Health Plan Member & Provider Services Lead

wvumedicine; United States; Remote; USD 65,000 - 95,000; Full time

Job summary

WVU Medicine is seeking a Health Plan Member & Provider Services Team Lead to oversee daily call center operations, coach staff, and resolve complex member questions about benefits, claims, and eligibility. You will partner with quality, training, and compliance teams to close knowledge gaps and drive service improvements.

This role emphasizes safeguarding member confidentiality, maintaining professional environment, and contributing to hiring and retention efforts, with a Monday–Friday schedule

Job description

WVU Medicine is seeking a Health Plan Member & Provider Services Team Lead to oversee daily call center operations, coach staff, and resolve complex member questions about benefits, claims, and eligibility. You will partner with quality, training, and compliance teams to close knowledge gaps and drive service improvements.

This role emphasizes safeguarding member confidentiality, maintaining professional environment, and contributing to hiring and retention efforts, with a Monday–Friday schedule