Manager, Member Services – Medication Access & Support Programs jobs in United States
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Maven Clinic · 17 hours ago

Manager, Member Services – Medication Access & Support Programs

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. The Manager of Member Services will lead and scale a function supporting a pharmacy-enabled medication access program, focusing on performance outcomes, staffing, and continuous improvement in complex workflows.

FamilyHealth CaremHealthWomen's
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Comp. & Benefits
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Responsibilities

Lead, coach, and develop Team Leads and Member Services Associates
Set clear expectations around quality, productivity, and member experience
Own hiring, onboarding, performance management, and career development
Foster a culture of accountability, empathy, and continuous improvement
Own performance outcomes for medication access including resolution time, pharmacy turnaround, quality scores, and member satisfaction
Ensure consistent execution of pharmacy coordination, insurance navigation, and escalation workflows
Partner with Workforce Management on staffing models, headcount planning, and capacity forecasting
Serve as the primary operational partner for pharmacy vendors, owning escalation patterns, performance issues, and workflow alignment
Collaborate closely with clinical operations, product, legal, and risk teams to resolve systemic issues
Represent Member Services in cross functional forums and planning discussions
Own operational risk management, compliance adherence, and audit readiness for medication access workflows
Serve as escalation owner for high impact, systemic, or cross team issues
Ensure teams adhere to privacy, PHI, and non clinical scope requirements
Identify trends and friction points across pharmacy, insurance, and member workflows
Lead process improvements, tooling enhancements, and documentation updates
Drive change management as partners, policies, and workflows evolve
Support program scaling including new pharmacy partners or expanded offerings

Qualification

Healthcare operationsPharmacy operationsMember servicesPeople managementOperational risk managementProcess improvementCross functional collaborationZendeskFluency in SpanishLeadership skillsCommunication skillsDecision making skills

Required

5+ years of experience in healthcare operations, member services, pharmacy operations, or insurance support
2+ years of people management experience in complex, high volume support environments
Strong understanding of pharmacy fulfillment, insurance coverage, and medication access workflows
Proven ability to manage operational risk, escalations, and cross functional dependencies
Strong leadership, communication, and decision making skills

Preferred

Experience leading teams supporting specialty or high demand medications
Background in prior authorization, benefit investigation, or pharmacy partnerships
Experience scaling new programs or standing up new service lines
Experience with Zendesk highly preferred or other CX tools
Fluency in Spanish or another commonly spoken member language

Benefits

Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
Whole-self care through wellness partnerships
Hybrid work, in office meals, and work together days
16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+)
Annual professional development stipend and access to a personal career coach through Maven for Mavens
401K matching for US-based employees, with immediate vesting

Company

Maven Clinic

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Maven is a digital health platform that works with health plans and employers to offer virtual services for women’s and family health.

Funding

Current Stage
Late Stage
Total Funding
$417.1M
Key Investors
StepStone GroupGeneral CatalystIcon Ventures
2024-10-08Series F· $125M
2022-11-14Series E· $90M
2021-08-17Series D· $110M

Leadership Team

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Kate Ryder
Founder & CEO
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Julia Marley-Rappoport
VP, Strategic Finance
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Company data provided by crunchbase