Service Oversight Manager

Job Summary

A company is looking for a Service Oversight & Insights Manager.

Key Responsibilities

• Provide oversight of member complaints and grievances, ensuring alignment with call center workflows and regulatory requirements
• Analyze complaint and call center data to identify trends and emerging risks, conducting root cause analysis
• Support cross-functional initiatives for service experience improvement and audit readiness, coordinating work across teams

Required Qualifications

• 5+ years of experience in Medicare Advantage operations or related roles
• Working knowledge of CMS complaint and grievance requirements
• Experience supporting audit readiness or compliance-related initiatives
• Experience working cross-functionally in dynamic environments
• Strong organizational and analytical skills