Vice President, TPA Member Services

Who We Are

Because health is personal. Thats why Personify Health created the first and only personalized health platformbringing health plan administration holistic wellbeing solutions and comprehensive care navigation together in one place. We serve employers health plans and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together our team is on a mission to empower people to lead healthier lives.

Learn even more about the work that drives us at .

Why This Role Matters

Every time a member or provider reaches out about benefits claims or care they need a clear fast and accurate answer and Member Services is where that promise is kept or broken. As Vice President youll run a large global operation while reimagining how service gets delivered through automation smarter workflows and better tools. Youll hold the line on client SLAs and contractual commitments and youll build the roadmap that makes service easier for members and for the teams behind them. This is a builder-operator role and how well you run today and design tomorrow directly shapes client retention member trust and the long-term success of our business.

What Youll Actually Do

• Lead a global service organization: Direct the TPA Member Services department including directors managers and supervisors across US and international sites onsite and remote to deliver one consistent standard of service.
• Set standards across sites: Establish consistent culture standards and accountability worldwide while respecting local labor laws practices and customer needs.
• Manage workforce strategy: Own capacity planning attrition and retention leave management vendor and partner use and site strategy so the right people are in the right places at the right time.
• Develop leaders: Build succession depth coach managers and raise the talent bar so the organization is stronger every year.
• Own service performance: Drive results across inbound contact case resolution escalations and quality assurance keeping an exceptional member experience at the center of every decision.
• Deliver on client commitments: Hit client SLAs performance guarantees and contractual obligations consistently with goals metrics and operating rhythms for staffing forecasting scheduling and quality that make performance visible and repeatable.
• Resolve escalations with urgency: Partner with Account Management and Operations leaders to resolve critical issues quickly and put fixes in place so they dont happen again.
• Build the service transformation roadmap: Create and execute a multi-year plan spanning automation self-service workflow improvement and AI-enabled tools working with Technology Analytics and Operations to prioritize and deploy solutions that reduce effort for members and employees.
• Eliminate manual work and handoffs: Identify where rework and handoffs drive cost or hurt the experience and remove them.
• Run the business: Own the Member Services budget cost per contact and productivity targets; report trends root causes and corrective actions to executives and clients; and represent Member Services in client meetings implementations and renewals while contributing to enterprise strategy. This role requires 15-25% travel.

What You Bring to Our Team

Education & Experience:

• Bachelors degree or equivalent experience
• 12 years of experience in service operations contact center or member/customer experience leadership
• 5 years leading multi-site or multi-layer organizations
• 5 years of leadership experience in a TPA healthcare organization or benefits administration
• Proven record of running a large-scale service operation against client or contractual SLAs
• Experience leading global teams across multiple geographies and time zones including onsite and remote workforces
• Track record of leading transformation work such as automation digital self-service or technology-enabled process redesign with measurable results
• ITIL experience preferred

Technical Skills:

• Financial expertise including budget ownership and unit-cost management
• Workforce management including forecasting scheduling and capacity planning
• Quality assurance and SLA performance management
• Data analysis to diagnose problems set targets and drive decisions
• Automation digital self-service and AI-enabled service tools

Benefits

The Highlights:

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes we use what we build)
• Unlimited PTOrest and recharge time is non-negotiable
• Mental health support retirement planning and financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on peoples health

Want the full pictureVisit explore our complete benefits package wellness programs and other employee perks.

Compensation: This position offers a base salary range of $200000 - $270000 depending on location skills and experience. Youre eligible for our full benefits package starting day one.

Our Commitment:Personify Health is an equal opportunity employer committed to diversity equity inclusion and belonging. We cultivate a work environment where differences are celebrated and employees of all backgrounds are empowered to thrivebecause diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe:Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests Report them to. View all legitimate openings at Experience:

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