Job description
Overview:
With 55 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.
Kelsey-Seybold Clinic is changing the way health cares. Responsibilities:
Education
A.
Bachelors or MBA
Experience
Prior Medicare Advantage experience
Project management experience
Knowledgeable and experience in benchmarking and process improvement
Cisco Phone System and Reporting
Experience in the Healthcare industry; healthcare revenue cycle
Contact Center Systems implementation experience
Demonstrated experience in strategic planning and leading change
Licenses
Communication
A.
B.
Special Skills
A.
Ability to work in a fast-paced and dynamic environment
Demonstrated ability to manage large-scale programs across multiple operating areas by leveraging solid business and financial acumen and project management skills
Entrepreneurial mindset with the ability to be successful in a complex matrixed enterprise
A.
WORKING ENVIRONMENT
Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with over 25 locations and comprises more than 500 physicians providing primary and specialty care in a collaborative manner.
With 55 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.
Kelsey-Seybold Clinic is changing the way health cares.
The Director of Member Services is accountable for strategic planning and directing of all membership related initiatives for the Medicare Advantage plan and commercial product lines including member, provider services and the internal quality monitoring team. This position is responsible for the oversite of related initiatives including identification of business need, strategy recommendation, project outline, management of deliverables and return on investment. This position responsible for daily health plan call center operations of all functional components including staff competency, software system support, reporting and interfacing with other departments. This position oversees training and development, policy development, and performance of the departments ensuring compliance with state/federal regulatory requirements.
Qualifications:
Director, Member Services – Medicare
Location: Pearland Administrative Office
Department: KelseyCare Advantage Operations
Job Type:Full Time
Salary Range: $133,452.80 to $164,840.00 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
Education
A.
Bachelor’s Degree or equivalent experience
B.
Bachelors or MBA
Experience
A.
8-10 years of experience with a health plan or related healthcare operations with increasing responsibility preferably in customer service, contact center management
8-10 years of experience in contact center management/leadership with direct responsibility for leading a workforce management or analytics team
5+ years of proven experience in defining, and driving successful implementation on improvements in contact center operations through both process re-engineering and incorporation of tools and technology
5+ years of experience in WFM technology planning systems
Experience working in a multi-tenant, multi-media Contact Center (audio, chat, SMS, Web)
Demonstrated ability to interpret contract terms and knowledge of CPT/ICD-10 coding
8-10 years of experience in contact center management/leadership with direct responsibility for leading a workforce management or analytics team
5+ years of proven experience in defining, and driving successful implementation on improvements in contact center operations through both process re-engineering and incorporation of tools and technology
5+ years of experience in WFM technology planning systems
Experience working in a multi-tenant, multi-media Contact Center (audio, chat, SMS, Web)
Demonstrated ability to interpret contract terms and knowledge of CPT/ICD-10 coding
B.
Prior Medicare Advantage experience
Project management experience
Knowledgeable and experience in benchmarking and process improvement
Cisco Phone System and Reporting
Experience in the Healthcare industry; healthcare revenue cycle
Contact Center Systems implementation experience
Demonstrated experience in strategic planning and leading change
Licenses
A.
Valid Texas Driver’s License and ability to travel throughout metropolitan Houston
B.
Communication
A.
B.
Special Skills
A.
Solid collaboration, documentation, and presentation skills including outstanding proficiency for MS Office Suite including PowerPoint, Visio and Project
Excellent customer relationship management and customer service skills
Exceptional analytical skills, comfortable working with large amounts of data and communicating data findings, experience establishing and tracking key performance metrics including return on investment
Excellent customer relationship management and customer service skills
Exceptional analytical skills, comfortable working with large amounts of data and communicating data findings, experience establishing and tracking key performance metrics including return on investment
B.
Ability to work in a fast-paced and dynamic environment
Demonstrated ability to manage large-scale programs across multiple operating areas by leveraging solid business and financial acumen and project management skills
Entrepreneurial mindset with the ability to be successful in a complex matrixed enterprise
Other
A.
Ability to work in a fast-paced environment; demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines while accomplishing objectives
B.
WORKING ENVIRONMENT
Office
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