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Medicare Advantage Customer Service Manager
4 months ago
**Medicare Advantage Customer Service Manager**
- (3293581)
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
The Manager of the Customer Service Center is responsible for managing the day to day activities of the Call Center. The Manager is responsible for ensuring compliance with all applicable performance standards and regulatory, contractual, and corporate policies and procedures. The Manager must ensure maximum effectiveness of call center staff with a focus on efficiency and service excellence. The CSC staff is a highly diverse and multi-generational staff working in a dynamic and ever-changing environment.
The Manager will be expected to utilize industry-standard operational metrics to measure individual and departmental performance. In addition to managing the day to day activities of the Call Center, the Manager is an active, visible participant on many cross-functional teams which address strategic and business projects such as cost savings measures, infrastructure efficiencies, regulatory and contractual requirements, and break/fixes.
**Responsibilities**:
- Act as a key advocate for customer service excellence within the Customer Service Center and across the organization.
- Provide leadership, development and mentoring of the supervisors and staff in order to create a high performance service culture that is aligned with Mass General Brigham Health Partners’ strategic goals, objectives, and core values.
- Meet the short and long-term Call Center metrics and goals that incorporate enhanced first point-of-contact resolutions and seamless service processes.
- Ensure that all contractual service level expectations are achieved and that the department is in compliance with all regulatory requirements and standards. Continuously assess whether current metrics are accurately reflecting customer preferences and needs.
- Ensure departmental compliance with HIPAA privacy regulations. Provide leadership to ensure member information is kept confidential through verification, access and restriction of information when appropriate.
- Makes necessary changes in staffing based on day of week and other anticipated and unanticipated events.
- Monitors productivity of customer service representatives and generates reports.
- Maintains harmony among workers and addresses conflicts.
- Inform, engage, inspire, motivate, and actively listen to employees.
- Make decisions that put the needs of the people we serve—our members, providers, brokers, and employers—front and center.
- Communicate and cascade information to employees in a timely manner and actively participate in the success of cross-organizational programs and initiatives.
- Identify/create processes and align resources to accomplish key objectives; clearly convey and assign clear accountability for important objectives, deadlines, and expectations.
- Hire, participate in, and/or recommend development measures and disciplinary actions up to and including termination; evaluate performance and supervise the work of all direct and indirect reports following established organizational policies, procedures, and practices.
- Set clear goals and objectives, use metrics to measure performance, and hold employees accountable. Provide coaching to improve performance and holds regular development meetings.
- Hold self and others accountable to meet commitments.
- Ensure diversity, equity, and inclusion are integrated as a guiding principle.
- Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
- Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
- Other duties as assigned with or without accommodation.
**Qualifications**:
- Bachelor’s degree required or the equivalent combination of training and experience.
- 5-7 years of related job experience managing staff and supervisors in a high-volume call center preferably within a managed care environment required.
- Knowledge of Call Center metrics, leading practices, and relevant technologies required.
- Demonstrated ability to design and build effective and diverse work t
