Operations Manager- Member Experience

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for an Operations Manager – Member Experience based in the United States. As Operations Manager – Member Experience, you will play a key role in ensuring seamless, high-quality healthcare experiences by overseeing member issue resolution, operational quality, and continuous improvement initiatives. You will serve as a trusted partner to clients, consultants, vendors, and internal teams, managing complex escalations from initial reporting through final resolution. Your focus will extend beyond resolving individual cases to identifying root causes, implementing sustainable solutions, and preventing recurring issues. You will lead quality assurance efforts, monitor performance metrics, and help optimize AI-powered tools to improve service delivery and operational efficiency. Through coaching and collaboration, you will empower teams to deliver reliable, compliant, and member-first support. This remote opportunity offers the chance to make a meaningful impact on healthcare operations in a dynamic, technology-driven environment.