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An established industry player is seeking a dynamic leader for their Call Center Operations. This remote position involves overseeing multiple sites, ensuring exceptional service delivery for members and providers. Ideal candidates will have extensive experience in contact center management, particularly within healthcare. You'll be responsible for driving quality improvements, achieving KPIs, and fostering a culture of excellence among your teams. Join a forward-thinking organization that values collaboration and innovation, and make a significant impact on the member and provider experience.
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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!
Job Description
Job Summary
Provides new and existing members as well as providers with the best possible service in relation to general service needs including questions about benefits, billing inquiries, service requests, suggestions and complaints. Resolves member and provider inquiries and complaints fairly and effectively. Provides product and service information to members and providers, and identifies opportunities to increase membership by improving our member and provider experience . Recommends and implements programs to support member and provider needs. Knows and supports Health Plans in achieving their contractual goals for service and compliance.
This role will support contact center operations for all LOB's & is comprised of inbound/outbound. Ideal candidates would have contact center leadership experience within healthcare/managed care organizations.
Knowledge/Skills/Abilities
Provides multi-site, senior leadership and oversight for the Member and Provider Contact Centers to ensure stellar service is delivered according to Molina policies and procedures. Responsible for the overall results of multiple sites and/or lines of business. Directly manages Directors and/or Regional Directors in support of servicing members and providers. Responsible for ensuring teams deliver effective customer service for all service needs including benefits, claims, billing inquiries, service requests, suggestions and complaints. Directly and through team members resolves both member and provider inquiries and complaints fairly and effectively. Provides direction and coordination to deliver accurate product and service information to members and providers, and identifies opportunities to increase membership by improving our member and provider experience. Recommends and implements programs to support member and provider needs. Works within a matrix environment with dotted line relationships across multiple lines of business.
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