LA Care Health Plan

Supervisor, Contact Center

LA Care Health Plan$67K — $107K *
Business Services
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Associate's Degree (or equivalent education/experience) required; Bachelor's Degree preferred.
  • Minimum 4 years of customer service experience necessary.
  • At least 1 year of supervisory experience in a customer service setting required.
  • Knowledge of Medicare products and experience with underserved populations is essential.
  • Strong analytical and mentoring abilities along with effective communication skills are required.

Responsibilities

  • Supervise daily activities of Member Services and Provider Relations Representatives.
  • Monitor staff performance and implement training procedures for improvement.
  • Analyze call center statistical reports and recommend process improvements.
  • Develop tools and procedures for staff training and cross-training.
  • Foster a positive working relationship among business partners to enhance member satisfaction.
  • Mentor and provide feedback to staff, serving as a role model and resource.
  • Ensure compliance with regulatory requirements, including HIPAA.

Benefits

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision coverage
  • Wellness Program
  • Volunteer Time Off (VTO)
Full Job Description
Salary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.)

Job Summary

The Supervisor, Contact Center is responsible for the development of a successful and cohesive Contact Center unit, with a high level of productivity to achieve the department's overall performance metrics, and to meet and/or exceed member satisfaction.

The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports.

Duties

Supervision of day to day activities of Member Services and Provider Relations Representatives, including but not limited to: Providing direction, monitoring of staff performance and skillsets for consistency and improvement for all line of business. Handling all questions/issues raised by staff. Developing tools and procedures on training of staff. Recommending process improvement processes. Preparing and analyzing call center statistical reports. Monitoring of skillsets for consistency. Ensuring quantity/ quality is met for overtime. Ensures staff utilizes the NICE system to conduct target audits on incoming call activity and overtime activity. Prepare and review daily unit quality reports, analyze data and submit recommendations for improvements. Develop tools and procedures for the training and cross-training of staff, including but not limited to job aids and departmental and organizational policies and procedures.

Develop and maintain a positive working relationship with all business partners to ensure optimum member care and satisfaction. Responsible for the daily workflow and leading the work of assigned staff. This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.

Serve as a leader and role model as well as a technical and informational resource for staff and peers. Foster a culture that encourages employee contributions. Observe calls and assist representatives with any complex issues which may result from a call. Plan, organize and supervise the activities of the Member Services Representatives. Constant review of adequate skill-set assignment, lunch and breaks.

Increase efficiency by closely monitoring the CISCO Phone System. Analyze reports to identify trends and improve work flow processes.

Ensure telephone and correspondence responses comply with departmental, organization and regulatory agency requirements. Ensure all L.A. Care phone lines, IVR, ACD, MHC, MEIS and QMEIS systems are functioning properly for the Call Center.

Ensure department compliance with regards to Health Insurance Portability and Accountability Act (HIPAA) regulations related to protection of personal history information. (PHI).

Perform other duties as assigned.

Duties Continued

Education Required

Associate's Degree
In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Bachelor's Degree

Experience

Required:

At least 4 years of customer service experience.

At least 1 year of leading process, program, or staff or supervisory experience in a customer service environment.

Equivalency:

Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.

Skills

Required:
Must have knowledge with all of products including Medicare and a good understanding of service to the disadvantaged population, seniors, or people with chronic conditions or disabilities.

Expected to work independently within the department's established guidelines, policies and procedures.

Excellent communication skills, strong analytical, coaching/mentoring skills, team building and the ability to work effectively with diverse team members.

Ability to troubleshoot problem areas and recommend effective alternative solutions to handle irate callers, and provide optimal customer service for internal and external customers.

Able to multitask and to streamline day to day operations, policies and procedures.

Advance PC skills including Excel and Access.

Knowledgeable in medical terminology and have prior ACD experience.

Preferred:
Bilingual in one of LA Care Health Plan's threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Light

Additional Information

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

About LA Care Health Plan

LA Care Health Plan is a nonprofit health plan provider that serves more than 2 million members in Los Angeles County. The company was founded in 1997 and is dedicated to providing access to quality healthcare for underserved communities. LA Care Health Plan offers a range of health plans, including Medi-Cal, L.A. Care Covered, and Cal MediConnect. The company also provides a variety of programs and services to help members manage their health and wellness, such as disease management, health education, and care coordination.
Learn more about LA Care Health Plan
Size
2,000 employees
Industry
Founded
1994

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