[Hiring] Member and Provider Service Supervisor @WellSense Health Plan

Role Description

The Member and Provider Service Supervisor is responsible for ensuring the delivery of outstanding customer service, resolving issues, and delivering accurate information to WellSense members and providers. This role includes:

• Participating in the recommendation, development, and implementation of quality service strategies.
• Direct supervision of Member and Provider Service Center staff.
• Ensuring availability of necessary tools and resources to meet state contractual requirements and corporate standards.
• Identifying and resolving service barriers (claims, eligibility, enrollment, prior authorization, and benefits).
• Collaborating with the Member and Provider Service management team for continuous improvement.

Qualifications

• Bachelor’s degree or an equivalent combination of education, training, and experience is preferred.
• Three or more years of call center experience preferred.
• Three or more years of experience in healthcare or managed care is preferred.
• Three or more years of supervisory experience preferred, preferably in claims operations or claims data setting.

Requirements

• Demonstrates exceptional critical thinking and analytical skills.
• Strong problem-solving skills with an understanding of cause and effect.
• Strong oral and written communication skills.
• Effective collaborative and proven process improvement skills.
• Strong working knowledge of Microsoft Office products.
• Demonstrated ability to successfully plan, organize, and manage projects.
• Detail-oriented with excellent proofreading and editing skills.

Benefits

• Full-time remote work.
• Competitive salaries.
• Excellent benefits including medical, dental, vision, and pharmacy.
• Merit increases.
• Flexible Spending Accounts.
• 403(b) savings matches.
• Paid time off.
• Career advancement opportunities.
• Resources to support employee and family wellbeing.