Member Services Lead: Elevate Customer Experience & Compliance

Texas Children's Hospital; Bellaire (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

Texas Children's Hospital is seeking a Manager of Member Services to lead a high‑performance, culturally competent customer service call center supporting a diverse membership and provider community.

You will evaluate staff development, service results, and processes to ensure excellence, satisfaction, and regulatory compliance, including HIPAA, CMS, and JCAHO. This role offers growth within a pediatric health system.

Qualifications

• 6 years of experience as a team leader or supervisor in Member Services, Claims Administration, Revenue Cycle, Financial Counseling or Provider Relations.
• Bachelor's degree in Business Administration, Health Administration, Marketing, or related field may substitute for four years of required experience.
• Ability to supervise, interview, assess and hire staff; ensure regulatory compliance.

Responsibilities

• Acts as an internal advocate for external customers, collaborating with other department managers to meet customers’ needs.
• Develops and implements training strategies that support quality objectives and continuous learning.
• Ensures compliance with regulatory and accrediting requirements (HIPAA, CMS, JCAHO, NCQA, etc.).
• Interviews, assesses, and selects candidates for hire.
• Participates in outreach to educate the community about pediatric health plan options.
• Ensures linkage between department requirements and the integrated delivery system.

Skills

Customer service leadership

Staff development

Training strategy

Regulatory compliance

Cross-functional collaboration

Education

Bachelor's degree in Business Administration or related field

High school diploma or GED

Job description

Texas Children's Hospital is seeking a Manager of Member Services to lead a high‑performance, culturally competent customer service call center supporting a diverse membership and provider community.

You will evaluate staff development, service results, and processes to ensure excellence, satisfaction, and regulatory compliance, including HIPAA, CMS, and JCAHO. This role offers growth within a pediatric health system.