Senior Director, TPA Services & Health Plan Operations
University Health
Community First Third-Party Administrator (TPA) Services, Inc. seeks an experienced executive to lead the strategic performance of its TPA operations, ensuring alignment with Community First’s mission and long‑term diversification strategy. You will build collaborative relationships with department leaders to ensure success across claims administration, network management, enrollment and eligibility, regulatory reporting and member services, positioning the TPA as a trusted high‑performing #J-18808-Ljbffr University Health
- ...performance of the Community First Third-Party Administrator (TPA) Services, Inc., organization, ensuring strong alignment with... ...years of progressively responsible leadership experience in health plan operations, third‑party administration, managed care, or a related healthcare...OperationsHealth Insurance
- Community First Health Plans seeks a seasoned leader to drive strategic performance for its TPA Services arm, aligning with the mission and long-term diversification goals. The role emphasizes collaboration with department leaders to optimize the TPA portfolio—claims,...OperationsHealth Insurance
- ...enterprise to create sales plans and identify cross-... ...with your Managing Director (MD) to develop region... ...underwriting, claim, operations, risk assessment, actuarial... ...What Is in It for You?Health Insurance: Employees... ...counseling services, health coaching and other...OperationsSeniorHealth InsuranceFull timeLocal area
- ...audit, tax and advisory services for organizations in... ...seeking an Associate Director, Senior Service Designer (GenAI... ...of medical and dental plans, vision coverage, disability... ...support your mental health. Depending on job... ...and safeguard business operations and company reputation...OperationsSeniorH1bLocal area
- ...technical expertise, project management, technical guidance and direction in the implementation and operation of computer systems; used for Community First Health Plans, Inc. (Community First) systems. Organizes and schedules a variety of major and/or complex computer...OperationsSeniorHealth InsuranceWork experience placement
- A health services organization in San Antonio is looking for a technical expert responsible for... ...systems and ensuring efficient operation. You will provide project management and... ...Join us in supporting effective health plans in our community. #J-18808-Ljbffr Community...OperationsSeniorHealth Insurance
$75k - $85k
...driven and people-centered senior living organizations,... ...United States. With a focus on operational excellence, lifestyle... ...Village at Stone Oak! As Director of Culinary Services , you’ll play an essential... ...includes responsibility for menu planning, staffing, food quality,...OperationsSeniorFull timeWork at officeLocal area- ...providers of healthcare services, comprising of over 18... ...We are looking for a Director of Emergency Services... ...package that supports the health, life, career and... ...colleagues. The available plans and programs include:... ...practice and unit operations. Develops policies, procedures...OperationsHealth InsuranceFull timeTemporary workPart timeRelocation packageFlexible hours
- ...About University Health : At University Health... ...to guide our Dialysis Services team. Position Overview... ...As the Executive Director of Dialysis Services... ...Medical Directors to plan, organize, and lead the... ...and Planning : Manage operational and capital budgets, ensuring...OperationsHealth InsuranceRelocation package
$150.4k - $343.6k
...agendas, Global Business Services (GBS) has become a... ...Global Business Services Senior Manager to join our... ...clients reimagine their operating models across finance,... ...consumer, energy, health and life sciences, industries... ...& Retail: Demand planning, omnichannel order-to-...OperationsSeniorHealth InsuranceWork experience placementSummer holidayFlexible hours- ...owners to implement change and monitor performance. Provides operational support through research, data collection and analysis of information... ..., and market share. Interacts with other Community First Health Plans, Inc. (Community First) departments. Helps ensure that...OperationsSeniorHealth Insurance
$180.2k - $355.1k
...is adding an Actuarial Senior Manager to our Insights, Innovation & Operate Offering. Recruiting for... ...with executives across the health care landscape, ranging... ...technical consulting services to help clients address... ...clients on alternative plan designs, reimbursement models...OperationsSeniorHealth InsuranceLocal areaVisa sponsorship- ...oversight, performance improvement planning, delegated oversight, operational governance, and implementation of organizational... ...operational leadership, Medical Directors, executive leadership, regulatory... ...in a managed care organization, health plan, delegated entity, Medicare,...OperationsSeniorHealth Insurance
$128k - $252.5k
