CareFirst of Maryland-posted about 1 year ago
$129,440 - $240,273/Yr
Full-time • Senior
Remote • Baltimore, MD
Ambulatory Health Care Services

The Operations Director (Customer Service) at CareFirst BlueCross BlueShield is responsible for leading and managing operations teams to enhance business delivery and customer service. This strategic role involves overseeing multifunctional teams, ensuring quality service, analyzing operational processes, and implementing improvements to meet customer expectations. The director will also manage a large team of associates and external vendor resources, focusing on optimizing processes and developing customer support strategies to drive company growth.

  • Lead and manage operations teams to meet and exceed business delivery.
  • Oversee activities providing operational support to internal and external customers.
  • Analyze operational processes and establish escalation procedures.
  • Identify training needs and opportunities for service delivery improvements.
  • Develop and optimize consistent, repeatable, and measurable processes.
  • Lead projects related to process improvement.
  • Design and launch programs to improve customer experience and operational efficiency.
  • Accountable for the performance of multiple teams within a related function.
  • Use data to enhance customer operations and recommend new products/services.
  • Develop an understanding of customer experience in all support interactions.
  • Bachelor's Degree in Business Administration, Healthcare Administration, or related discipline, or 4 additional years of relevant work experience in lieu of a degree.
  • 8 years of experience in health insurance, call center, claims, and/or enrollment and billing environment.
  • 3 years of managerial experience in customer service, claims, or related field.
  • Strong analytical and problem-solving skills.
  • Excellent planning, presentation, written, and oral communication skills.
  • Ability to manage staff through leadership and promote teamwork.
  • 2-3 years experience with Facets and/or Salesforce CRMs.
  • 2-3 years experience managing external production resources with a vendor partner (BPO).
  • Proven track record in workforce management best practices for contact center metrics.
  • 401(k)
  • 401(k) matching
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