Specialty Health Customer Support Call Center Supervisor jobs in United States
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Texas Health and Human Services · 13 hours ago

Specialty Health Customer Support Call Center Supervisor

Texas Health and Human Services Commission (HHSC) is committed to creating a positive impact in the lives of fellow Texans. The Specialty Health Customer Support Call Center Supervisor performs senior-level administrative and supervisory work, overseeing the CSS Team for Specialty Health programs and ensuring effective customer support operations.

Health Care
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Responsibilities

Provides complex consultative and technical assistance, guidance, training, and technical assistance to SH’s Customer Support Services (CSS) Team, Eligibility Services, and other SH units on nuanced customer support and pharmacy benefit coordination support for Kidney Health Care (KHC), Children with Special Health Care Needs Services Program (CSHCN SP), and the Hemophilia Assistance Program; may assist with other customer support inquiries for other SH programs. Provides CSS updates to external partners (regional staff or healthcare providers) through webinars and conference calls. Leads regular reviews of CSS Team’s standard operating procedures and training materials in coordination with SH units as needed. Ensures all staff are trained on the most current program requirements. Trains staff on multiple internal and external databases (IBIS, TOSS, CMS Portal, USAS, etc.) as needed to support client inquiries and verify or update information as required. Develops and implements standards and techniques to evaluate the efficiency of the CSS Team’s processes and makes recommendations for improvement. (30%)
Serves as a technical expert regarding SH programs, primarily for the direct service programs (KHC, CSHCN SP, and HAP). Monitors multiline phone system and organizes phone coverage with customer service support specialists, assisting in times of high call volume or staff vacancy. Provides technical guidance to specialists for program information and updates received primarily through the customer service phone lines, fax, mail, and email for SH programs. Ensures timely responses to information requests, inquiries, and updates received from program recipients, providers, other agencies, and the public. Reviews and addresses complex customer service or pharmacy claims cases that cannot be resolved directly by individual team members. (25%)
Provides daily administrative and operational supervision of the SH CSS Team in the SH Client Services Unit. Establishes clear expectations for all functions of the team. Implements all human resources and personnel-related functions (hiring, performance management, time and leave processing, etc.) for all team members according to agency guidelines and within appropriate timeframes. Establishes feedback mechanisms for team improvement and collaboration within SH Client Services Unit and other SH units and program teams. Proactively cultivates and demonstrates a positive culture with an engaged and accountable team. (20%)
Implements goals and objectives supporting the strategic direction for assigned programs as defined by the SH policy section. Communicates goals and objectives with team and develops accountability standards for achieving goals. Coordinates with Policy Section leadership on continuous program and process improvement activities related to customer support and coordination within SH Client Services Unit’s assigned programs. (10%)
Serves as a member of the SH leadership team. Provides leadership as required by the needs of the Department and illustrates a functional knowledge of all programs and policies. Participates as a member of the larger Health and Independence organizational leadership area representing SH with other SH leadership. Collaborates with SH leadership to develop, implement, and evaluate short- and long-term goals and objectives for the office. (10%)
Other duties as assigned include but are not limited to actively participating or serving in a supporting role to meet the agency's obligations for disaster response or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment or location. (5%)

Qualification

Supervisory experienceCall center experienceHealth care programs knowledgeClient engagement techniquesManagement practicesProblem-solving skillsTraining skillsAnalytical skillsBilingual English/SpanishCommunication skills

Required

At least two (2) years of experience in a supervisory or lead role
At least two (2) years of experience in a call-center environment
Graduation from an accredited four-year college or university with major course work in a health and human services or social services field is generally preferred. Experience and education may be substituted for one another on a year for year basis
Knowledge of health care benefit programs for populations with special health care needs and chronic health conditions
Knowledge of client engagement techniques to receive and maintain accurate client and program records
Knowledge of sound management practices and personnel policies and procedures
Knowledge of planning and administration of programs
Knowledge of development of quality improvement and corrective action plan development
Knowledge of customer service best practices
Knowledge of local, state, and federal laws related to the program area; public administration and management techniques; statistical analysis processes; budget processes; research techniques; training and marketing techniques; and program management processes and techniques
Skill in solving problems, evaluating options, and implementing solutions
Skill in analyzing and researching highly complex technical information
Skills in providing subject matter expertise and training to customer support staff
Skills in management and supervisory practices
Skills in communicating professionally in both written and verbal forms with individuals and groups
Skills in managing multiple and competing priorities
Skills in identifying problems, evaluating alternatives, and implementing solutions
Skill in identifying measures or indicators of program and staff performance and the use of a computer and applicable software
Ability to establish and maintain effective working relationships with staff, peers, and leadership
Ability to exercise sound and professional judgement in evaluating situations, making decisions, and mediating conflict
Ability to lead in an environment of change and continuous quality improvement
Ability to consistently manage and complete multiple detailed tasks accurately and in a timely manner
Ability to gather, assemble, correlate, and analyze facts; to establish goals and objectives; to devise solutions to administrative problems; to develop, evaluate, and interpret administrative policies and procedures; and to supervise the work of others

Preferred

Bilingual English/Spanish preferred

Benefits

100% paid employee health insurance for full-time eligible employees
Defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement

Company

Texas Health and Human Services

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Texas Health and Human Services is an agency that focuses on improving health, safety and well-being.

Funding

Current Stage
Late Stage

Leadership Team

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Dr. Napoleon Broughton
Chief Executive Officer: Life Enhancement Solutions
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John F. Palermo
CTO Strategic Analyst VI
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