...ecosystem. As an Actuarial Senior Consultant, you will apply... ...engagements spanning the entire health care landscape and product... ...the Insights, Innovation & Operate team, you will provide... ...strategic and technical consulting services to health plans, providers, pharmacy...OperationsSeniorHealth InsuranceWork at officeLocal areaVisa sponsorship- ...security professionals to conduct security assessments, red team operations, and network exploitation activities in support of client... ...support your well-being, growth, and work-life balance. • Robust health plan including medical, dental, and vision • Health Savings...OperationsSeniorHealth InsuranceWork experience placementImmediate start
$193.73k - $322.88k
...reimagining and re-engineering operations and processes that are... ...platforms, products, insights, and services. We help clients innovate,... ...national and regional health plans, 10 of the 10 largest healthcare... ...From entry-level employees to senior leaders, we believe there’s...OperationsSeniorHealth InsuranceLocal areaVisa sponsorship- ..., technical guidance and direction in the implementation and operation of computer systems used for financial, clinical and administrative... ...and in compliance with Departmental and Community First Health Plans policies and procedures. Maintains a good working...OperationsSeniorHealth InsuranceWork experience placement
- ...Urgent Care Senior Veterinary Assistant Department: UrgentVet... ...team leadership, and client service in a fast-paced, state-of-... ...nature of veterinary hospital operations, in-person attendance is... ...education Benefits ~ Health Care Plan (Medical, Dental & Vision Options...OperationsSeniorHealth InsuranceFull timeTemporary workPart timeFlexible hoursNight shiftAfternoon shift
$171.6k - $338.3k
...skills—our Learning Business Process as a Service (LBPaaS) offering provides enterprises... ...an outcome-driven, end-to-end learning operations model that goes far beyond traditional outsourcing... .... We are seeking a highly driven Senior Manager to lead the growth and expansion...OperationsSeniorLocal areaVisa sponsorship$148.01k
...Job Summary: As a Senior Cyber Security Manager Lead a technical cybersecurity... ...security engineering, security tooling operations, and exposure/vulnerability... ...tuning, coverage management, platform health, lifecycle planning, and continuous improvement of key cybersecurity...OperationsSeniorHealth Insurance- Agiliti is looking for a Technical Service Manager II in San Antonio, TX to lead a district-based biomedical services operation and drive high-quality service for healthcare partners. The role focuses on engagement, accountability, and customer outcomes across teams. You...OperationsSenior
- Kestra Financial in San Antonio, Texas, is seeking a Senior Client Service Associate to enhance operational efficiency and client relationships. Key responsibilities include managing daily operations, overseeing the client service team, and ensuring compliance. The ideal...OperationsSeniorWork at office
- ...hospitality teams across front-of-house, kitchen, bowling, arcade, and guest services, ensuring outstanding guest experiences. You will recruit, train, coach, and develop staff, oversee daily operations, manage budgets and labor, and uphold safety and quality standards. #J-...OperationsSenior
- ...to lead financial accounting, reporting, forecasting, and compliance across the nationwide portfolio operated at U.S. military installations. You will work with senior leaders to enforce controls, maximize profitability, and ensure DoD contract compliance and ethical standards...OperationsSeniorContract work
- ...Job Description Commercial HVAC Senior Service Technician Location: San Antonio... ...apprentice development Customer & Operations Support Communicate clearly with... ...What We Offer Competitive Pay Health Insurance (PPO Plan) Vision Insurance Dental Insurance...OperationsSeniorHealth InsuranceFull time
$65k - $75k
...organization working to improve health outcomes for older... ...we partner with health plans and local organizations... ...We’re looking for a Senior Learning & Development... ...closely with Clinical Operations and our broader L&D team... ...Advocate handbook covering services, documentation...OperationsSeniorHealth InsurancePermanent employmentLocal areaRemote work- ...activities and integration with CI, coordinating across the 16 AF/AFCYBER/JFHQ-C(AF) enterprise to support cyber and Information Warfare operations. This position requires the ability to manage HUMINT collection requirements, assist analysts, provide outreach to enterprise...OperationsSenior
- ...Specialist in San Antonio, Texas. This role requires oversight of installer counter sales, ensuring excellent customer service and efficient operations. The ideal candidate should possess a strong mechanical background, ASE Certification, and excellent communication...OperationsSenior
$75k - $80k
...decades of food, education and operational experience driven by top... ...a dynamic, people-focused Director of Dining Services to lead a student... ...Insurance Retirement Plan Paid Time Off Holiday... ...Associate Shopping Program Health and Wellness Programs...OperationsHealth InsuranceFull timeLocal areaRemote workFlexible hours- Sagora is seeking a Maintenance Director for Lynridge of San Antonio to manage daily operations, grounds, and facilities across a senior living community. The role oversees HVAC, plumbing, electrical and safety programs, coordinating preventive maintenance and ensuring...OperationsSenior
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