Senior Manager of Medicare Complaints

Job Summary

A company is looking for a Senior Manager of Grievances and Medicare Complaints.

Key Responsibilities

• Own end-to-end performance KPIs, compliance, and QA strategy across Grievance and Medicare Complaints operations
• Lead complex problem-solving initiatives using data to identify root causes and develop scalable solutions
• Drive adoption of AI-enabled workflows and translate operational data into insights for upstream improvements

Required Qualifications

• Bachelor's degree or 7+ years of experience in healthcare, operations management, or a related field
• Proven ability to lead large, complex operations and deliver measurable performance outcomes
• Experience building leaders and aligning diverse stakeholders in dynamic environments
• Ability to turn ambiguous data into structured, actionable plans
• Experience with AI and automation tools to improve operations in regulated settings