Senior Manager, Member Services

🕒 vor 1 Tag

🤠 Texas – Remote

🤠 Texas – Remote

💵 $90.000 - $115.000 / Jahr

⏰ Vollzeit

🟠 Senior

👔 Manager

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Dieses Unternehmen hat in der Vergangenheit H1B-Visa gesponsert.

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Wider Circle

WebsiteLinkedInAlle Stellen

11 - 50 Mitarbeiter

⚕️ Krankenversicherung

💰 €38.000.000 Series B im 2021-09

Healthcare Insurance • Community

Wider Circle ist eine gemeindebasierte Gesundheitsorganisation, die darauf abzielt, Gemeinschaftsmitglieder zu befähigen, ein glücklicheres und gesünderes Leben zu führen. Durch Partnerschaften mit Gesundheitsplänen und Ärztegruppen bietet das Unternehmen sowohl persönlich als auch virtuell ansprechende und lehrreiche Programme an. Diese Programme sind für Mitglieder gedacht, die ähnliche Interessen und Lebenserfahrungen teilen, und bilden eine soziale Gruppe mit dem Ziel, den Zugang zur Pflege innerhalb eines vertrauenswürdigen Gemeinschaftsnetzwerks zu verbessern. Wider Circle verbindet Einwohner in einer Nachbarschaft, um sich gegenseitig in Bezug auf Gesundheit und Wohlbefinden zu unterstützen, und bietet Hilfe bei Aufgaben wie der Terminvereinbarung mit Ärzten und dem Zugang zu Lebensmittelressourcen. Dadurch wird das Gefühl der Gemeindefürsorge wiederbelebt. Das Unternehmen arbeitet mit nationalen und regionalen Medicare Advantage Plänen und Managed Care Organisationen zusammen.

Beschreibung

• Own day-to-day outreach center performance: inbound and outbound call handling, campaign execution, scheduling, workforce management, and real-time quality monitoring. • Manage and optimize calling campaigns in Five9 or a comparable platform, including call routing, queue management, and agent productivity. • Analyze contact center KPIs to identify trends, address performance gaps, and continuously improve member engagement outcomes. • Build and maintain a QA framework that ensures consistent call quality, HIPAA compliance, and audit-ready documentation. • Drive measurable outcomes against value-based care goals: care gap closures, Annual Wellness Visits, Health Risk Assessments, HEDIS measures, Patient Reported Assessments, and SDOH initiatives. • Monitor the impact of quality and risk adjustment activities; develop corrective action plans when performance trends indicate risk. • Track and report KPIs across outreach effectiveness, care gap completion, and value creation; present results to senior leadership. • Lead Team Leads as direct reports, setting performance expectations, providing coaching, and holding the supervisory tier accountable for frontline outcomes. • Manage staffing models, scheduling, and workload distribution across the team. • Develop and deliver training that builds frontline capability and keeps the team equipped to meet evolving program requirements. • Establish a performance culture with clear goals, regular evaluations, and visible career progression for frontline staff. • Partner with Technology, Product, Data, and Finance to improve dashboards, automation, and reporting capabilities. • Collaborate across departments to support new client requirements and align Member Services with broader organizational goals.

🎯 Anforderungen

• 7+ years of progressive leadership experience in healthcare or managed care operations, with meaningful time managing a contact center or outreach function at scale. • Hands-on experience with Five9 or a comparable contact center platform, including campaign management, queue monitoring, and workforce reporting. • Demonstrated experience leading large frontline teams in a healthcare or managed care environment. • Familiarity with value-based care metrics: care gap closures, HEDIS, SDOH, HRA, AWV, and related quality programs. • Strong analytical skills and comfort making data-driven decisions in a fast-moving environment. • Excellent communication and interpersonal skills — able to lead across levels and collaborate effectively with cross-functional partners. • Knowledge of HIPAA and applicable healthcare compliance standards. • Bachelor’s degree in Business Administration, Healthcare Management, or a related field; Master’s degree a plus. • Proficiency in Google Workspace. • Clinical background or experience in a health plan or value-based care setting. (Nice to have) • Experience with Salesforce and Tableau. (Nice to have)

🏖️ Vorteile

• Competitive salary range of $90,000–$115,000 • Annual incentive bonus up to 5.75% • Comprehensive medical, dental, and vision coverage • 401(k) plan • Generous paid time off, including your birthday off and 9 company holidays and a PTO accrual that grows with tenure • Remote-first culture with periodic travel to our growth markets • The chance to build something that matters — and to see the direct impact of your work on communities across the country