Remote Member & Provider Service Leader

WellSense Health Plan; United States; A distancia; USD 58.000 - 84.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Full-time remote work

Competitive salaries

Excellent benefits

Descripción de la vacante

WellSense Health Plan is seeking a Member and Provider Service Supervisor to oversee operations, resolve member/provider inquiries, and drive continuous improvement in service quality. The role involves staffing, policy development, and cross-functional collaboration to meet state contractual requirements and corporate standards.

The position offers full-time remote work with competitive salaries and excellent benefits.

Formación

• Demonstrates strong critical thinking and analytical skills.
• Excellent problem-solving and decision-making abilities.
• Strong written and verbal communication across all levels of the organization.
• Experience organizing, planning and managing multiple projects.

Responsabilidades

• Oversee Member and Provider Service operations to meet productivity and quality targets.
• Develop policies to enhance service delivery and satisfaction.
• Analyze call volumes and adjust staffing to meet demand and goals.
• Ensure compliance with corporate standards and state requirements.
• Collaborate with cross-functional teams and supervise staff training and development.

Conocimientos

Critical thinking

Problem solving

Communication

Project management

Microsoft Office

Educación

Bachelor's degree or equivalent

Descripción del empleo

WellSense Health Plan is seeking a Member and Provider Service Supervisor to oversee operations, resolve member/provider inquiries, and drive continuous improvement in service quality. The role involves staffing, policy development, and cross-functional collaboration to meet state contractual requirements and corporate standards.

The position offers full-time remote work with competitive salaries and excellent benefits.