Health Insurance Licensed Director

Job Summary

Leading a team dedicated to service excellence, the full-time salaried Health Insurance Licensed Director will manage support center operations, ensuring member retention strategies and quality improvement initiatives are effectively executed to enhance the overall member experience.

Key responsibilities

• Oversee the member and provider support center, ensuring compliance with goals, policies, and regulatory requirements
• Resolve inquiries and complaints from members and providers while delivering exemplary customer service
• Drive process improvements and meet department key performance indicators (KPIs) related to productivity and service quality

Required qualifications

• At least 8 years of customer service or call center experience, with 7 years specifically in a call center environment
• A minimum of 3 years of management or leadership experience
• Strong understanding of insurance products, including Medicaid and Medicare
• Proficient in Microsoft Office and relevant software programs
• Ability to maintain confidentiality and comply with HIPAA regulations