Senior Manager of Member Services and Enrollment

US Family Health Plan- A TRICARE Prime option; United States; On-site; USD 110,000 - 115,000; Full time

Benefits offered by this job

Medical coverage

Vision and dental benefits

401(k) retirement plan

Tuition reimbursement

Generous time-off package

Job summary

A healthcare services company is seeking a Senior Manager of Member Services and Enrollment. The role involves overseeing daily operations of member services, driving process improvements, and ensuring compliance with TRICARE standards. Candidates should have at least 5 years of experience in healthcare management, a relevant degree, and excellent communication skills. The position offers a salary range of $110,000 to $115,000 along with comprehensive employee benefits including medical, dental, vision, and a 401(k) plan.

Qualifications

• At least 5 years of management experience in a health plan or managed care setting.
• Proven ability to manage multiple projects and priorities simultaneously.
• Experience developing healthcare organizational policies and procedures.

Responsibilities

• Oversee daily operations of Member Services and Enrollment Departments.
• Lead operational component development and align with strategic plan.
• Ensure effective management and sustainability of systems and procedures.

Skills

Customer service management

Project management

Policy development

Team building

Communication skills

Education

Bachelor’s degree in healthcare management

Master’s in Health Care Administration

Job description

Senior Manager of Member Services and Enrollment

1 day ago Be among the first 25 applicants

The Senior Manager of Member Services and Enrollment is a key member of the management team whose primary concern is facilitating optimal organizational performance for the Member Services and Enrollment Departments. Reporting directly to the COO, the Senior Manager’s primary responsibility is to oversee daily operations, ensuring both departments work seamlessly to achieve organizational objectives. The Senior Manager drives process improvements, optimizes resource allocation, and fosters a culture of operational excellence.

Responsibilities

• Manage day‑to‑day operations of Member Services and Enrollment Departments, directly or through delegated authority.
• Lead operational component development, align with strategic plan, set direction, strategize opportunities, threats, goals, objectives, and outcomes.
• Identify learning needs and advocate for training and technical support, ensuring training for supervisors and staff.
• Ensure development, integration, effective management, and sustainability of accurate and efficient systems, policies and procedures for departmental functions.
• Plan, organize, evaluate projects, programs, services involving department operations; oversee or manage specific projects as required.
• Collaborate with executive leadership on talent management: recruiting, hiring, retention, succession planning, onboarding, training, professional development, performance assessment, and recognition.
• Establish, maintain, evaluate departmental readiness, maintain accurate operations; build partnerships with vendors and stay current on healthcare industry and TRICARE policies.
• Ensure department performance meets/exceeds organizational goals and TRICARE standards.
• Design and implement policies, procedures, and systems to manage, measure, analyze, and improve performance via quality improvement, measurable high‑quality service delivery, increased operational efficiency, cost‑effectiveness, and beneficiary satisfaction.
• Facilitate development of skills for high engagement, satisfaction, and performance.
• Collaborate with IT for technology and software evaluation, selection, implementation, and integration.
• Demonstrate effective communications, active listening, constructive feedback; prepare reports and documents, promote stakeholder understanding, and plan productive business meetings.
• Conduct internal audits of policy and procedure adherence; coordinate audits from external sources (Defense Health Agency, URAC, other regulatory bodies).
• Demonstrate commitment to ethical responsibility, credibility, objectivity, accountability, and trustworthiness.
• Other assigned responsibilities.

Experience

• At least 5 years managing or supervising a customer service or call center department in a health plan or managed care setting.
• Proven ability to manage multiple projects and priorities simultaneously.
• Previous experience developing and implementing health‑care organizational policies and procedures; proven problem‑solving, program development, team building, and training.
• Bachelor’s degree (healthcare management preferred) or equivalent experience.
• Master’s in Health Care Administration preferred.
• ADP II security clearance required; must obtain and maintain clearance.

SALARY RANGE: $110,000.00 - $115,000.00

Benefits Statement

SVCMC, Inc. provides a robust benefits package that includes medical coverage through UnitedHealthcare/Oxford with no deductible for in‑network services. Employees also receive vision coverage through UnitedHealthcare Vision and dental benefits through MetLife. Basic life and disability insurance are automatically provided at no cost. All employees are eligible for commuter benefits, tuition reimbursement, and a 401(k) retirement plan with an immediate employer match that is fully vested from day one. SVCMC also offers a generous time‑off package, which includes vacation, 10 paid holidays, and 3 personal days. Additionally, employees have access to a comprehensive Employee Assistance Program and exclusive discounts through Working Advantage.

SVCMC IS AN EQUAL OPPORTUNITY EMPLOYER – ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO VETERAN STATUS, DISABILITY, OR OTHER CHARACTERISTICS PROTECTED BY LAW.

Seniority level

• Mid‑Senior level

Employment type

• Full‑time

Job function

• Customer Service and Management
• Insurance and Hospitals and Health Care