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Why careerzynith?
At careerzynith, we believe that health care is more than a service – it’s a promise to every individual, family, and community we touch. Our mission is built on the pillars of compassion, respect, and relentless innovation. With a legacy that spans over a century, careerzynith has grown from a regional health plan into a nationwide network of hospitals, clinics, and support services that serve millions of members across the United States. As a leader in the health‑care industry, we invest heavily in our people, offering a culture where every voice is heard, every idea is valued, and every caregiver can thrive.
About the Role
We are seeking a dynamic, remote‑first Manager, Customer Service – Medicare to lead a high‑performing team of Customer Service Agents who handle member and provider inquiries across telephone, chat, and email channels. This role is pivotal in ensuring that our Medicare members receive timely, accurate, and empathetic support while also driving continuous improvement across our service operations.
Key Responsibilities
- Team Leadership: Supervise, coach, and develop a diverse team of exempt and non‑exempt Customer Service Agents, fostering a culture of accountability, collaboration, and excellence.
- Service Delivery: Oversee the end‑to‑end handling of member and provider inquiries for Medicare, Medicaid, Commercial, Individual Direct, Marketplace, and ASO/Self‑funded lines of business.
- Quality Improvement: Lead quality‑improvement initiatives, monitor key performance indicators (KPIs), and implement corrective actions to enhance service quality and operational efficiency.
- Issue Resolution: Coordinate rapid resolution of claims, enrollment challenges, and other complex member issues, ensuring compliance with regulatory standards.
- Resource Management: Identify staffing needs, forecast workload trends, and allocate resources to meet service level agreements (SLAs) while maintaining cost‑effectiveness.
- Project Management: Manage cross‑functional projects that involve technology upgrades, process redesign, and policy changes, ensuring timely delivery and stakeholder alignment.
- Mentorship & Development: Provide ongoing mentorship, performance feedback, and career development pathways for both exempt and non‑exempt staff.
- Stakeholder Collaboration: Partner with internal teams such as Claims, Enrollment, IT, Compliance, and Behavioral Health to streamline processes and improve member experience.
- Reporting & Analytics: Generate regular reports on service performance, quality metrics, and improvement initiatives for senior leadership review.
Required Qualifications
- Minimum 3 years of leadership experience in a healthcare or related environment, with a proven track record of managing high‑volume customer service teams.
- At least 2 years of project management experience, demonstrating the ability to lead initiatives with diverse, cross‑functional teams.
- Strong understanding of Medicare and Medicaid products, regulations, and member expectations.
- Excellent communication skills, both verbal and written, with the ability to convey complex information clearly and compassionately.
- Demonstrated ability to analyze data, identify trends, and implement process improvements.
- Proficiency with remote collaboration tools and a self‑motivated approach to managing a distributed workforce.
Preferred Qualifications
- Bachelor’s degree in Social Sciences, Business, Public Policy, Humanities, or a related field, or an equivalent combination of education and experience.
- At least 2 years of direct experience working with Medicare programs.
- Minimum 2 years of experience handling claims in a customer service setting.
- Working knowledge of careerzynith' Facets platforms and services.
- One or more years of experience navigating Behavioral Health benefits and policies.
- Certification in Project Management (PMP, Agile, or similar) is a plus.
Core Skills & Competencies
- Leadership & Coaching: Ability to inspire, motivate, and develop a remote team while maintaining high morale.
- Analytical Thinking: Strong data‑driven mindset to interpret performance metrics and drive actionable insights.
- Customer‑Centric Mindset: Deep empathy for members and providers, ensuring every interaction reflects careerzynith’s commitment to compassionate care.
- Regulatory Knowledge: Familiarity with Medicare, Medicaid, and other health‑care compliance requirements.
- Technology Savvy: Comfortable using CRM systems, ticketing platforms, and analytics tools; experience with careerzynith' Facets is advantageous.
- Change Management: Proven ability to lead teams through transformation initiatives and adopt new processes smoothly.
Career Growth & Learning Opportunities
careerzynith invests heavily in the professional development of its employees. As a Manager, you will have access to:
- Leadership development programs tailored for emerging senior leaders.
- Mentorship from senior executives across the organization.
- Tuition reimbursement for relevant certifications and advanced degrees.
- Cross‑functional project exposure, allowing you to broaden your expertise beyond customer service.
- Regular workshops on emerging health‑care trends, regulatory updates, and technology innovations.
Work Environment & Culture
careerzynith champions an inclusive, diverse, and respectful workplace. Our remote‑first model empowers you to work from anywhere within Washington or Oregon while staying connected through virtual collaboration tools, regular team huddles, and quarterly in‑person meet‑ups. We celebrate:
- Diversity & Inclusion: A culture where every background, perspective, and identity is valued.
- Work‑Life Balance: Flexible scheduling, generous paid time off, and wellness programs that support mental and physical health.
- Community Impact: Opportunities to volunteer in local health initiatives and community outreach programs.
- Recognition Programs: Regular acknowledgment of outstanding performance through awards, bonuses, and public commendations.
Compensation, Perks & Benefits
careerzynith offers a competitive salary range of $40.90 – $66.02 per hour, with additional compensation possibilities such as shift differentials, overtime premiums, standby/on‑call pay, and performance‑based bonuses. Our comprehensive benefits package includes:
- Medical, dental, and vision coverage for you and your dependents.
- Retirement savings plans with company matching contributions.
- Life and disability insurance.
- Generous paid parental leave and family care assistance.
- Employee Assistance Program (EAP) for counseling and support services.
- Wellness stipend, gym membership discounts, and virtual fitness classes.
- Continuous learning budget for certifications, conferences, and online courses.
- Technology allowance for home office setup, including ergonomic furniture and high‑speed internet.
How to Apply
If you are ready to lead a passionate team, drive meaningful improvements in Medicare member experience, and grow your career within a forward‑thinking health‑care organization, we want to hear from you. Please submit your resume and a cover letter outlining your relevant experience and why you are excited to join careerzynith.
Application Steps
- Visit the careerzynith careers portal.
- Search for the “Remote Manager, Customer Service – Medicare Operations Leadership” posting.
- Upload your resume, cover letter, and any supporting documents.
- Complete the brief online questionnaire.
- Click “Submit” and await a confirmation email.
Commitment to Equal Opportunity
careerzynith is an equal‑opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.
Join careerzynith Today
Become part of a purpose‑driven organization where your leadership can make a tangible difference in the lives of millions. At careerzynith, you’ll find the resources, support, and community you need to excel—while delivering the compassionate, whole‑person care that defines our brand. Apply now and start your journey with careerzynith!
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