Manager, Member Benefit Services (Fertility Claims Processing)

Maven is seeking a Manager, Member Benefit Services with deep, hands-on experience in fertility benefits to lead a team of 10+ Member Services Representatives. This role is ideal for someone who has worked directly with fertility patients and has a thorough understanding of the complexities of insurance coverage, billing, and reimbursement in the fertility space.

This role goes beyond people management — we’re seeking a true fertility benefits expert who can take ownership of complex financial and insurance escalations. You will serve as a key subject matter expert on fertility-related billing issues, out-of-network claims, insurance coordination, and member financial tracking, driving timely and equitable solutions for our members, employers, and payer partners.

You’ll play a pivotal role in shaping team culture and building scalable processes that ensure we continue delivering high-quality, empathetic care to members on their family-building journeys. We're looking for someone who is ready to roll up their sleeves, solve problems alongside their team, and inspire high performance through compassionate leadership.

For this role, we are seeking someone with flexibility to work a variety of shifts during business hours, primarily Monday through Friday, within Eastern U.S. time.

As a Manager, Member Benefit Services at Maven, you will:

• Be the ultimate people manager. Conduct regular one-on-ones, performance reviews, and development planning to promote employee growth and high-impact performance across a team of Member Services Associates and Senior Associates.
• Act as the primary escalation point for member issues and complex fertility-related financial and billing issues, driving problems to resolution while managing communication with key stakeholders.
• Learn the ins and outs of Maven’s business and the day-to-day Member Benefit Services team responsibilities, diving in to directly master our various communication channels and reimbursement processes.
• Lead by example to ensure a culture focused on empathetic care, ensuring that the needs of our members are met in an exceptional manner.
• Directly answer member inquiries on inbound/outbound calls and Zendesk messages in times of high volume or during staffing gaps.
• Use your continuous improvement mindset to define and iterate on processes, making positive enhancements to drive efficiency, value, and accountability toward KPIs.
• Ensure team performance metrics are met; including but not limited to: productivity, response time, NPS, and CSAT.
• Report on MBS team metrics, KPIs, OKRs, to the director of MBS as well as cross functionally.
• Facilitate the team’s alignment with broader organizational objectives and effectively lead through change.
• Review, maintain, and create MBS team SOPs, workflows, and communications to the team to ensure understanding and alignment on MBS team processes.
• Collaborate cross-functionally with our Care Delivery/Advocacy, Support, Operations, Product, Data, Provider Operations, Payment, Engineering, and Client Success teams.
• Coordinate new hire training and take an active role in the success of new employees during onboarding and training.
• Perform other duties as assigned.

We’re looking for you to bring:

• 5–7 years of experience in Customer Service Operations, including team leadership roles
• 3+ years of experience managing teams of 10+ in a service/support environment
• 2+ years of direct experience resolving complex fertility financial and benefits billing issues, including coordination with payers and employer-sponsored benefit plans.
• 1–3 years of experience in managed healthcare, insurance, or employer benefits.
• Strong track record of mentoring and coaching team member
• Flexibility and experience managing in fast-paced, high-growth environments.
• Experience managing inbound and outbound call support, email or app-based written support.
• Track record of driving improvement with impactful and measurable results.
• Demonstrated ability to analyze performance metrics to identify trends, root causes, and improvement opportunities; uses data-driven insights to proactively solve problems and drive operational excellence.
• A strong sense of empathy applied to direct reports, members, and cross functional business partners.
• Savvy business judgment and the ability to support data-driven, results-oriented decision-making.
• Experience in motivating a team to achieve KPIs, drive efficiency, and managing change.
• The ability to create order from chaos and a willingness to roll up your sleeves to solve challenging problems directly.

Additional helpful experience and skills:

• Experience working in a fast-paced startup environment.
• Experience in Zendesk is a plus.
• Prior experience managing payments.
• Bachelor’s degree or equivalent experience.
• Verbal and written fluency in Spanish.
• Experience managing remote based employees and teams.

The base salary range for this role is $106,000 - $115,000 per year. You will also be entitled to receive stock options and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset.

This role requires active work authorization in the US.

Maven embraces a flexible and inclusive work environment. This role is fully remote and open to candidates located within the United States. Maven is committed to supporting remote team members with the tools and collaborative culture needed to thrive regardless of location. This policy reflects our belief that great work can happen anywhere and that flexibility enables our team to do their best work.