Member Services Supervisor

Partnership HealthPlan of California • Redding, CA

36d

About The Position

To assist in the day-to-day operations and management of the Member Services Department. Provides leadership and support and direction to Member Services staff.

Requirements

• High School diploma or equivalent; minimum three (3) years’ experience in a managed care or member services environment preferred. Prior management experience or education preferred.
• Thorough working knowledge of managed care and member services policies and procedures.
• Working knowledge of business software applications.
• Bi-lingual preferred.
• Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.
• Good oral and written communication skills.
• Excellent customer service skills with ability to access and resolve customer complaints, problems and issues in an efficient and effective manner.
• Excellent organization skills with ability to prioritize issues, use good judgment and to handle sensitive issues with tact and diplomacy.
• Ability to use microcomputer keyboard.
• More than 80% of work time is spent talking on the telephone and using a video display terminal.
• When required, ability to move, carry or lift objects of varying sizes weighing up to 10 lbs.
• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

Nice To Haves

• Prior management experience or education preferred.
• Bi-lingual preferred.

Responsibilities

• Provides leadership, direction, and support to Member Service staff in a positive and professional manner.
• Resolves member issues that are escalated to the Supervisor level.
• Facilitates meetings as needed.
• Provides back-up on phones as necessary.
• Monitors call statistics and phone coverage throughout the day to ensure their ultimate performance.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees