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Also referred to as: Health Plan Member Services Manager
Requirements and Responsibilities

Member Services Manager is responsible for daily activities in the member services function for a health plan or health maintenance organization (HMO). Collects data on member inquiries and service requests and conducts analysis to identify trends and recommend solutions. Being a Member Services Manager ensures service representatives follow established policies for addressing member inquiries and meet service quality goals. Manages the recruitment, hiring, training, scheduling, and performance management of staff. Additionally, Member Services Manager requires a bachelor's degree. Typically reports to a head of unit/department. The Member Services Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Member Services Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.

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