[Hiring] Director, Customer Care Medicare Support @CareSource Management Services LLC

Other Jobs To Apply

Job Summary: The Director, Customer Care Medicare Support will lead strategic development, implementation, and oversight of initiatives designed to deliver world-class support and achieve 5-star ratings in annual MCAHPS surveys. This role will focus on aligning organizational goals with CMS, Medicare, and Medicare Star Ratings requirements, engaging internal and external stakeholders in designing and communicating strategies and outcomes to leaders throughout the organization. This role serves as a key senior leader within the call center and influences the member experience across our growing organization. Essential Functions: Develop and manage a multiyear roadmap for Star ratings improvement for all Medicare contracts and lines of business. Translate business strategy into actionable business requirements. Ensure alignment with the organization’s short and long-term goals for performance improvement and quality. Establish clear performance goals and metrics for Star rating and quality measures. Provide oversight of the measurement, tracking, and reporting of key quality performance indicators (Part C and Part D) to ensure alignment with CMS regulations and organizational goals. Ensure integration of Star ratings strategy with organizational objectives. Partner with clinical, operational, and network teams to develop action plans for addressing Star metrics which can be influenced by Customer Care. Lead root cause analysis for underperforming measures using industry standard methodologies. Regularly engage with leaders across the organization (Market; Operations; Clinical) to provide insight into opportunities. Design Member/Provider Experience service process and ensuring the continuous improvement of service experience across markets and products Lead a team of Customer Care Managers, Team Leaders in building a High-Performance Culture – goal/expectation setting, defining Reward & Recognition Programs, identifying ongoing Training Needs and driving focus on Personal Accountability. Monitor all regulatory requirements and oversight of all submissions in existing and future lines of business. Deliver recommendations related to improvements to Self-Service tools (IVR, Digital Products etc.) based on Top Contact Types. Perform continuous review and improvement of business process workflow. Facilitate/promote problem identification, analysis, and resolution across the organization to improve member/provider experience. Utilize formal and informal meetings to gather information and provide feedback and developmental ideas to staff members. Analyze data and identify trends monthly to ensure company expectations are met. Identify information system inefficiencies and formulate recommendations. Keep abreast of new call center technology and service concepts. Performs any other job related duties as requested. Education and Experience: Bachelor's degree in business-related field required Master's degree preferred Equivalent years of relevant work experience may be accepted in lieu of required education Ten (10) years of experience in a call center or similar environment is required Five (5) years of management experience, preferably call center management, is required Multi-site leadership/remote work experience preferred Experience in a call center and health insurance preferred Staffing and forecasting experience preferred Lean Sigma/Continuous Improvement/Design Thinking experience preferred Managed care experience preferred Competencies, Knowledge and Skills: Advanced knowledge of Microsoft Word, Excel, PowerPoint, and Visio Strong data analysis and trending skills Strong project management skills Knowledge of call center operations and trends Strategic management skills Strong negotiation skills Good technical writing skills Strong team and staff development skills Strong collaboration and conflict resolution skill sets Proven leadership with the ability to build relationships/collaborate and influence at all levels Strong process and analytical skills with the ability to articulate and define outcome measures that capture key performance metrics Ability to work in a fast-past environment Attention to detail Ability to develop, prioritize and accomplish goals/time management Executive management skills Strong decision making and problem-solving skills Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats to all levels Strong interpersonal skills and high level of professionalism Ability to work independently and within a team environment Effective active listening and critical thinking skills Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Ability to travel as required by the needs of the department. Compensation Range: $110,800.00 - $193,800.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SW2 The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...