Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.
What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.
General Purpose:
At Central Health Plan, a Bright HealthCare company, the Member Services Supervisor will supervise day-to-day operational responsibilities of Member Services Department; coordinate with internal departments to achieve member/provider satisfaction under the direction of Member Services Manager.
Duties and Responsibilities:
Supervise daily operation of Member Services Department related tasks and duties; report issues, and all other department progress to Manager on a regular basis. Monitor the incoming call status. Assist with any issues and questions on the floor
Handle escalated member/provider calls
Monitor incoming call and ensure the call to be handled within required timeframe.
Track project assignments for due dates and deadlines for time management.
Review incoming department emails and respond the email to the sender, distribute the receiving cases to the assigned CSR accordingly
Assist in maintaining Department policies and procedure based on health plan guidelines to achieve uniform operation management and quality of service to members
Assist with the review of any template submission to Compliance when applicable.
Assist with the review of incoming member grievance, appeals, a potential FWA case and other requests, work with staff and other related internal departments to achieve satisfactory resolution.
Assist with the review and approval of overseas claims and fitness benefit reimbursements.
Qualifications:
Bachelor’s degree in related field or equivalent experience is preferred
Minimum 2 years’ experience working as a call center Supervisor; or equivalent experience
Strong verbal and written communication skills; Good organizational skills, good time management, can multi task
Bilingual skills (Mandarin/Cantonese, or Korean) REQUIRED
We’re Making Healthcare Right. Together.
We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
Focusing on Consumers We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
Building on Alignment We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
Powered by Technology
We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
