Manager, Member Services Optimization (Healthcare)

TL;DR

Manager, Member Services Optimization (Healthcare): Leading efforts to improve and scale member and provider services operations with an accent on data-backed productivity and efficiency. Focus on designing operational enhancements, reducing call volume, and implementing cross-functional systems to accelerate issue resolution.

Location: Remote (USA)

Salary: $118,394 - $150,242 annually

Company

hirify.global is a health benefits company creating innovative solutions designed to benefit small and midsize businesses and their employees.

What you will do

• Lead initiatives to optimize hirify.global Care’s operational performance and enhance the member and provider experience.
• Identify and prioritize high-impact opportunities using a structured, data-driven approach to reduce call volume.
• Design and implement practical systems and process enhancements to optimize service delivery.
• Translate business needs into clear, actionable requirements for tools and cross-functional projects.
• Develop business cases and structured work plans to ensure timely execution and risk mitigation.
• Define success metrics, monitor performance, and share actionable insights with stakeholders.

Requirements

• 5+ years of progressive experience in process improvement, operations leadership, or consulting.
• Strong understanding of call center operations (member and provider services).
• Experience designing and delivering large-scale initiatives with measurable outcomes.
• Expertise in data analysis, process mapping, and operational design.
• Experience working in a high-growth, fast-paced, and evolving environment.
• Must be based in the US (implied by US-specific benefits and 401k)

Nice to have

• Experience in the healthcare industry, specifically health insurance plans.
• Proficiency in SQL, Excel, Tableau, or similar data analytics tools.
• Lean Six Sigma certification or equivalent process improvement expertise.

Culture & Benefits

• Competitive total rewards package including a 401k program.
• Comprehensive health and wellness benefits with alternative medicine coverage.
• Generous PTO and up to 16 weeks of paid parental leave.
• Additional perks such as transportation benefits, education reimbursement, and paid paw-ternity leave.
• Non-hierarchical, merit-driven culture that encourages authenticity and high performance.