Supervisor Provider and Member Service
Core
Lead a telephonic service team for members, providers, and partners, ensuring operational excellence, regulatory compliance, and high-quality customer service in a health plan environment.
Role type
Senior IC supervisor (health plan member/provider services)
Builds
Telephonic service operations and member/provider experience
Domain
Health insurance / Managed care
Required skills
Healthcare compliance (CMS, ACA, HIPAA), call center operations, team leadership, performance metrics analysis, conflict resolution, process improvement, regulatory knowledge
Preferred skills
Bachelor's in healthcare administration or business, specialized training in managed care, prior supervisory experience in healthcare
Technologies
SharePoint, call center systems
Responsibilities
Oversee daily department operations and ensure policy compliance; Monitor live/recorded interactions and coach team members; Handle complex member and provider escalations; Manage recruitment, interviewing, and onboarding; Develop training plans and conduct performance reviews; Maintain departmental documentation and systems
Seniority
Senior, hands-on IC