Member Services & Experience Manager

Medical Associates Clinic; Dubuque (IA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health insurance

401k with matching

Paid time off

Flexible spending accounts

Life insurance

Job summary

Medical Associates Health Plans in Dubuque, IA seeks a Manager of Member Services to lead member support, enrollment, and appeals, ensuring quality and compliance within the healthcare network.

The role focuses on staffing, coaching, process improvement, and leveraging technology to enhance member experience and operational effectiveness. On-site position with competitive benefits is offered.

Qualifications

• At least three years of relevant experience in member or customer service, health insurance, or healthcare operations.
• Supervisory or leadership experience preferred.
• Experience with Medicare and commercial products is preferred.

Responsibilities

• Oversee eligibility and enrollment workflows and accuracy.
• Lead staffing, coaching, and performance evaluations.
• Manage escalation processes and issue resolution.
• Ensure compliance with regulations and accreditation.
• Drive process improvements and technology adoption.

Skills

Leadership

Staff development

Customer service

Workforce planning

Health insurance knowledge

Process improvement

Education

High school diploma

Associate or bachelor's degree preferred

Tools

CRM systems

Data reporting tools

AI-assisted workflows

Job description

Medical Associates Health Plans in Dubuque, IA seeks a Manager of Member Services to lead member support, enrollment, and appeals, ensuring quality and compliance within the healthcare network.

The role focuses on staffing, coaching, process improvement, and leveraging technology to enhance member experience and operational effectiveness. On-site position with competitive benefits is offered.