Supervisor Member Services - Medicaid Market

Company :

Highmark Inc.

Job Description :

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.

• 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.

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

• Bachelor’s degree

• None

Does this role supervise/manage other employees?
Yes

Is Travel Required?
No

Minimum: $50,200.00

Maximum: $91,200.00

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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