Member Services Director jobs in Conway, AR
Member Services Director directs and coordinates all aspects of the health maintenance organization (HMO) member services department. Plans and directs policies and objectives for addressing member inquiries. Being a Member Services Director establishes service quality goals for the department and implements strategies to meet these goals. Typically requires a bachelor's degree. Additionally, Member Services Director typically reports to top management. The Member Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Member Services Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Member Services Director jobs
- AFMC
-
Little Rock, AR
FULL_TIME
-
Job Description:
SCOPE OF POSITION:
Responsible for research, development, coordination, implementation, operation and monitoring of specific projects, programs and activities related to AFMC’s Member Services department. Answers directly to the assigned Eteam member and is responsible for overseeing that line of services and ensures services are executed according to strategic directives, contract deliverables, personnel capacity, and fiduciary limits. Ensures that AFMC’s mission, vision, and values are upheld by personal example and leadership. A director should model leadership behaviors that exemplify: Honesty, Excellence, Accountability, Respect and Teamwork. Support the organization’s mission, vision, and values by exhibiting the following behaviors: Honesty, Excellence Accountability, Respect and Teamwork.ESSENTIAL JOB FUNCTIONS:
- Direct Member Services management activities, set performance expectations and goals, evaluate processes and outcomes and implement improvements to support quality and efficiency.
- Develop and direct training approach to support desired skills acquisition, demonstration of required competencies and provision of excellent customer service through achievement of positive customer and employee satisfaction ratings.
- Ensure successful performance of the telephone triage programs as demonstrated by customer and client satisfaction metrics and feedback, client retention and achievement of productivity and quality standards.
- Lead collaborative processes with other departments to provide procedural, consultative, telephonic and technological support to Member Services.
- Ensure the delivery of appropriate care to assist beneficiaries in appropriate utilization of healthcare services.
- Provide project management to support strategic initiatives, regulatory requirements, and/or customer performance or service requests.
- Oversees the quality and accuracy of department managers and staff’s work product(s) meet performance goals within designated timelines and financial limits.
- Manage and lead processes for the continuous improvement of beneficiary experience.
- Oversee and direct staff by managing the overall assessment, planning, development, implementation, and evaluation of specific projects, programs, and activities as necessary to fulfill contractual or organizational obligations.
- Collaborate with other directors to meet corporate requirements and contractual deliverables.
- Interact frequently with assigned Eteam member to report progress and/or improvements necessary to conduct the assigned work of the department.
- Develop long-term and short-term plans for the Member Services for operations and/or programs such as sustainability, disaster recovery, staffing and inventory.
- Select, direct, coach and evaluate assigned staff.
- Ensure compliance with AFMC policies, contractual obligations, state, local and federal laws and regulations. Maintain current knowledge of corporate contracts within their area of responsibility.
- Track and analyze departmental performance against stated objectives and goals. Take corrective action to guarantee the achievement of objectives within timelines and budget.
- Proactively and continually develop relationships and promote mutually beneficial partnerships with local, state and national entities, clients, key stakeholders, constituents, other healthcare organizations and the community at large. Develop partnerships and serve as liaison with local, state and national entities.
- Attend AFMC Board Meetings or represent the company at external functions upon request.
- Confer with senior management to identify and develop new opportunities for expanding the business.
- Prepare and submit required reports on program progress and performance.
- Prepare annual departmental budget. Monitor and control department expenditures to conform to budgetary requirements.
- Train assigned staff on job specific regulations and contract requirements.
- Meet regularly with assigned staff to communicate pertinent information, needs and requests to other team members as appropriate.
- Oversee the monitoring and management of all revisions to contract deliverables informed by interim outcomes as set forth by contracting party.
- Manage communications, reports and meetings with respective contractors to discuss progress and issues relating to a specific contract(s) and implement solutions to further define and develop the program.
- Follow AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.
- Additional duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES:
- Ability to maintain confidentiality.
- Understanding of terminology used within the specific area of responsibility.
- Knowledge of regulations and requirements pertaining to the assigned area of responsibility.
- Time management skills (e.g., meeting deadlines).
- Ability to work collaboratively and independently to achieve stated goals.
