Executive Director, Health Plan TPA Services

University Health; San Antonio (TX); On-site; USD 180,000 - 240,000; Full time

Job summary

Community First Third-Party Administrator Services, Inc. seeks an Executive Director to lead the TPA portfolio within CFHP, directing strategic, operational, and financial performance.

The role requires building a high-performing leadership team, ensuring compliance with Texas insurance regulations, and driving growth in claims administration, provider network management, enrollment, and regulatory reporting for managed care clients.

Qualifications

• Bachelor's degree required; 10+ years leadership/health plan ops preferred.
• Experience with health plan operations, TPA services, or managed care.
• Exposure to Texas Insurance regulations and licensing is highly desirable.

Responsibilities

• Lead strategic, operational and financial performance of the TPA Services.
• Build and guide a high-performing leadership team across departments.
• Ensure regulatory compliance and reporting for managed care clients.

Skills

Leadership experience

Strategic planning

Regulatory knowledge

Education

Bachelor's degree

Job description

Community First Third-Party Administrator Services, Inc. seeks an Executive Director to lead the TPA portfolio within CFHP, directing strategic, operational, and financial performance.

The role requires building a high-performing leadership team, ensuring compliance with Texas insurance regulations, and driving growth in claims administration, provider network management, enrollment, and regulatory reporting for managed care clients.