Work Arrangement: This is a remote position.
Responsibilities:
- Oversees non-clinical team and functions of the telephonic, contact center Care Connectors and Sr. Care Connectors, providing direction, organization, and monitoring of all RROT Contact Center services, collaborating with units such as Population Health Care Coordination, Complex Care Management, Health Equity, Provider Network Management, Member Engagement, Operations, Member Services, Utilization Management, Quality Communications, Compliance, PerformCare, and PerformRx.
- Works with Wellness Leadership to develop departmental goals aligned with enterprise initiatives like CAHPS, HEDIS, and NCQA.
- Utilizes Workforce Management systems to monitor call processing related to members, providers, community organizations, and stakeholders.
- Participates in continuous improvement projects and market initiatives like the Healthy Opportunities pilot.
- Partners with Clinical Coordination to guide non-clinical associates in supporting members' healthcare adherence and reducing barriers, including audits, monitoring, and reporting operational productivity and trends.
- Maintains knowledge of Population Health initiatives, participates in meetings, and communicates with departmental representatives regarding RROT/EPSDT/Retention initiatives.
- Contributes to policy and procedure development, training, and standard operating processes for the vertical’s responsibilities.
- Monitors work assignments, provides coaching, and mentors staff and stakeholders.
- Ensures compliance with company and HIPAA standards.
- Facilitates training and development activities for staff and the vertical.
- Manages multiple projects efficiently, prioritizing work to meet deadlines and adapt to a dynamic environment.
- Stays current with market practices to improve contact center member experience and wellness programs.
Education/Experience:
- Bachelor’s Degree or equivalent experience in training or related roles.
- Excellent communication skills, both oral and written, with experience in customer service or call center environments.
- Knowledge of contact center processes and high-volume call management.
- Experience with healthcare resources and managed care preferred.
- 2-4 years of experience in a learning environment, with classroom experience preferred.
Other Skills:
- Strong communication, technical writing, and relationship-building skills.
- Ability to perform training needs analysis and instructional design.
- Proficiency in MS PowerPoint and Excel.
- Strong teamwork, project management, and collaboration skills.
- Experience in Managed Care Organization contact centers, customer service, or operations.
- Interest in coaching, mentoring, and fostering inclusive cultures.
- Leadership experience in projects or change management.
Diversity, Equity, and Inclusion:
At AmeriHealth Caritas, we value diversity and strive for an inclusive environment where everyone can thrive. We are committed to equity, acting with integrity and respect, and breaking down barriers to support a diverse workforce that reflects the communities we serve.
Benefits:
Flexible work options including remote and hybrid schedules, competitive pay, paid time off, health insurance from Day 1, 401(k), tuition reimbursement, and more.