About The Position

This job is responsible for supervising member service call center and ensuring timely, professional, and courteous responses to all customer inquiries and complaints, appropriately referring inquiries to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make routine medical approval decisions. This role sits within the Medicaid Market - looking for someone who has Customer Service and Call Center experience.

Requirements

  • High School Education or GED
  • 1 year of experience in supervisory position
  • 3 years of experience in customer service and/or health industry environment

Nice To Haves

  • Bachelor’s degree

Responsibilities

  • Manage the departmental operations and day-to-day functions.
  • Handle escalated calls from members, state agencies, providers and vendors.
  • Coach and counsel employees.
  • Prepare reports for various internal and external areas for trends and statistics.
  • Create and maintain quality and training programs for department.
  • Responsible for on-call emergency contact for nights and weekend support.
  • Other duties as assigned or requested.

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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