Job Title: Member Services Manager
Job Overview:
Contemporary Staffing Solutions is seeking a Member Services Manager to join our client in a role that supports key business operations and contributes to important organizational initiatives. Based in King of Prussia, PA, this Direct Hire opportunity follows an Onsite work arrangement and involves guiding healthcare authorization cases from initial review through final resolution. The position offers meaningful collaboration with medical offices, insurance representatives, internal partners, and other stakeholders to help patients access approved services efficiently. Success requires sound judgment, strong organization, healthcare documentation knowledge, and a service focused approach within a fast paced environment.
Compensation:
$60,000 per year plus bonus opportunity
Work Schedule:
Monday through Friday, 9:00 a.m. to 5:30 p.m. or 10:00 a.m. to 6:00 p.m.
Key Responsibilities of the Member Services Manager:

• Oversee an assigned portfolio of healthcare cases and guide each request through documentation review, insurance authorization, follow up, and final determination.
• Analyze medical records and insurer guidelines to confirm eligibility requirements, identify missing information, and support accurate submission decisions.
• Coordinate with medical practices, insurance representatives, internal sales professionals, and additional business partners to communicate updates and resolve case issues.
• Facilitate authorization requests and appeals while meeting daily productivity expectations, service standards, and submission deadlines.
• Maintain accurate case records, monitor approval outcomes, and deliver responsive support that strengthens stakeholder relationships and promotes efficient operations.

Qualifications and Skills for the Member Services Manager:

• Experience managing healthcare authorizations, insurance cases, clinical documentation, or a closely related medical support process.
• Working knowledge of medical terminology, with familiarity in ICD 10 and HCPCS coding strongly preferred.
• Ability to interpret clinical information and insurance guidelines while recognizing documentation gaps that may affect approval decisions.
• Strong organizational and time management skills with the capacity to manage multiple priorities, detailed submissions, and frequent follow up.
• Clear written and verbal communication skills, along with a demonstrated commitment to accountability, customer service, and measurable performance goals.

Why Join Us?
This opportunity provides hands on experience managing important healthcare authorization activities while collaborating with medical, insurance, sales, and operational stakeholders. The role allows you to strengthen your case management and problem solving skills while making meaningful contributions to service delivery and daily business operations.
About Us:
Contemporary Staffing Solutions (CSS) is a trusted leader in providing contract, temporary, temp to hire, and direct hire staffing solutions. With decades of experience, we have grown from a staffing agency into a nationwide provider of workforce management solutions. Our niche recruitment expertise spans Accounting & Finance, Call Center & Office Support, Human Resources, Sales & Marketing, and Information Technology. Explore more about CSS and how we connect great talent with exceptional opportunities by visiting Contemporary Staffing Solutions.