- Strong public speaking skills.
- Ability to relate professionally and positively with staff, business partners, customers, constituents, recipients and the public.
- Ability to handle and react calmly under stressful situations.
- Ability to delegate as required.
- Coaching skills.
- Problem solving skills.
- Ability to develop and implement strategic plans.
- Strong negotiation skills.
- Strong communication skills.
- Customer service.
- Flexibility.
- Ability to prioritize.
- Strong organizational skills.
- Attention to detail.
- Creativity.
- Ability to travel including overnight travel.
- Ability to work overtime as needed.
- Regular and punctual attendance required.
Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):
Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations.EDUCATION:
Required: Bachelor’s degree in an appropriate related discipline. (1)
Desirable: Master’s degree in an appropriate related discipline.1 Five (5) years’ work experience in related field may be substituted for the Bachelor’s degree. If work experience is substituted it is in addition to stated work experience requirements.
EXPERIENCE:
Required: Six (6) years professional experience in the related field with management of personnel or programs.
Four (4) years of leadership experience.
Desirable: Experience in a healthcare administration setting.INTERNET REQUIREMENTS:
Reliable, high-speed wireless internet service (Wi-Fi) - 12 Days Ago
- AFMC
-
Little Rock, AR
FULL_TIME
- Job Description: SCOPE OF POSITION: This position assists the Director in the efficient and effective development, production and management of all aspects of AFMC’s Member Services. Responsible for o...
- 18 Days Ago
- Pinnacle Pointe Outpatient Services
-
Little Rock, AR
FULL_TIME
- Responsibilities: Pinnacle Pointe Outpatient offers a wide range of outpatient services across the state of Arkansas with service delivery models to fit the various needs of patients as young as age 5...
- 3 Days Ago
- Civitan Services
-
Bryant, AR
FULL_TIME
- Plan, direct, and coordinate all the activities related to transportation operations for Civitan Services. Work in conjunction with contracting transportation agency to provide safe, cost-effective tr...
- 2 Days Ago
- HES Facilities
-
Little Rock, AR
FULL_TIME
- Overview HES is a premier national provider of facilities management services focused 100% on educational institutions. Headquartered in Knoxville, Tennessee, we pride ourselves on building best-in-cl...
- 2 Days Ago
- Vitality Living
-
Little Rock, AR
FULL_TIME
- The Environmental Services Director is responsible for ensuring our communities are structurally safe, sound, and secure for our residents. Whether it's plumbing, HVAC, electrical, or just beautificat...
- 6 Days Ago
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0 Member Services Director jobs found in Conway, AR area
- Little Rock Convention and Visitors Bureau
-
Little Rock, AR
- JOB OBJECTIVE: To promote and sell Little Rock as a destination for conventions, meetings, and events under direction of...
- 5/11/2024 12:00:00 AM
- CommonSpirit Health
-
Little Rock, AR
- Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With m...
- 5/11/2024 12:00:00 AM
- Integrity, Inc.
-
Conway, AR
- Job Description Job Description We are seeking a highly motivated and experienced Program Manager to join our team. As t...
- 5/11/2024 12:00:00 AM
- Staybridge Suites Little Rock - Makan Hospitality Management, LLC
-
Little Rock, AR
- Makan Hospitality Management is seeking a dynamic, service-oriented Director of Sales to join our growing team at the aw...
- 5/9/2024 12:00:00 AM
- DARRAGH COMPANY
-
Little Rock, AR
- Job Details Job Location Little Rock - Little Rock, AR Position Type Full Time Job Shift Day Job Category Management Des...
- 5/8/2024 12:00:00 AM
- American Heart Association
-
Little Rock, AR
- Overview: As we celebrate our Centennial year, we invite you to join us in shaping the next century of impact. Be a rele...
- 5/7/2024 12:00:00 AM
- Conway Behavioral Health
-
Conway, AR
- Overview: ?PURPOSE STATEMENT: ?Direct the facility Quality Management program which includes oversight of Accreditation ...
- 5/7/2024 12:00:00 AM
- Trusted Health
-
Little Rock, AR
- Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel ...
- 5/7/2024 12:00:00 AM
About Conway, Arkansas
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