Member Services Manager, Health Plan Operations

Medical Associates; Dubuque (IA); Vor Ort; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Health Insurance

401k with matching

Paid Time Off

Flexible Spending Accounts

Zusammenfassung

Medical Associates Health Plans seeks a Manager of Member Services to lead member support, eligibility, enrollment, and escalated issue resolution. The role emphasizes staff development, workforce planning, and service quality across multiple channels at our onsite Dubuque, IA location.

The position reports to leadership in service operations, with responsibilities for process improvement, technology adoption, and cross-functional collaboration with IT, Compliance, and vendor partners to ensure

Qualifikationen

• Three years of relevant experience in member or customer service or health plan operations.
• Experience in supervision or staff development preferred.
• Knowledge of eligibility, enrollment, appeals, and grievances is advantageous.

Aufgaben

• Oversee service operations, staffing, workflows, and performance metrics.
• Lead hiring, onboarding, coaching, and evaluations.
• Manage eligibility, enrollment, and data accuracy with cross-department coordination.
• Oversee quality reviews, compliance, and issue resolution with stakeholders.
• Identify risks, implement improvements, and drive technology adoption.

Kenntnisse

Leadership

Staff development

Customer service

Operations management

Healthcare knowledge

Ausbildung

High school diploma

Healthcare administration (preferred)

Tools

Knowledge management tools

AI-assisted workflows

Automation tools

Jobbeschreibung

Medical Associates Health Plans seeks a Manager of Member Services to lead member support, eligibility, enrollment, and escalated issue resolution. The role emphasizes staff development, workforce planning, and service quality across multiple channels at our onsite Dubuque, IA location.

The position reports to leadership in service operations, with responsibilities for process improvement, technology adoption, and cross-functional collaboration with IT, Compliance, and vendor partners to ensure