Member & Provider Services Operations Leader

Independent Living Systems; Riverside (CA); On-site; USD 7,200 - 125,000; Full time

Job summary

Independent Living Systems (ILS) seeks a Manager, Member & Provider Services to lead the Riverside, CA contact center and deliver exceptional support to members and providers. You will mentor staff, monitor performance metrics, and ensure regulatory compliance while driving continuous improvement and client satisfaction.

Responsibilities include coordinating with health plans, overseeing escalations, and aligning processes with HIPAA, PHI safeguards, and quality standards to achieve first-call

Qualifications

• Bachelor's degree in Healthcare Administration, Business, or related field.

Responsibilities

• Lead daily operations of the Contact Center ensuring timely resolution and First Call Resolution.

Skills

Medi-Cal eligibility

Operational metrics

Quality audits

Organizational skills

Interpersonal skills

HIPAA/PHI handling

Time management

Education

Bachelor's degree in Healthcare Administration, Business, or related field

Master's degree in Healthcare Administration or Related Field

Tools

CRM software

Electronic Health Record (EHR) systems

Job description

Independent Living Systems (ILS) seeks a Manager, Member & Provider Services to lead the Riverside, CA contact center and deliver exceptional support to members and providers. You will mentor staff, monitor performance metrics, and ensure regulatory compliance while driving continuous improvement and client satisfaction.

Responsibilities include coordinating with health plans, overseeing escalations, and aligning processes with HIPAA, PHI safeguards, and quality standards to achieve first-call