Executive Director, Third Party Administrator Services - CFHP
Company: University Health
Location: San Antonio
Posted on: March 23, 2026
|
|
|
Job Description:
POSITION SUMMARY/RESPONSIBILITIES Responsible for the strategic,
operational, and financial performance of the Community First
Third-Party Administrator (TPA) Services, Inc., organization,
ensuring strong compliance, operational excellence, and market
growth in alignment with Community First’s mission and long ‑
term diversification strategy. Build, oversee and collaborate with
other department leaders, to ensure the success of the TPA’s
administrative service portfolio, including claims administration,
provider network management, enrollment and eligibility services,
regulatory reporting, and member services, positioning the TPA
Services organization as a trusted, high ‑ performing partner for
managed care organizations and health plans. EDUCATION/EXPERIENCE A
bachelor’s degree is required. A minimum of 10 years of
progressively responsible relevant experience will be accepted in
lieu of educational requirements. The ideal candidate will possess
a minimum of 8 years of progressively responsible leadership
experience in health plan operations, third ‑ party
administration, managed care, or a related healthcare services
environment, along with demonstrated success in building or
managing a TPA Services organization, health plan operations
department, or similar administrative services function. Experience
with Texas Department of Insurance (TDI) regulations and TPA
Services licensing is highly desirable, as is a proven record of
driving financial performance through revenue growth, operational
efficiency, and margin management. Experience in an HMO or managed
care setting is required.
Keywords: University Health, San Antonio , Executive Director, Third Party Administrator Services - CFHP, Healthcare , San Antonio, Texas
