Member Services Manager

Job Summary

A company is looking for a Member Services Manager.

Key Responsibilities

• Manage and support Tier 1 and Tier 2 Member Services team in resolving escalated member inquiries
• Monitor performance metrics and ensure compliance with healthcare regulations and policies
• Train and develop team members to enhance service quality and operational efficiency

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Communications, or a related field (Master's preferred)
• 5+ years of experience in customer service or member services within the healthcare industry
• 2+ years of leadership or managerial experience in a service center or call center environment
• Strong understanding of healthcare benefits, insurance policies, and regulatory compliance
• Bilingual in Spanish preferred