TPA Funding Manager

Overview

Who We Are

Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

Who are you?

The TPA funding manager is responsible for managing the funding, financial reporting, and reconciliation processes for client accounts. This role will ensure accurate and timely funding of claims and all financial obligations related to employee benefits. The TPA funding manager will collaborate with both internal and external stakeholders as well as financial institutions to maintain compliance and deliver exceptional service. This position is hands on to support the North accounting operations funding team and will organize, delegate, and ensure departmental KPI’s are being met.

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Issue resolution and management of group inboxes
• Problem solving internal and external inquiries and escalations. Work closely with account managers, claims processors, etc.
• Reconcile and audit large sets of data across various financial systems, TPA systems and third-party reports
• Review Positive pay files across many bank accounts
• Manage the funding process for client accounts including collecting premiums and paying various carriers, vendors and providers
  • Identify and mitigate financial risks related to underfunding, overfunding, or errors in account management
  • Ensure reports are delivered timely and accurately to clients
•  Banking
  • Maintain financial institution relationships
  • Manage wire transfers, ACH’s, checks and ensure proper controls are in place
  • Work with third party payment processors
• Assist other departments in resolution of client / vendor issues
• Supervision, training and development of employees
• Understand and document process and controls, systems, workflows, etc.
• Identify and implement improvements to funding processes to enhance efficiency, accuracy and client satisfaction

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• Bachelor’s degree in accounting, finance, business administration or related field.
• 3 to 5 years’ experience in financial management with a focus on funding and accounting.
• Previous banking and health insurance industry experience preferred

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Ability to take direction and work effectively with leadership
• Proficient in MS applications
• Intermediate or advanced excel skills
• Strong written and verbal communication skills
• Ability to work effectively in a team environment
• Proficient in financial and TPA systems. Netsuite, Qiclink, Javelina experience preferred.
• Self-starter problem solver
• Strong attention to detail and accuracy in financial reporting

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $75,000 to $90,000 annually. Note that compensation may vary based on location, skills, and experience. This position is eligible for 10% target bonus/variable compensation as well as health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to [email protected]. All of our legitimate openings can be found on the Personify Health Career Site.

Application Deadline: Open until position is filled.