McLaren Health Care
Director Customer Service - Leader
McLaren Health Care, Indianapolis, Indiana, us, 46262
We are looking for a Director of Customer Service to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at
https://www.mclarenhealthplan.org . MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at
https://www.mdwise.org .Position Summary:
Provides overall direction and management in providing world-class service to members and providers of the Plan and its subsidiaries. Responsible for development and adherence to all customer programs, including call metrics and Member satisfaction standards for the organization. Oversee and direct all member materials and distribution. Maintains regulatory compliance with State regulators and accrediting agencies. Assists where necessary or through project management those business ventures undertaken by the Company to ensure its profitable future.Must reside within commutable distance from MDwise, Inc., located in Indianapolis Indiana, or be willing to relocate.Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Required:
Bachelor’s Degree in business, health care or related field.Five (5) years’ experience in a progressively more responsible leadership role leading at least one core business function (i.e. call center, member services, operations).Three (3) years’ experience in a supervisor role leading a professional staff of five or more members in all phases of effective supervision.Preferred:
Five (5) years’ experience in health care or service industry.Five (5) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).Affiliation with Professional Organization.Additional Information
Schedule: Full-timeRequisition ID: 23005297Daily Work Times: 8:30 am - 5:00 pmHours Per Pay Period: 80On Call: NoWeekends: No
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https://www.mclarenhealthplan.org . MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at
https://www.mdwise.org .Position Summary:
Provides overall direction and management in providing world-class service to members and providers of the Plan and its subsidiaries. Responsible for development and adherence to all customer programs, including call metrics and Member satisfaction standards for the organization. Oversee and direct all member materials and distribution. Maintains regulatory compliance with State regulators and accrediting agencies. Assists where necessary or through project management those business ventures undertaken by the Company to ensure its profitable future.Must reside within commutable distance from MDwise, Inc., located in Indianapolis Indiana, or be willing to relocate.Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Required:
Bachelor’s Degree in business, health care or related field.Five (5) years’ experience in a progressively more responsible leadership role leading at least one core business function (i.e. call center, member services, operations).Three (3) years’ experience in a supervisor role leading a professional staff of five or more members in all phases of effective supervision.Preferred:
Five (5) years’ experience in health care or service industry.Five (5) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).Affiliation with Professional Organization.Additional Information
Schedule: Full-timeRequisition ID: 23005297Daily Work Times: 8:30 am - 5:00 pmHours Per Pay Period: 80On Call: NoWeekends: No
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