Medicare Member Services Supervisor, Call Center Lead

Peak Health; West Virginia; On-site; USD 65,000 - 90,000; Full time

Job summary

PHH Peak Health Holdings seeks a dedicated Supervisor for Medicare Member Services to lead our call center team. You will coach staff, monitor performance, ensure CMS compliance, and drive service excellence for members navigating Medicare Advantage and D-SNP programs.

The role emphasizes supervision, process improvement, and collaboration with internal departments to resolve member issues. The position is full-time, requires weekend rotation, and supports a high-volume environment within our

Qualifications

• High school diploma or equivalent with 3 years in a customer service call center and 4 years in Medicare/health plan operations.
• Associate’s degree with 2 years in a call center and 3 years in Medicare/ CMS/ D-SNP/ compliance field.
• Bachelor’s degree in healthcare administration, business administration, management, communications, or related field.
• Specialized courses or seminars related to Medicare, CMS regulations, managed care, or call center operations.

Responsibilities

• Supervises daily activities and performance of Medicare Member Services representatives.
• Monitors call center operations, service levels, QA results, and scheduling adherence.
• Ensures accurate information on Medicare Advantage and D-SNP benefits, eligibility, enrollment, and related inquiries.
• Ensures CMS/Medicare/HIPAA compliance across operations and documentation.
• Keeps staff informed of regulatory changes and departmental policies.

Skills

Medicare Advantage

D-SNP

CMS regulations

Healthcare ops

Team leadership

Coaching

Regulatory compliance

Call center

Education

High School Diploma or equivalent

Associate’s degree

Bachelor’s degree in healthcare administration/related field

Specialized Medicare/CMS courses or seminars

Job description

PHH Peak Health Holdings seeks a dedicated Supervisor for Medicare Member Services to lead our call center team. You will coach staff, monitor performance, ensure CMS compliance, and drive service excellence for members navigating Medicare Advantage and D-SNP programs.

The role emphasizes supervision, process improvement, and collaboration with internal departments to resolve member issues. The position is full-time, requires weekend rotation, and supports a high-volume environment within our