Source Job

$150,000–$170,000/yr
US

  • Lead the Member Services team, managing licensed agents and owning the member experience across phone, email, and chat.
  • Use tools, data, and automation to scale operations, including Zendesk workflows and AI-assisted tools.
  • Plan capacity across internal staff, contractors, and agency partners while managing quality and compliance.

Zendesk Data Analysis Capacity Planning Health Insurance Team Leadership

20 jobs similar to Director, Member Services Operations

Jobs ranked by similarity.

$200,000–$270,000/yr
US Unlimited PTO

  • Lead a global TPA Member Services organization, setting consistent culture, standards, and accountability across onsite and remote sites.
  • Own service performance, client SLAs, and workforce strategy, including budget, capacity planning, and leader development.
  • Drive a service transformation roadmap with automation, self-service, workflow improvements, and AI-enabled tools to reduce member effort.

Personify Health created the first and only personalized health platform, combining health plan administration, wellbeing solutions, and care navigation. The company serves employers, health plans, and health systems with a mission-driven team focused on empowering healthier lives.

$145,000–$160,000/yr
US Unlimited PTO

  • Own the end-to-end member support strategy, including staffing, AI adoption, and performance metrics.
  • Lead and coach three Member Support Leads and a team of Representatives to deliver empathetic, timely service.
  • Partner with clinical, product, engineering, and external partners to resolve escalations and drive improvements.

Foodsmart is a nutrition-driven healthcare platform connecting members to dietitians, personalized care, and food benefits. Serving over 3 million members and backed by TPG's Rise Fund, it values customer-first teamwork and making healthy food accessible.

US

  • Lead, mentor, and develop a team of managers and team leads, including hiring, onboarding, and performance management.
  • Own operational health, quality, and KPIs across your teams, including SOPs, budgets, and workforce planning.
  • Drive change leadership, cross-functional partnerships, and responsible AI adoption to improve care delivery.

Spring Health is a global mental health company building an AI-native platform for personalized care across coaching, therapy, medication, and specialty care. The company reaches over 170 million people through employers and health plans, with a culture focused on using AI to expand the quality and humanity of care.

$275,000–$350,000/yr
US

  • Own the operating strategy and performance of Clover Care Services across IHC and CCV.
  • Build AI-powered workflows for member engagement, scheduling, visit prep, and follow-up.
  • Develop leaders and grow service capacity while staying close to the field experience.

Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. The company is a mission-driven, remote-first organization using AI to deliver personalized in-home and telehealth care.

$144,000–$191,000/yr
US 4w PTO

  • Lead the operational performance and continuous improvement of deployed AI support experiences and automation workflows.
  • Build and scale the Automated Operations capability, including governance, standards, and team development.
  • Partner with cross-functional teams to deliver measurable business outcomes and improve member and team member experiences.

HealthEquity empowers healthcare consumers by providing health savings accounts and related financial solutions. We are a mission-driven organization that values innovation, inclusion, and the personal growth of our team members.

$90,000–$105,000/yr
US Unlimited PTO

  • Oversee daily operations across BPO vendor partners, monitoring queue performance, SLA adherence, and staffing levels.
  • Own the Care technology stack, including Zendesk, Amazon Connect, and workforce management tooling.
  • Drive quality, learning, and process documentation to deliver high-quality member care at scale.

evermore is a technology company that administers Smart Benefits, connecting people to products and services they need to live healthier lives. It is a Series B stage company backed by leading investors and operates as a remote-first, distributed workforce.

$65,000–$70,000/yr
US

  • You know each patient's care needs and match them with the right clinician.
  • You run the branch's visit schedule and adapt quickly when the plan changes.
  • You spot risk early and escalate anything that could affect patient wellbeing.

Adaptive Home Health is fixing US healthcare by building an AI-native physical care platform that automates administrative work for home health agencies. The company has grown significantly over the past year and values low-ego, hungry leaders who own outcomes and support each other.

$64,832–$85,000/yr
US Unlimited PTO

  • Evaluate overall departmental performance by creating, gathering, and analyzing data metrics and implementing mitigation strategies.
  • Collaborate with internal and external stakeholders to formulate proactive strategies for change management and risk mitigation.
  • Hire and manage a team, conduct root-cause analysis, and ensure compliance with regulations and KPIs.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started in 2012 to create the kind of health insurance company we would want for ourselves.

$126,300–$173,700/yr
US

  • Manage a large operations team supporting VA CCN Credentialing and Provider Data Loading.
  • Define operational strategy and align priorities with business goals for efficient, cost-effective infrastructure.
  • Collaborate across Provider teams and Humana Military to improve manual work, enhance data quality, and guide automation priorities.

Humana is a leading U.S. healthcare company offering insurance and healthcare services through its Humana Insurance and CenterWell brands. It is a large organization focused on improving health outcomes and supporting associates with competitive benefits.

$150,000–$180,000/yr
US 6w PTO

  • Lead and develop a team of functional leads across Workforce Management and Quality Assurance.
  • Own the end-to-end vendor lifecycle, contract structuring, and performance management.
  • Set the automation roadmap for Service Delivery, forecasting mixed human and automated capacity.

