Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Our Supervisor, Customer Service is a key member of our Customer Service Organization (CSO) team. This individual will be responsible for leading staff in a matrix environment to ensure the team delivers the highest possible quality service to our Health Plan partners, including members, providers, and other constituents. This position will lead the team in achieving and maintaining service levels and customer experience, understanding that service has a direct impact on plan performance.

Collaboration Opportunities:

Supervisor’s work directly with our Customer Service Representatives (CSR’s) to assist with providing support to health plan members, providers and/or their representatives. Collaboration can enhance overall team performance, improve customer satisfaction, and contribute to the success of the organization.What You Will Be Doing:

Supervisor provides direct supervision to a team of Customer Services team members ensuring the team handles all customer inquiries in a timely, professional, and courteous manner, including phone calls or correspondence regarding benefit, eligibility, and all other inquiries and requests as well as proper intake and handling of complaints/grievances.

This position is responsible for leading customer service agents in all day-to-day activities to consistently meet established customer service/contact center service levels/metrics, schedule adherence and quality standards related to phone and non-phone work by monitoring activities such as live calls, recorded calls, queues, dashboards, and other performance management tools.

Partnering with the Training and Development Department regarding training needs of new and/or current Customer Service team members; ensuring the team receives timely and effective staff training.

Monitors, develops, and coaches the team by conducting QA, performance evaluations and reviews on customer service staff; provides timely feedback on a monthly, quarterly, bi-annual, and/or annual basis; drives performance by providing direct, consistent feedback and direction on performance in a timely manner to ensure continued productivity and quality standards are met.

Handles escalated service issues, including “request for supervisor/manager” calls; review and respond to complex issues and questions.

Maintain and monitor departmental performance standards and reports; review and analyze weekly and monthly department performance reports; address performance issues and implement needed interventions and coaching individual employee performance to meet and exceed production and quality metrics.

Responsible for staying current and maintaining a working knowledge/understanding of the health plan related guidelines, processes, and protocols, including program audit requirements and ensure that adequate in-service education is available to staff.

Provide management with overall status reports, including any issues that may impact the organization; take timely corrective action and follow-up to ensure these are in alignment with performance measurements.

Serve on various committees, participate in designated cross department work group and attends required meetings.

Qualifications Required and Preferred:

Associates degree or equivalent years of work experience; or working towards Associates Degree in healthcare, business or healthcare related field - Required

2-4 years’ experience with customer service/call center operations within a managed care organization, health plan, or third-party administrator - Required

2-4 years of supervisory or equivalent experience supporting customer service, call center or related departments - Required

Ability to work and supervise team members remotely and support EVH customers in varying time zones - Required

Ability to learn computer software system, work with an ACD phone system, and use software to perform job - Required

Ability to maintain pleasant demeanor when dealing with difficult calls - Required

Ability to multi-task to complete calls and serve customers - Required

Excellent written and oral communication presentation skills - Required

Demonstrated exceptional active listening and communications skills – Required

Bachelor’s degree in healthcare, business, or healthcare related field - Preferred

5-8 years’ experience with customer service/call center operations within a managed care organization, health plan, or third-party administrator - Preferred

10+ years of progressive management/supervisory experience supporting customer service, call center or related departments - Preferred

Extensive experience with operations, service, and process engineering implementations - Preferred

Entrepreneurial mindset geared toward the creation, execution and continuous improvement of health plan operations and implementations - Preferred

Bi-lingual in Spanish and English - Preferred

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.

The expected base salary/wage range for this position is $50-55k. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

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