Operational Leadership & Metrics Accountability
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Own and drive performance against key metrics, including:
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Member engagement rate
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Call volume and outreach productivity
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Referral processing timeliness
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SLA adherence
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Quality and compliance scores
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Monitor real-time and historical performance data to identify trends, gaps, and opportunities.
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Implement corrective actions to address underperformance at both the individual and team level.
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Ensure effective workload distribution and staffing alignment to meet operational demands.
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Step in to support call volume as needed to maintain service levels.
Performance Management & Coaching
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Provide daily, hands-on supervision of call center staff with a focus on accountability and results.
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Conduct regular 1:1 coaching sessions tied directly to performance metrics and quality outcomes.
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Develop and execute performance plans when expectations are not met.
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Complete formal performance evaluations aligned with measurable goals.
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Reinforce a high-performance culture with clear expectations and consistent follow-through.
Quality, Compliance Oversight
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Ensure all staff adhere to protocols, workflows, and escalation procedures.
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Review call documentation and interactions to ensure accuracy, completeness, and compliance.
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Conduct routine quality audits and provide actionable feedback.
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Maintain compliance with HIPAA, CCNC policies, and contractual requirements.
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Serve as a resource for guidance and appropriate escalation to care management teams.
Workflow Optimization & Process Improvement
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Identify inefficiencies in workflows and implement solutions to improve:
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Productivity
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Member outcomes
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Operational consistency
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Partner with leadership to design and implement new processes, technologies, and programs.
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Utilize data and frontline insights to continuously improve call center operations.
Communication & Coordination
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Serve as the subject matter expert and lead the development and enforcement of defined escalation pathways for operational and member-related issues.
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Communicate performance expectations, updates, and organizational priorities clearly.
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Facilitate team meetings and ensure alignment across staff and leadership.
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Collaborate with Care Management, HR, Finance, and other stakeholders to meet program goals.
Administrative Oversight
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Approve timekeeping, schedules, and related administrative functions.
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Ensure appropriate staffing coverage to meet operational needs.
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Monitor attendance, adherence, and productivity.
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Support budget-conscious staffing and resource allocation decisions.
Qualifications
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High School Diploma or GED required; Associate’s or Bachelor’s degree preferred
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Minimum 3–5 years call center experience, preferably in healthcare, managed care, or a related field
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Minimum 1–2 years of supervisory or team leadership experience required
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Experience managing metrics-driven performance environments
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Experience with call center systems, CRM platforms, or care management systems preferred
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Bilingual preferred
Knowledge, Skills, and Abilities
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Strong performance management and coaching skills
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Highly data-driven with the ability to analyze and act on performance metrics
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Excellent communication and interpersonal skills
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Strong organizational and time management skills
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Ability to manage high-volume, fast-paced environments
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Critical thinking and problem-solving ability
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Ability to enforce accountability while maintaining team engagement
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Knowledge of call center operations, workflows, and service standards
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Adaptability and ability to lead through change
Working Conditions
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Remote work environment with frequent computer and phone use
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High-volume, fast-paced operational setting
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Prolonged sitting and repetitive motion
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The environment may be intense due to performance expectations and workload volume