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Supervisor, Customer Service

Trillium Community Health Plan Springfield, Oregon

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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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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Responsibilities

Job ID 1152834

Category Customer Service
Schedule Full-time
Description:

Position Purpose: Supervise assigned customer service function at the health plan to meet overall business goals and objectives

  • Ensure the team meets its goals and objectives through effective hiring, performance management, coaching and career development
  • Act as the Complaints Coordinator; ensuring all complaints are resolved and responded to appropriate parties
  • Develop, implement and maintain materials and programs ensuring production and quality standards are met
  • Hire, motivate, coach, counsel, and supervise the daily functions of the provider services staff
  • Educate members regarding plan benefits as appropriate and refer members to Connections Representatives
  • Evaluate and audit performance and identify and implement improvement opportunities to increase overall productivity and effectiveness
  • Ensure plan pends are completed
  • Review and respond to complex issues and questions
  • Ensure processes are compliant with contractual agreements and State and Federal regulations
  • Analyze and advise management of personnel, work-flow issues and trends and recommend resolutions
  • Audit daily phone log reports and access the need for changes

  • Qualifications:


    Education/Experience: Bachelor's degree in healthcare, business or a related field or equivalent experience. 2+ years of customer service/call center experience, preferably in a healthcare or insurance environment. At least one year of experience as a supervisor or lead 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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    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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    Centene is consistently recognized for how well we treat our members, our people, and the communities we serve.

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    Our Hiring Process

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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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