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Description mmediate opening for a Hybrid Schedule once trained Manager Member Services with the Children's Hospital. The Manager Member Services must be flexible and available to work any shift during our hours of operation (Mon – Sat | 7a – 7p)The Manager Member Services will manage a high performance, culturally sensitive and competent customer service Call Center that supports a rapidly growing, diverse membership and provider community and an expanding portfolio of health plan options. The Manager Member Services will evaluate staff development, customer service results and operational processes in order to ensure excellence in service, customer satisfaction, and compliance with accrediting and regulatory agencies. The Manager Member Services will collaborate with counterparts within the Health Plan to initiate and support organization wide performance improvement initiatives. Coordinate efforts of department to develop and implement policies and procedures for provision of improved or new services Perform 24 hour on call duties as required Completes timely performance appraisals for direct reports Assures that new staff attends hospital orientation within 30 days of employment Reports financial performance on a monthly basis Develops and modifies job descriptions as necessary Prepares and submits annual capital and operating budgets Conducts appropriate investigations and follows-up on individual and patient complaints Submits performance planning documents, ongoing planning materials, action plan and department goals Required- H.S. Diploma or GED Required- 6 years experience as a Team Leader or Supervisor in Member Services, Claims Administration, or Provider RelationsMust have call center operations experience in an healthcare setting Required for completely satisfactory performance in this job is industry knowledge specific to the market served by the Health Plan managed health care. Must have understanding of a Call Center business environment, tools and terminology; knowledge of claim processing and claim systems, provider contracting, health care benefits, and how Health Maintenance Organizations work. Preferable to have knowledge of Texas Department of Insurance requirements for the handling of Member complaints and appeals. Required for completely satisfactory performance in this job is the ability to demonstrate and act on an understanding of the collective concerns of internal and external customers; demonstrate an understanding of how the parts of a problem are related and interact in order to create an outcome; motivate employees through personal example; display effective coaching and interpersonal skills; display effective problem-solving skills, including the ability to resolve conflicts, troubleshoot issues and respond quickly to any situation. Must be customer focused, including displaying behaviors such as follow-through and courtesy. Must have the ability to communicate effectively and be adaptable. Requirements Complaints, Call Center, Health Care Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half puts you in the best position to succeed by advocating on your behalf and promoting you to employers. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity – even on the go. Download the Robert Half app (https://www.roberthalf.com/mobile) and get 1-tap apply, instant notifications for AI-matched jobs, and more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2023 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/terms-of-use) .
