Participant Services Technician Supervisor

🔥 15 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Technician

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Everise

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🔒 Cybersecurity

Healthcare Insurance • Customer Support • Cybersecurity

Everise is a global customer experience (CX) solutions provider, delivering happiness to millions of customers across various industries, including healthcare, financial services, technology, travel, logistics, and insurance. Their comprehensive offering includes services in healthcare support, pharmacy benefits management, workforce and quality assurance management, cybersecurity, and recruitment process outsourcing. Everise is committed to minimizing environmental impact and promoting diversity and inclusion within their operations. They are recognized for their award-winning culture and strive to enhance customer satisfaction through innovation, technology, and a people-focused approach.

📋 Description

• Direct, coach, and develop team members through regular 1:1 meetings. • Complete performance reviews, coaching documentation, and corrective actions. • Manage staffing, schedules, queue performance, and workload balancing. • Review KPIs including Quality, AHT, Productivity, Attendance, and SLA. • Identify training opportunities and partner with Learning & Development. • Handle escalated member, provider, and client concerns. • Monitor daily operational performance against SLA, productivity, quality, and schedule adherence goals. • Ensure compliance with HIPAA, CMS, state board of pharmacy requirements, and internal policies. • Use reporting to identify trends and recommend corrective actions. • Partner with Workforce Management, Training, Operations, and Leadership. • Support continuous improvement initiatives and standardization efforts. • Maintain documentation and confidentiality standards. • Participate in calibration sessions and business meetings. • Lead or support special projects as assigned. • Support non-clinical prescription processing and participant service workflows.

🎯 Requirements

• High School Diploma or GED. • Three or more years of relevant PBM, specialty pharmacy, participant services, or healthcare operations experience. • Previous leadership or quality experience appropriate to the role. • Active Arizona or Texas Pharmacy Technician License (preferred). • National Pharmacy Technician Certification (CPhT) (preferred). • Call center healthcare operations experience (preferred). • Lean/Six Sigma or process improvement exposure (preferred). • Experience presenting operational metrics (preferred).

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development