Sr Client Experience Specialist

Job Summary

A company is looking for a Sr. Client Experience Specialist.

Key Responsibilities:

• Prepare and maintain project plans for each client, coordinate reporting, and perform risk assessments/quality reporting
• Problem solve and identify solutions in areas such as claims processing, enrollment, and provider contracts
• Coordinate with internal teams, conduct outreach, and ensure regulatory compliance

Required Qualifications:

• Associate's degree or formal training beyond high school (preferred: Bachelor's degree in related field)
• 5-8 years of professional work experience in a health plan setting, with account management and client relations experience
• Minimum of 3 years of health insurance claims experience
• TPA (Third Party Administrator) experience and knowledge of Medicare, Medicaid, and PACE preferred