‍Description and Requirements
As a Client Relationship Manager, you will be responsible for the overall satisfaction, retention, and strategic management of an assigned book of business. You will serve as the primary relationship owner for clients and brokers, developing a deep understanding of each client’s benefit strategy, plan performance, organizational priorities, and service expectations. The Client Relationship Manager works across internal departments and external partners to ensure issues are resolved effectively, commitments are met, and clients receive proactive, knowledgeable, and responsive support. Success in this role requires strong relationship management, communication, analytical skills, and ownership of the overall client experience. 

‍Responsibilities
‍Strategic Account Management: Develop a comprehensive understanding of each client’s benefit strategy, plan performance, organizational priorities, and service expectations. Proactively identify opportunities to improve the client experience, plan performance, and overall partnership. 

Client Retention: Maintain a strong understanding of client satisfaction, service concerns, competitive threats, and renewal risk. Proactively identify at-risk relationships and develop action plans with leadership and internal stakeholders to strengthen the relationship and support retention. 

Client Communication: Serve as the primary point of contact for client and broker inquiries, requests, and concerns. Maintain regular communication regardingrelevant initiatives, projects, service matters, and organizational developments. Ensure escalated concerns are addressed promptly and effectively. 

Relationship Building: Develop and maintain strong, trust-based relationships with clients and brokers. Build credibility as a knowledgeable and dependable partner while maintaining an understanding of each client’s goals, expectations, and evolving needs. 

Performance Reporting & Analysis: Coordinate and deliver recurring and ad hoc client reporting. Analyze utilization, financial, service, and operational performance to identify trends, emerging concerns, and opportunities. Translate data into clear, actionable insights for clients and brokers during monthly, quarterly, mid-year, and annual reviews. 

Issue Resolution: Own the coordination of client-facing issues across internal departments and external partners, ensuring clear accountability, appropriate escalation, timely follow-up, and effective resolution. Identify recurring issues and work with internal teams to address underlying causes. 

Implementation & Transition Support: Partner with the Implementation Manager during new client onboarding and significant plan changes to ensure relationship continuity, clear communication, and a successful transition to ongoing account management.

What We're Looking For

·        Must reside in New Jersey, New York, or Connecticut.
·        Associate degree or equivalent combination of education and relevant industry experience.
·        3-6 years previous experience in self-funded health plans.
·        Excellent communication skills, both verbal and written.
·        Strong problem-solving and decision-making abilities.
·        Ability to multitask, prioritize, and manage time effectively.
·        Proficiency in using computer systems and software applications, including CRM software.
·        Ability to work independently and as part of a team in a fast-paced environment.
·        Willingness to adapt to changing priorities and customer needs.

Description and Requirements
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We are seeking a Plan Configuration Specialist to join our System Configuration team. As a third-party administrator for self-funded health plans, the Configuration team is responsible for translating benefit plan documents into accurate system configuration and adjudication logic. This role builds and maintains benefitplan configuration in Javelina and audits that configuration against source plan documents to ensure claims adjudicate correctly.

This is an individual contributor position. It is well suited to a configuration professional who takes ownership of benefit accuracy on their assigned plans and wants to growtheir technical depth within a collaborative team.

Reporting Relationship

This position reports to the Manager of System Configuration and works closely with Claims Operations,Quality Assurance, Plan Document Services, Implementation, Enrollment, and Information Technology teams.

Work Arrangement

This is a hybrid position tha tcombines onsite collaboration and remote work. The expected schedule and onsite requirements will be discussed during the interview process.

What You Will Do

•      Analyze plan documents, Summary Plan Descriptions(SPDs), amendments, and SBCs to accurately configure benefit plans, accumulators, benefit categories, and adjudication logic in Javelina.
•      Maintain configuration across assigned client plans as benefits change through renewals, amendments, and program updates.
•      Self-audit completed builds against source plan documents and participate in peer review to validate accuracy and consistency before plans go live.
•      Support new group implementations, renewals, and mid-year plan changes in partnership with Claims, Quality, Plan Documents, and Implementation teams.
•      Research configuration-related claim defects and benefit issues, determine root cause, and apply corrections under established standards.
•      Create and maintain build documentation, configuration notes, and audit records for assigned work, and follow team SOPs and configuration standards.
•      Share knowledge of assigned plans and platform functionality with teammates, and assist with cross-training as needed.
•      Identify inefficiencies and recurring issues in the build and audit process and raise recommendations to the Manager of SystemConfiguration.

What You Bring (Required)
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•      2+ years configuring benefit plans, accumulators, and adjudication logic on a TPA or payer administration platform (Javelina strongly preferred).
•      3+ years of experience in self-funded health plan administration as a configuration analyst, claims examiner, coder, or related role.
•      Ability to interpret plan documents and translate benefit intent into system logic including deductibles, copays, coinsurance, out-of-pocket maximums, and plan limitations.
•      Working knowledge of medical coding systems and their impact on benefit categories and claim adjudication.
•      Strong Excel skills for reconciliation, reporting, audit support, and analysis.
•      Exceptional attention to detail, sound judgment, and ability to manage multiple priorities independently.

Preferred Qualifications

•      Experience with configuration audits, comparison tools,and quality control processes.
•      Understanding of self-funded health plan operations including stop-loss/reinsurance interactions.
•      Enrollment configuration experience.
•      Experience cross-training or onboarding teammates.
•      Experience with Javelina, Healthpac, or other claims adjudication systems.

What Success Looks Like

•      Maintain high levels of plan configuration accuracy and quality on assigned plans.
•      Reduce configuration-related claim defects through careful build practices and thorough self-audit.
•      Contribute to standardization, documentation, and process improvement initiatives.
•      Support successful implementations, renewals, and benefit changes delivered on schedule.
•      Share knowledge that helps teammates build accurately and consistently.

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SQL Developer

Why Join IBA?

If you enjoy solving complex benefit challenges, improving operational quality, and directly influencing how healthcare claims are administered and paid, IBA offers an opportunity to make a meaningful impact while working alongside experienced professionals in a collaborative environment.Equal Employment OpportunityInternational Benefits Administrators (IBA) is an Equal Opportunity Employer. Employment decisions are based on business needs, job requirements, and individual qualifications without regard to race, color, religion, creed, sex, pregnancy, childbirth or related medical conditions, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, veteran status, military status, or any other characteristic protected by applicable federal, state, or local law. IBA is committed to fostering an inclusive workplace where all employees are treated with dignity and respect and are provided equal opportunities to succeed.

Essential Functions Disclaimer
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The duties and responsibilities described in this job description are intended to describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required. Management reserves the right to modify, assign, or remove duties and responsibilities as business needs dictate.

Employment Disclaimer

Nothing contained in this job description is intended to create a contract of employment, express or implied, or alter the at-will nature of employment. Employment with IBA is at will, meaning either the employee or the Company may terminate the employment relationship at any time, with or without cause or advance notice, subject to applicable law.
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Why Join IBA?

Send your cover letter and resume in PDF or DOCX format to recruitment@ibatpa.com
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