Member & Provider Services Supervisor

PHH Peak Health Holdings; West Virginia; Híbrido; USD 65.000 - 95.000; Jornada completa

Descripción de la vacante

WVU Medicine is seeking a Supervisor of Member and Provider Services to lead the Peak Health call center operations. You will coach telephonic representatives, manage performance metrics, and ensure CMS, ACA, and Medicare compliance while maintaining service excellence.

The role reports to the Manager of Member and Provider Services and requires leadership, process improvement, and alignment with Peak Health's mission of innovative, high-quality healthcare delivery.

Formación

• Experience in healthcare call centers or member services is required.
• Leadership or supervisory experience in regulated environments.
• Knowledge of CMS requirements and ACA/Medicare regulations is preferred.

Responsabilidades

• Oversees daily department operations to ensure policy adherence and service quality.
• Coaches and develops team members to achieve performance goals.
• Handles escalations from members and providers with timely resolution.
• Ensures compliance with HIPAA and healthcare regulations across processes.
• Collaborates with cross-functional teams to improve service delivery.

Conocimientos

Leadership

Call center experience

Regulatory compliance

HIPAA knowledge

Communication

Educación

Bachelor's degree in healthcare administration

Associate's degree in related field

Specialized training in healthcare operations

Herramientas

SharePoint

Descripción del empleo

WVU Medicine is seeking a Supervisor of Member and Provider Services to lead the Peak Health call center operations. You will coach telephonic representatives, manage performance metrics, and ensure CMS, ACA, and Medicare compliance while maintaining service excellence.

The role reports to the Manager of Member and Provider Services and requires leadership, process improvement, and alignment with Peak Health's mission of innovative, high-quality healthcare delivery.