Manager, Support Center Operations - Remote (Must Reside in Nevada)

Molina Healthcare
Las Vegas, United States of America
7 days ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Working hours
Regular working hours
Languages
English
Experience level
Intermediate
Compensation
$ 107K

Job location

Las Vegas, United States of America

Tech stack

Microsoft Office
Salesforce
Pega
Genesys
Marketplace
QNXT

Job description

  • Provides leadership and oversight for the member and provider support center; ensures exemplary service is delivered according to Molina goals/objectives/policies/procedures and regulatory requirements, and demonstrates accountability for performance and financial outcomes.
  • Provides exemplary customer service to members, co-workers, vendors, providers, government agencies, business partners and the general public.
  • Assists representatives with questions and escalated calls; recognizes trends and patterns in call types and engages leadership with suggested solutions.
  • Identifies new opportunities for process development to improve support center operations and the member/provider experience.
  • Recommends and implements programs to support member and provider needs.
  • Develops and implements interventions to address deficiencies and negative trends.
  • Provides technical expertise and handles escalated calls.
  • Supports training needs of departmental employees.
  • Ensures compliance with state and regulatory requirements.
  • Collaborates with leadership and cross-functionally to coordinate problem-solving in an effective and timely manner.
  • Achieves individual performance goals as it relates to call center objectives.
  • Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations.
  • Sets a positive example for others and builds the Molina culture by modeling the Molina mission, vision and values in daily actions.
  • Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of department-specific goals.
  • Models dynamic leadership for support center leaders and representatives; develops team to focus on delivering great health care/customer service to underserved populations.

Requirements

  • At least 7 years of customer service, call center and/or sales experience in a fast-paced/high-volume environment, including 5 years of call center experience, or equivalent combination of relevant education and experience.
  • At least 3-5 year of management/leadership experience.
  • Strong customer service skills.
  • Understanding of insurance products including Medicaid, Medicare and Marketplace/enrollment processes.
  • Organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
  • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
  • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
  • Ability to work cross-functionally across a highly matrixed organization.
  • Strong verbal and written communication skills.
  • Microsoft Office suite and applicable software programs proficiency., * Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity.
  • Managed care/health care experience.
  • Broker/health insurance license.

Benefits & conditions

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $49,430.25 - $107,098.87 / ANNUAL

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