About The Position

Manages a Health Plan Customer Service Team. Performs oversight of achieving metrics, resource allocation, process improvement, coordinating training and ensuring policy development/updates related to claim and enrollment functions. Assists administration in developing the team's annual operating budget, participating in and/or leading interdepartmental workgroups involved in strategic planning, developing and reviewing policies and procedures.

Requirements

  • High School Diploma or Equivalent (GED) - Required
  • Minimum of 9 years of relevant experience - Required
  • Bilingual preferred (English / Spanish)

Nice To Haves

  • Experience in healthcare customer service management
  • Strong interpersonal skills

Responsibilities

  • Participates in development of performance standards for Customer Service teams, evaluates actual performance against standards, and implements action plans for improvement.
  • Manages resource allocation in order to realize efficient production.
  • Acts as a liaison between all customer service teams and other departments.
  • Develops training and policy development goals and provides oversight to ensure the goals and program are aligned with Customer Service operation goals.
  • Maintains decision making authority with regard to clients, employers, vendors, regulators, providers and occasional legislators.
  • Works closely with the Customer Service Support Team to continually assess the effectiveness of the Quality Assurance program, and makes recommendations for revisions as needed.
  • Performs supervisory functions of departmental recruiting, hiring, training, discipline and counseling.
  • Performs performance appraisals on direct reports.
  • Assists in preparation of annual department budgets.

Benefits

  • Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
  • Encouragement of collaboration, cooperation and collegiality.

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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