NEOGOV · 1 week ago
Manager of Member Services
Contra Costa County, CA
Full-time
Onsite
Mid, Senior Level
$112K/yr - $136K/yr
3+ years expNEOGOV is seeking a Manager of Member Services for the Contra Costa Health Plan. The role involves planning, coordinating, and managing the member grievance and appeal process, overseeing staff development, and ensuring compliance with health regulations.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Performing complex administrative work for the Member Services units of the Contra Costa Health Plan (CCHP)
Developing and implementing all activities involved in the member retention program
Providing day-to-day work direction, management and supervision to the member services unit and staff
Facilitating the resolution of complex member inquiries, complaints, grievances, and appeals including formal investigations and, if necessary, referrals to a third party
Implementing or modifying department goals and policies as needed to be compliant with legislative requirements
Conducting quarterly internal audits to ensure complaints meet strict regulatory guidelines
Submitting monthly, quarterly, and annual reports as required by the State Department of Health Service
Qualification
Required
Possession of a Bachelors degree from an accredited college or university with a major in Business Administration, Public Administration, Marketing, or a closely related field
Three (3) years of full-time or its equivalent administrative experience in a health care/health insurance setting with responsibility for member services, marketing, public relations, provider relations or another major program area
One (1) year of the required experience must have been as a supervisor and/or lead
Possession of a Master's degree from an accredited college or university with a major in Business Administration, Public Administration, Marketing, or a closely related field may be substituted for one year of experience
One additional year of qualifying experience may be substituted for the required academic major
Associate degree and two additional years of qualifying experience may be substituted for the required education on a year for year basis up to a maximum of two (2) years
Strong management and problem-solving skills
Excellent interpersonal skills
Strong skills with internal audits
The ability to respond effectively to appeals
Great analytical skills to facilitate required change
Strong organizational skills and is priority driven
Preferred
Experience with electronic health records - Epic
Knowledge of local community resources and programs
Experience working with DSNP populations
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
Company data provided by crunchbase