Scan.com is building America's national imaging network, connecting patients, providers, and payers to faster diagnostic imaging. The company has raised over $200m, reached profitability, and is growing 100% year on year with a culture of speed and ownership.

US 4w PTO

  • Lead AI-powered support and automation operations in Member Services.
  • Oversee AI agent performance, governance, and continuous improvement.
  • Partner with Product, Engineering, and Operations to scale solutions.

Partner company in healthcare is advancing Member Services through AI-powered support and automation. It values innovation, accountability, and remote flexibility, with a focus on measurable operational outcomes.

USA Canada Unlimited PTO

  • Own daily operations for a Customer Support team across Phone, Email, Live Chat, and SMS, including coverage, queue health, and case quality.
  • Lead, coach, and develop Support Specialists through 1:1s, real-time coaching, and performance reviews, while serving as final escalation point.
  • Partner with leadership across Support, Product, and Engineering to improve tooling, routing, and processes, and drive team KPIs with data.

Wrapbook is an AI platform for production finance that helps teams manage payroll, spend, and accounting for film, TV, and commercials. Trusted by major studios and backed by leading investors, the company has a team of 350+.

$161,500–$210,000/yr
US

  • Own the CCV workforce plan end to end, translating long-range growth targets into weekly and monthly hiring, onboarding, and readiness goals.
  • Build a scalable clinician onboarding model and leadership capacity to support rapid growth without sacrificing clinical quality.
  • Turn workforce data into decisions through dashboards, forecasts, and operating rhythms that manage performance and capacity.

Clover Health is reinventing health insurance by combining the power of data with human empathy to keep members healthier. They are a mission-driven, remote-first company with diverse expertise, focused on improving healthcare.

US

  • Lead, manage, and support a remote team of Medicare sales agents to meet production and quality goals.
  • Coach agents through live and recorded call reviews to improve discovery, presentation, and closing skills.
  • Track KPIs such as talk time, conversion, and persistency, and ensure compliance with CMS rules.

SalesDraft Recruiting is a recruiting firm specializing in sales talent placement. They are seeking a Medicare Sales Manager for a remote team and value accountability, compliance, and high-quality sales performance.

$135,400–$227,600/yr
US

  • Oversee enterprise workforce management strategy, including demand forecasting, scheduling, and real-time performance management.
  • Lead multidisciplinary teams and establish scalable workforce planning frameworks using advanced analytics.
  • Drive cross-functional alignment with operations, sales, finance, HR, and technology to optimize staffing and service quality.

A partner company of Jobgether, this organization specializes in customer-facing and contact center operations, seeking a strategic leader for workforce management. It fosters a remote-first, inclusive culture with a focus on professional growth, innovation, and work-life flexibility.

$79,500–$122,500/yr
US Unlimited PTO

  • Manage day-to-day operations and provide strategic direction for the Operations Team.
  • Oversee personnel actions including hiring, training, performance management, and compensation recommendations.
  • Collaborate with cross-functional teams and vendors to improve processes and resolve escalated issues.

HealthEquity empowers healthcare consumers by providing health savings accounts and financial solutions. The company values diversity, inclusion, and authenticity, fostering a culture where every person is valued.

$185,000–$215,000/yr
US

  • Own clinician capacity planning, scheduling, and access across telehealth and physical centers.
  • Lead the full clinician pipeline from licensure and credentialing through onboarding and ramp.
  • Build clinical QA, SOPs, and performance management processes that scale.

Lifeforce is a longevity medicine program that combines advanced diagnostics, expert clinicians, and personalized health protocols delivered from home. It is a remote-first, fast-growing company founded with leaders from top medical institutions, operating a national network of clinicians.

$90,000–$130,000/yr
US

  • Lead client services operations across background and occupational health screening, ensuring accuracy, timeliness, and compliance.
  • Oversee staffing, Zendesk queues, and uJET phone support to meet service KPIs and SLAs.
  • Manage strategic accounts, escalations, and cross-functional partnerships to drive client retention and experience.

The company provides background screening and drug and occupational health screening services to clients. It focuses on compliance, operational excellence, and building high-performing, client-focused teams in a remote environment.

Americas

  • Own quality end-to-end for the clinical team, defining metrics and monitoring every patient interaction.
  • Lead advocates, nurses, and care coordinators through team leads, managing staffing and performance.
  • Partner with product and engineering to embed quality standards and AI tooling into workflows.

Dearest Care combines smart software with human advocates to guide Medicare patients through diagnoses, bills, and care plans. It is a Series A company backed by top-tier investors, operating with a lean, impact-driven team and a culture of conscious leadership and rapid execution.

US

  • Lead, coach, and develop a team of Staffing Liaisons to ensure caregivers are matched with client needs and service continuity across multiple states.
  • Develop and implement workforce planning, capacity management, and staffing optimization strategies to maximize caregiver utilization and reduce unfilled client hours.
  • Analyze workforce, recruiting, and service delivery data to identify trends, gaps, and improvement opportunities, and drive data-informed operational decisions.

The company is a multi-state healthcare and human services organization that matches caregivers with clients requiring care. It operates in a fast-paced, service-driven environment focused on operational efficiency, workforce optimization, and continuous improvement.