TPA Account Manager

Job Type

Full-time

Description

Collabrios delivers purpose-built software solutions that unify the entire care journey. With decades of expertise in Programs of All-Inclusive Care for the Elderly (PACE) and deep industry knowledge, we empower care providers to streamline operations and deliver exceptional care to aging adults. Our integrated SaaS platform includes Electronic Medical Records (EMR), Third-Party Administrator (TPA) financial services, and care coordination solutions, helping PACE programs optimize workflows, ensure compliance, and enhance overall operations.

We partner with PACE, government agencies, and community-based organizations to advance care delivery and improve outcomes for the communities they serve.

Job Overview

The TPA Account Manager (AM) serves as a key liaison between PACE organizations and Collabrios' TPA services. In this role, you'll build and maintain strong client relationships, coordinate operational activities, and identify opportunities to improve client outcomes. Working closely with the Account Management team and cross-functional departments, you'll address client needs, develop solutions, and ensure all deliverables are met on time and in compliance with regulations. This position is integral to client satisfaction, operational efficiency, and long-term partnership success.

Key Responsibilities

• Client Relationship Management : Prepare and maintain active project plans for assigned clients, providing regular updates during scheduled calls and meetings.
• Reporting & Compliance : Coordinate the submission of required reporting for clients and internal management to meet critical deadlines. Ensure all reporting meets regulatory and contractual requirements.
• Risk & Quality Oversight : Perform risk assessments, quality reviews, and monthly reporting as directed.
• Operational Problem-Solving : Identify and resolve challenges in claims processing, payments, enrollment, and provider contracts. Recommend and implement solutions in collaboration with internal teams.
• Implementation Support : Participate in pre- and post-implementation calls to ensure smooth onboarding and ongoing client satisfaction.
• Cross-Functional Coordination : Work with internal teams to address client requests or concerns, and identify opportunities to enhance service offerings.
• Outreach & Communication : Manage phone and email outreach to clients, and conduct follow-ups as needed to ensure open communication and alignment.
• Regulatory Reporting : Coordinate and submit regulatory reports to governing agencies or internal leadership to meet all deadlines.
• Data Reconciliation & Management : Assist with data entry, reconciliation, and analysis to support reporting and compliance submissions.
• Documentation & CRM Management : Maintain up-to-date client information, meeting notes, and follow-up actions in CRM systems.
• Regulatory Compliance Tracking : Monitor and track changes to regulations, ensuring updates are incorporated into internal policies and procedures.
• Industry Engagement : Represent Collabrios at client sites, trade shows, and industry events to strengthen relationships and build visibility.

Requirements

What You Bring

Bonus Points if you have :

What We Offer

At Collabrios Health, we're committed to fostering a workplace that supports your well-being, growth, and ability to make a meaningful impact. Here's what you can expect when you join our team :

We're committed to building a diverse and inclusive workplace.

Collabrios is an equal opportunity employer. We welcome candidates from all backgrounds, identities, and experiences. If you're excited about this role but your experience doesn't align perfectly with every qualification, we encourage you to apply anyway. You may be the right candidate for this or other roles.