Vice President, TPA Member Services

Posted 10hrs ago

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Job Description

Vice President leading global TPA member services for Personify Health’s personalized health platform. Driving service operations, SLAs, workforce strategy, and automation-enabled transformation.

Responsibilities:

  • Direct the TPA Member Services department, including directors, managers, and supervisors across US and international sites
  • Establish consistent culture, standards, and accountability worldwide while respecting local labor laws, practices, and customer needs
  • Own capacity planning, attrition and retention, leave management, vendor and partner use, and site strategy
  • Build succession depth, coach managers, and develop organizational talent
  • Drive results across inbound contact, case resolution, escalations, and quality assurance
  • Deliver client SLAs, performance guarantees, and contractual obligations through staffing, forecasting, scheduling, and quality operating rhythms
  • Partner with Account Management and Operations leaders to resolve critical escalations and prevent recurrence
  • Create and execute a multi-year service transformation roadmap spanning automation, self-service, workflow improvement, and AI-enabled tools
  • Identify and eliminate costly rework and handoffs
  • Own the Member Services budget, cost per contact, and productivity targets
  • Report trends, root causes, and corrective actions to executives and clients
  • Represent Member Services in client meetings, implementations, and renewals
  • Contribute to enterprise strategy
  • Travel 15–25%

Requirements:

  • Bachelor’s 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
  • 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:

  • Competitive base salary
  • Comprehensive medical and dental coverage effective day one
  • Unlimited PTO
  • Mental health support
  • Retirement planning
  • Financial protection
  • Professional development
  • Clear career progression
  • Learning budgets
  • Wellness programs
  • Other employee perks
  • Full benefits package starting day one