TPA Operations Manager (Project Manager Certification Needed)

Position Overview

The Operations Manager to the Senior Vice President of MWG Administrators provides high-level operational and strategic support to ensure efficient administration services, regulatory compliance, and exceptional client service delivery. This role requires strong project management capabilities, analytical skills, and the ability to coordinate cross-functional teams while serving as a key liaison between the SVP and internal/external stakeholders in a fast-paced healthcare administration environment

Key Responsibilities

Executive Support & Strategic Operations

• Serve as primary point of contact and liaison between the SVP and internal departments, clients, and external partners
• Manage the SVP's strategic initiatives, priorities, and special projects from conception through execution
• Prepare executive briefings, presentations, reports, and correspondence for leadership meetings and client engagements
• Coordinate executive calendar, meeting agendas, and follow-up action items to ensure efficient time management
• Represent the SVP in meetings and decision-making forums when appropriate

Operational Management

• Assist in overseeing daily MWG Administrator operations including claims adjudication, eligibility verification, provider network management, and customer service functions
• Monitor key performance indicators (KPIs) and service level agreements (SLAs) to ensure operational targets are met
• Conduct regular quality assurance audits and implement corrective action plans as needed
• Streamline administrative processes and implement efficiency improvements across the division

Client & Vendor Management

• Serve as a liaison between clients, vendors, and internal teams to address service issues and inquiries
• Participate in client meetings, presentations, and account reviews on behalf of the SVP
• Support contract negotiations and vendor relationship management
• Respond to RFPs and contribute to new business development efforts

Project Management

• Lead cross-functional projects related to system implementations, process improvements, and client onboarding initiatives
• Develop comprehensive project plans including scope, timeline, budget, resource allocation, and risk management strategies
• Utilize PMP methodologies to ensure projects are delivered on time, within scope, and on budget
• Track project milestones, deliverables, and key dependencies using project management tools
• Facilitate stakeholder meetings, provide status updates, and manage change requests
• Document lessons learned and best practices for continuous improvement
• Manage the SVP's project portfolio and provide consolidated status reporting

Required Qualifications

Education & Certifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field required
• Project Management Professional (PMP) certification required
• Additional healthcare industry certifications (CEBS, CMS, PAHM) preferred

Experience

• Minimum 5-7 years of experience in third-party administration, health insurance, employee benefits, or healthcare operations
• At least 3 years of experience in an executive support, chief of staff, or senior management role
• Proven track record of successfully managing complex projects from initiation through completion
• Experience with claims administration systems and healthcare technology platforms
• Demonstrated experience working directly with C-suite or senior executive leadership