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Manager, Broker Services

Health Net of California Rancho Cordova, California

As part of the Customer Service department, you’ll use your knowledge of Centene’s insurance products and service to help our members understand their benefits, details and policy procedures. With your skills, you can help transform the health of every community, one person at a time.

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What does it take?

What are the qualities that will help you achieve success in this role at Centene?

Success Profile

  • Detail-oriented
  • Organized
  • Proactive
  • Positive
  • Trustworthy
  • Consistent

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Quote

“Centene has been instrumental in my professional development. I’m pushed in a way that challenges my fears, improve my skills, and enhance my knowledge on healthcare.”

- Meaghan Hooks, Business Analyst II

“My job has a direct impact on our providers and members. With every claim paid out the door we are directly helping to save someone’s life!”

- Jonelle Levy, Business Analyst II

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Responsibilities

Job ID 1153824

Category Customer Service
Schedule Full-time
Description:
Position Purpose: Plan and manage the broker service unit for Health Net of California to meet overall business goals and objectives.

  • Manage the workflow of the broker service team and communicate standards
  • Analyze department performance; develop, implement and maintain production/performance standards in line with Company goals and objectives
  • Ensure the team meets its goals and objectives through effective hiring, performance management, coaching and career development
  • Develop, prepare and review reports for management
  • Review and respond to complex issues and questions
  • Review, investigate and resolve inquiries regarding broker service issues for internal and external customers
  • Collaborate with appropriate departments and managers to ensure broker satisfaction and alignment with policies, procedures, goals and objectives
  • Ensure compliance with applicable policies, procedures, processes, outcomes, contractual agreements and State and Federal regulations
  • Assist in the preparation of budgets and operate within budgeted expectations; identify and report on variances
  • Research and incorporate best practices into department operations
  • Qualifications:

    Education/Experience: Bachelor's degree in healthcare, business or related field or equivalent experience. 4+ years of customer service/call center experience with direct supervisory responsibility over others, preferably in a healthcare or insurance environment.  Experience in sales operations and with health insurance brokers preferred.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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    Our Customer Service Roles

    Customer Care Opportunities at Centene

    Our Customer Service teams work to ensure high levels of service and customer satisfaction. Learn more about this vital group at Centene

    Claims Analyst

    As part of a tight-knit team and working as a partner to each provider, you’ll evaluate the needs of your health plan and process all claims in accordance with guidelines.

    Claims Liaisons

    While ensuring that provider and member requests are taken care of, you’ll review requests from providers and work with state health plans to ensure the accuracy and quality of claims.

    Customer Service Representative

    You’ll use your healthcare knowledge, analytical skills and our information resources to quickly and correctly answer questions from members and providers.

    Enrollment Analyst

    You’ll process incoming membership files and focus on maintaining the enrollment integrity of our individual health plan systems.

    Systems Solutions Manager

    While leading a team of business analysts, you’ll work with the IT department to drive end-to-end solutions for core applications supporting Centene’s operations. Claims Analyst.

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    Our Awards

    Centene is consistently recognized for how well we treat our members, our people, and the communities we serve.

    Honored to be Honored

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    Our Hiring Process

    Learn more about our hiring process and discover other helpful information for applicants.

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    “Centene is an exciting company to work for.”

    Esmeralda Baig

    Started as a Case Manager, now a Senior Vice President of Operation

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