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Imagine360 · 20 hours ago

TPA Renewal Analyst

United States

Full-time

Remote

New Grad, Entry Level

$50K/yr - $55K/yr

Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. The TPA Renewal Analyst is a key member of the operational team responsible for supporting the collection, analysis, management, and reporting process for Imagine360's existing client base.

Health CareHealth InsuranceInsurance

Responsibilities

Extract, validate, and analyze Stop Loss and monthly reporting data from multiple internal systems required for the management of our client accounts

Communicate reporting outcomes to internal teams including Client Experience as well as external stakeholders including brokers, vendors and Stop Loss carriers

Partner with the Client Experience and Stop Loss Strategy teams to ensure complete, accurate, and timely renewal documentation

Prepare monthly renewal packets, distribute RFPs to carriers and brokers, and manage receipt and organization of quotes

Maintain Salesforce records, including quote entry and sales analytics

Support annual RFP reviews

Prepare renewal pricing sheets, including administration and provider fee details

Update Salesforce client profiles to support accurate billing and account setup

Respond promptly and professionally to inquiries regarding reports, claims, member status, and plan documents

Support internal and external stakeholders with a service-oriented, solution-focused approach

Continuously update and maintain process documentation

Participate in team meetings, training initiatives, and continuous improvement initiatives

Conduct self-audits, data testing, and trend monitoring to ensure accuracy and compliance

Performs data testing for quality assessments and improvement

Perform other tasks as requested by the Supervisor or Director

Qualification

Microsoft ExcelData extraction toolsSalesforceHealthcare experienceTechnical documentationAnalytical skillsInterpersonal skillsProblem-solving skillsCommunication skillsOrganizational skills

Required

Degree in business management or comparable field preferred

Prior experience in healthcare or related insurance industry preferred

Advanced level proficiency with Microsoft Excel

Proficiency with data extraction tools and multiple system platforms

Prior experience in preparing business and technical correspondence and formatting technical documents and reports required

Strong interpersonal relationships and problem-solving skills

Working knowledge of computers and software including but not limited to Microsoft Office products

Detail-oriented and possess organizational, problem-solving, and analytical skills with the ability to interpret complex data sets

Excellent communication (written and verbal) and customer service skills

Demonstrated ability to work independently, prioritize workloads, multi-task, and manage priorities to meet deadlines

Ability to work collaboratively across departments and with external parties

Preferred

Experience with SalesForce preferred

Degree in business management or comparable field preferred

Prior experience in healthcare or related insurance industry preferred

Benefits

Multiple Health plan options

Company paid employee premiums for disability and life insurance

Parental Leave Policy

20 days PTO to start / 10 Paid Holidays

Tuition reimbursement

401k Company contribution

Company paid Short-Long-term Disability plus Life Insurance

Professional development initiatives / continuous learning opportunities

Opportunities to participate in and support the company's diversity and inclusion initiatives

Company

Imagine360

Imagine360 is an integrated health plan addressing one of the greatest challenges on behalf of self-funded employers: healthcare costs are harming the bottom line, they're increasingly unaffordable for employees, and the experience remains poor.

Founded in 2003