Manager, VBC Enablement, TPA/MSO Operations

Description

• Lead end-to-end onboarding for new clients, including project planning, timeline management, and coordination with internal and external stakeholders.
• Ensure accurate setup of systems, workflows, and compliance requirements.
• Conduct pre- and post-implementation reviews to guarantee smooth transitions.

• Serve as the primary liaison for assigned clients, building strong relationships and understanding their business needs.
• Manage a portfolio of accounts, providing proactive support and resolving escalated issues.
• Conduct regular business reviews, monitor KPIs, and identify opportunities for growth and improvement.
• Maintain up-to-date client data, documentation, and CRM records.

• Oversee day-to-day operational activities, ensuring adherence to service standards, regulatory compliance, and risk management protocols.
• Develop and implement process improvements to enhance efficiency and reduce operational risk.
• Monitor and enforce compliance with federal, state and client requirements.
• Utilize data analytics tools (ARC) to provide insights and support strategic decision-making.

• Partner with sales, clinical, operational, and IT teams to deliver a consistent and exceptional client experience.
• Coordinate internal resources for operational support.

• Bachelor’s degree in business administration, Healthcare Management, or related field, or equivalent experience.
• 7–10 years of experience in account management, operations leadership, or client implementation within health plan, insurance, TPA or MSO environments.
• Strong understanding of health plan insurance and operations, TPA and MSO operations, and compliance requirements.
• Proven ability to manage complex projects and multi-million-dollar account portfolios.
• Proficiency in Microsoft Office and data analytics tools.
• Excellent communication, problem-solving, and relationship-building skills.
• Ability to lead teams and influence cross-functional stakeholders.

• Strategic thinking and operational excellence
• Client-centric approach with a focus on service quality
• Leadership and team development
• Analytical and process improvement mindset
• Adaptability in a fast-paced environment