer targets, formulate, and execute sales plan for successful stakeholder engagement to achieve and exceed sales goals
Create and cultivate authentic and productive relationships with current and future business partners both internal and external, including brokers and consultants
Provide meaningful insights and leading indicators of revenue growth and risk to leadership and internal stakeholders
maintain accurate pipeline data, forecasts and reporting for your assigned territory as directed by Commercial Leadership
Passionately educate and advocate on behalf of the Personify Health model, and its documented track record of exceptional cost savings, care quality, member and client satisfaction
Work with Account Management for optimal customer implementations
maintain contact with customers after implementation to ensure positive customer experience
Work cross-functionally to improve our processes and products and provide recognition to those supporting the success of our team

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life, not the other way around
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Competitive base salary plus that rewards your success

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

Strategic Client Executive - TPA

Zelis

Location:
United States

Category:
Sales

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 20, 2026

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