About Taro Health
Taro Health is a team of healthcare nerds, software engineers, product designers, direct primary care doctors, health insurance experts, and more. We are building a healthcare system that makes sense, starting by redefining the role of health insurance – one that focuses on reducing friction for doctors and patients, and investing in ways to create more meaningful doctor-patient relationships. We believe unrushed conversations with doctors lead to better health and lower costs for patients. Our health plans enable all members to have free and frictionless access to a dedicated doctor they know and trust.
We’re excited to create health insurance plans you can actually use.We’re backed by top investors and are looking for values-aligned individuals to join our NYC-based founding team.
Our aspirations for this role
Taro Health is seeking an experienced and enthusiastic individual to lead our vendor partnerships and all of its combined downstream operations that power our health plans. For the right candidate, this is a tremendous opportunity to grow professionally by covering a broad surface area of health insurance operations. Wearing multiple hats is an understatement, but you should feel energized by that level of scope and responsibility. You will be deeply involved in all operational matters that’s required in running a health insurance company and delivering on member expectations of their plan benefits.
This includes, but is not limited to, working with our TPA, PBM, and other vendor partners to identify and resolve escalated member issues, tracking vendor reporting including KPIs and SLAs, overseeing contracts for Taro’s vendor partnerships, and managing and implementing systemic changes that align with our health plan strategy. One day you could be troubleshooting programmatic eligibility issues, another day you could be loading new network contracts that affect our UM strategy. You love getting into the weeds. Taro Health is in its early stages. Each new team member has the opportunity to significantly shape our culture, product, strategy, and operations. Candidates should be eager to work in a dynamic, fast-moving environment where their contributions have a direct and outsized impact.
Let’s dive into the details
Embrace being the company’s day-to-day vendor operations lead, particularly with our external partners. You won’t be asked to communicate directly with Taro members and providers all the time, but you won't hesitate to pick up the phone and do it when necessary.
Define, manage, and oversee KPIs and metrics related to day-to-day health insurance operations.
Collaborate closely with our external operational partners, including our TPA, PBM, vision, telehealth, and utilization management vendors to ensure that they are delivering on contract and regulatory requirements and supporting Taro members and providers effectively.
Lead root cause analysis and issue resolution, then share learnings and implement or oversee improvements.
Be comfortable and flexible with non-scalable processes to start, while working with internal and external partners to develop high-leverage scalable processes to enable Taro’s growth and efficiency.
Build out and work closely with the necessary customer success and operations teams over time.
Support Taro developers with technology buildout and data processing by providing business context and subject matter expertise.
Partner with finance and accounting to support reconciliation and strategic financial planning.
If needed, lead RFI/RFP processes in search for new or augmented vendor partners.
Experience that excites us
Education, experience, and certifications
Bachelor’s degree
At least 4 years experience in health insurance operations, with a strong preference for direct experience with vendor contract oversight and relationship management
Knowledge, skills, and abilities
Significant knowledge of health plan operations and the entire healthcare ecosystem, including deep understanding of medical and pharmacy claims processing, networks, customer service, and health plan rules and regulations
Experience using a CRM or help desk platform for tracking issues and their resolution (Zendesk, Salesforce, etc.)
Proficiency in Google Suite tools
Comfortable with data and data tools
You will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
