Member Services Supervisor jobs in United States
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Partnership HealthPlan of California · 2 months ago

Member Services Supervisor

Partnership HealthPlan of California is seeking a Member Services Supervisor to assist in the day-to-day operations and management of the Member Services Department. This role involves providing leadership and support to the Member Services staff, resolving escalated member issues, and monitoring call statistics to ensure optimal performance.

Health CareInsuranceNon Profit
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Culture & Values

Responsibilities

Provides leadership, direction, and support to Member Service staff in a positive and professional manner
Resolves member issues that are escalated to the Supervisor level
Facilitates meetings as needed
Provides back-up on phones as necessary
Monitors call statistics and phone coverage throughout the day to ensure their ultimate performance
Other duties as assigned

Qualification

Managed care knowledgeMember services experienceBusiness software applicationsBilingualCustomer service skillsCommunication skillsOrganizational skills

Required

High School diploma or equivalent
Minimum three (3) years' experience in a managed care or member services environment
Thorough working knowledge of managed care and member services policies and procedures
Working knowledge of business software applications
Valid California driver's license and proof of current automobile insurance compliant with Partnership policy
Good oral and written communication skills
Excellent customer service skills with ability to access and resolve customer complaints, problems and issues in an efficient and effective manner
Excellent organization skills with ability to prioritize issues, use good judgment and to handle sensitive issues with tact and diplomacy
Ability to use microcomputer keyboard
Ability to move, carry or lift objects of varying sizes weighing up to 10 lbs

Preferred

Minimum three (3) years' experience in a managed care or member services environment preferred
Prior management experience or education preferred
Bi-lingual preferred

Company

Partnership HealthPlan of California

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Partnership HealthPlan of California is a non-profit community-based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care.

Funding

Current Stage
Late Stage

Leadership Team

L
Lorna Veloso
Sr. Manager of OpEx/PMO
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