Sr. Health

*Description:*

ESSENTIAL DUTIES AND RESPONSIBILITIES
* Supervises call center leads, call center, and front desk representatives.
* Holds 1:1 bi-weekly meetings with their staff, bi-weekly training for their staff, monthly lead
meetings, monthly team meetings, and monthly cross-functional lead meetings.
* Ensures all staff within the department support and uphold the organization's Core Values: Trust,
Integrity, Respect, Teamwork, Empathy, Commitment, Financial Prudence, and Innovation and
embodies the virtues of The Ideal Team Player-Humble, Hungry, and Smart.
* Daily supervision of member call center staff: reporting of call center metrics, fulfillment of
individual member requests, management of scripted and timely responses to email inbox and
secure message submissions which include website e-mail inquiries, updating of training materials,
implementation of new processes or procedures in support of business needs, and development of
call scripts as directed.
* Tracks and updates daily individual and department Member Services phone and processing
statistics to manage quality assurance, employee performance, and work distribution.
Performs quality monitoring of telephone conversations and call audit reviews, to include system
notes and letters. Provides feedback, and coaching to staff as needed.
* Performs monitoring of timeliness and quantity of calls taken to ensure department performance,
quality, and member goals are met.
* Recommends improvements to policies, standard operating procedures, and workflows to meet
department performance, quality, and member goals, and implements as directed.
* Supervises staff and provides them with performance feedback, guidance, coaching, training,
motivation, performance appraisals, and progressive discipline when warranted.
* Enforce organization policies, Collectively Bargained Agreements, State Law, and Federal Law in
managing non-exempt, collectively bargained employees.
* Reviews and codes timecards to ensure they are completed timely, accurately, in accordance with
office policies, Collectively Bargained Agreements, State Law, and Federal Law for non-exempt
collectively bargained employees.
* Participates in the phone interview process for the hiring process, new employee orientation and
training, ensures the timely development of performance appraisals, communicates job
expectations, enforces policies and procedures, and performs coaching.
* Communicates department-level quality assurance and improvement goals as well as individual
representative quality improvement goals and expectations.
* Participates in data validation; coordinates and participates in the testing of upgrades and
enhancements of the enterprise system software. Participates in creating testing scenarios to ensure
upgraded programming matches Summary Plan Description language. Review of system upgrades
or annual system workflows for efficiencies and quality.
* Coordinates and communicates with vendors to troubleshoot and resolve member issues.
* Coordinates staffing and work assignments with other Supervisors as necessary.
* Responds to escalated calls from members, providers, and union representatives.
* Responds to and resolves more complex or sensitive complaints/issues.

*Skills:*

Management skills, Escalation calls, Health care, Call center management, union experience, employee relations, Fraud, Call center, Retention calls, Call center support, Operations management, Call center software

*Top Skills Details:*

Management skills,Escalation calls,Health care,Call center management,union experience,employee relations

*Additional Skills & Qualifications:*

* Associate degree in a related field and 3 years of related experience, including supervisory
experience.
* A combination of appropriate education and experience may be substituted for the minimum
education and experience requirements

*Experience Level:*

Expert Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.