Remote Supervisor for Digital Care & Reimbursement

Alignment Health

United States

Hybrid

USD 59,000 - 88,000

Full time

4 days ago
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Job summary

Alignment Health is seeking a Remote Supervisor to guide a team of Digital Member Communications and Reimbursement Specialists within the Resolution group. The role translates strategic priorities into daily execution, ensuring caring connections, timely member responses, regulatory compliance, and operational excellence.

The supervisor leads the team to own member inquiries across digital channels and reimbursement requests, maintaining clear communication, accurate documentation, and efficient

Qualifications

  • 5+ years in healthcare contact center or member services within managed care.
  • Familiarity with grievances, appeals, Direct Member Reimbursements, and CMS-regulated environments.
  • Ability to supervise and coach teams.

Responsibilities

  • Direct and develop the Digital member communications and reimbursement processing teams.
  • Cultivate a culture of care, accountability, and service excellence aligned with Alignment Health.
  • Set clear performance expectations for quality, turnaround time, productivity, and compliance.
  • Coach through regular sessions, reviews, and quality audits to ensure documentation accuracy.
  • Maintain regulatory knowledge and digital service capabilities through onboarding and training.
  • Identify opportunities to improve workflows and member experience.
  • Escalate regulatory or process concerns and partner to implement improvements.
  • Ensure team interactions are documented in CRM systems per CMS requirements.

Skills

Team leadership
Empathy and coaching
Communication
Analytical decision making
Bilingual English/Spanish

Education

High School Diploma or GED
Bachelor's degree in healthcare administration, business, or related field

Job description

Alignment Health is seeking a Remote Supervisor to guide a team of Digital Member Communications and Reimbursement Specialists within the Resolution group. The role translates strategic priorities into daily execution, ensuring caring connections, timely member responses, regulatory compliance, and operational excellence.

The supervisor leads the team to own member inquiries across digital channels and reimbursement requests, maintaining clear communication, accurate documentation, and efficient

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