Director, Call Center Operations jobs in United States
cer-icon
Apply on Employer Site
company-logo

Harbor Health · 2 weeks ago

Director, Call Center Operations

Harbor Health is transforming healthcare in Austin through collaboration and innovation as a payvider. The Director, Call Center Operations ensures operational excellence, regulatory compliance, and member/provider satisfaction across Harbor Health's integrated payvider model, overseeing call center operations and managing various aspects of operational performance.

Health CareMedicalmHealthPersonal HealthWellness

Responsibilities

Oversee call center operations for member services, claims, prior authorizations, appeals, and provider support
Achieve monthly SLAs and implement corrective action plans for performance gaps
Manage telephony systems, IVR routing, call queues, and optimize call center software functionality
Hire, develop, and coach team members for performance excellence and career growth
Ensure compliance with TDI, CMS, and government regulations; manage risks per compliance policies
Create and maintain process flows, SOPs, and job aids for operational consistency
Collaborate with vendors on system configurations and integrations
Manage escalated calls and establish seamless handoffs with supporting teams
Partner with business leaders to design metrics and dashboards with high analytical rigor
Identify opportunities to improve efficiency, reduce costs, and enhance member/provider experiences
Manage operational budgets and resource allocation

Qualification

Healthcare operations experienceCall center managementRegulatory compliance knowledgeOperational SOP developmentAnalytical skillsTeam coachingExcel proficiencyPowerPoint proficiencyCommunication skills

Required

Bachelor's degree or 8+ years healthcare operations experience
6+ years managing payer health plan call centers covering claims, member services, appeals, and provider support
Deep understanding of benefits, prior authorizations, claims processing, and appeals workflows
Knowledge of call center functionality including IVR setup and queue management
Experience developing operational SOPs and business requirement documents
Proven ability to coach teams and manage multiple priorities independently
Strong written and verbal communication skills

Preferred

Familiarity with TDI and CMS rules and regulations
Startup phase health plan experience
Background building call center teams from the ground up
Advanced Excel and PowerPoint skills
High integrity with commitment to confidentiality and compliance standards

Benefits

Competitive salary and benefits package
Professional development and growth opportunities

Company

Harbor Health

twittertwittertwitter
company-logo
Harbor Health is a multi-specialty clinic group that provides smarter health care using technology.

Funding

Current Stage
Growth Stage
Total Funding
$255.5M
Key Investors
General Catalyst8VC
2025-09-09Series B· $130M
2024-01-11Series A· $95.5M
2022-09-12Series A· $30M

Leadership Team

leader-logo
Jon Kawa
Chief Technology Officer
linkedin
leader-logo
Kara (Bergan) Rios
Chief Financial Officer
linkedin
Company data provided by crunchbase