Maven Clinic is a fast-growing virtual health clinic that focuses on healthcare for women and families. Maven Clinic employs a multidisciplinary team of people
Member Services Team Lead – Medication Access, Support Programs
Location
New York
Posted
4 days ago
Salary
$89K - $105K / year
Seniority
Senior
Job Description
Member Services Team Lead – Medication Access, Support Programs
Maven Clinic
• Own real time execution during assigned shifts across chat and phone queues. • Monitor queue health, coverage, and workload distribution to ensure timely responses. • Step in directly to handle complex cases or volume spikes as needed. • Serve as day to day support for a team of Member Services Associates. • Provide real time coaching on judgment calls, prioritization, and handling ambiguous cases where no clear script exists. • Conduct quality reviews and deliver clear, actionable feedback. • Support onboarding and ramping of new hires. • Act as the first line escalation point for pharmacy and insurance issues including missing information, coverage rejects, routing questions, and fulfillment delays. • Partner with internal teams to resolve escalated member issues while maintaining non clinical boundaries. • Ensure appropriate handling and escalation of safety concerns or sensitive disclosures. • Ensure consistent execution of SOPs, scripts, and workflows. • Identify breakdowns in workflows and flag patterns or risks to leadership. • Help test, roll out, and reinforce new workflows, macros, or tooling changes. • Support team performance across response time, resolution quality, and member satisfaction.
Job Requirements
- 2–4 years of experience in healthcare support, pharmacy operations, insurance navigation, or related fields.
- Prior experience coaching, mentoring, or acting as a senior or lead in a frontline environment.
- Strong understanding of pharmacy workflows, insurance coverage concepts, and medication access processes.
- Comfort handling escalations and emotionally charged member situations.
- Strong written and verbal communication skills.
- Ability to balance hands-on work with people leadership.
- Experience supporting specialty or high demand medications.
- Experience with Zendesk highly preferred or other CX tools.
- Familiarity with QA frameworks and support performance metrics.
- Experience helping teams adopt new tools or workflows.
- Fluency in Spanish or another commonly spoken member language.
Benefits
- Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
- Whole-self care through wellness partnerships
- Hybrid work, in office meals, and work together days
- 16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for 1 year+)
- Annual professional development stipend and access to a personal career coach through Maven for Mavens
- 401K matching for US-based employees, with immediate vesting
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