10 health plan member services experts

Experience: Director, Member and Provider Service · WellSense Health Plan

Former Director, Member and Provider Service at WellSense Health Plan (2020–2025), which the profile describes as a nonprofit health insurance plan serving more than 700,000 Medicaid and Medicare members. Former Director, Call Center Services (2016–2020) and Manager, Central Services (2014–2016) at Molina Healthcare | Massachusetts.

Experience: Director - Individual & Family Markets Member Service Operations · Health Care Service Corporation

Director - Individual & Family Markets Member Service Operations at Health Care Service Corporation since January 2026. The profile also lists Director Medicare Operations from 2023 and Sr. Manager - IL ENA PG Member Services (2017–2023) at Health Care Service Corporation.

Experience: Sr. Director, Member & Provider Services · Centene Corporation

Sr. Director, Member & Provider Services at Centene Corporation since August 2024 and former Director, Member & Provider Services there (2022–2024); the profile notes additional responsibilities supporting products with dual Medicare and Medicaid membership. Former Director Of Customer Service at Centene Corporation (2020–2022).

Experience: Director of Member Experience · Amida Care

Director of Member Experience at Amida Care since February 2020; the profile describes working with vice presidents, the ombudsperson and the appeals and grievances unit to identify patterns and develop strategies that address customer issues. Former Member Services Supervisor (2015–2016) and Member Service Team Lead (2013–2015) at Amida Care.

Experience: Director of Member Services Call Center · Partnership HealthPlan of California

Director of Member Services Call Center at Partnership HealthPlan of California since October 2022, a role the profile tags at director level in customer service. Former Associate Director of Call Center (2016–2022) and Quality and Training Manager (2006–2016) at Partnership HealthPlan of California.

Experience: Director of Member and Provider Experience · Denver Health Medical Plan, Inc.

Director of Member and Provider Experience at Denver Health Medical Plan, Inc. since January 2023 and former Director, Health Plan Services there (2018–2023). The profile describes leading enterprise service operations for a public health plan supporting 110,000+ members across Medicare, Medicaid, CHP+, Commercial and Exchange products.

Experience: Director of Member Services · CenCal Health

Director of Member Services at CenCal Health since December 2019 and former Interim Director of Member Services there (2019). Former Grievance & Quality Improvement Manager (2007–2019) and Grievance & Quality Improvement Coordinator (2001–2007) at CenCal Health, and former Medicare Grievance Coordinator at Blue Shield of California (1999–2001).

Experience: Senior Director Member and Customer Services · Kaiser Permanente

Former Senior Director Member and Customer Services at Kaiser Permanente (2007–2012), where the profile describes leading about 200 staff with a $13 million operations budget handling approximately 1.3 million in-person, written and telephone contacts per year, and managing the administration of written grievances. Former Senior Manager, Member Services Contact Center at Kaiser Permanente (2005–2007).

Experience: Senior Director, Member Services and Medical Records · Kaiser Permanente

Former Senior Director, Member Services and Medical Records (2019–2024), former Director, Consumer Experience & Health Plan Services (2016–2019) and former Member Services Manager (2015–2016) at Kaiser Permanente. Senior Director of Grievance Operations for Colorado, Georgia, Northwest, and Mid-Atlantic States at Kaiser Permanente since January 2024.

Experience: Director of Member Services and Call Center Operations · AHF Positive Healthcare

Director of Member Services and Call Center Operations at AHF Positive Healthcare since October 2020; the profile says the role leads AHF's Member Services Department, which serves enrollees in California, Florida and Georgia. Former Director Healthcare Services Call Center Operations at MOLINA HEALTHCARE INC (2001–2019).