Lead the strategic direction of the client’s operations, partnering with key stakeholders to meet client goals and develop new initiatives as the health benefits landscape evolves.
Oversee the implementation and adherence to operational policies and procedures to achieve performance excellence.
Act as the primary point of contact for the client, ensuring strong relationships and proactive communication between Cayuse and all client stakeholders.
Supervise high-performing customer service functions through multi-channel delivery (phone, live chat, email, and self-service support), ensuring adherence to SLAs, data accuracy, and customer satisfaction.
Monitor and manage key performance metrics, analyzing trends and results to inform decision-making and recommend process improvements.
Collaborate with internal leaders (Operations Manager, Quality Manager, Training Manager) to maintain client operational efficiency, ensure staff readiness, and implement technology solutions like AI chatbots, CRM, and workforce management tools.
Drive compliance with privacy, data security, accessibility, and cultural competency standards as outlined in regulatory and contractual frameworks.
Lead the transition process during contract implementation or vendor turnover, ensuring operational continuity with minimal customer disruptions.
Provide regular progress reports to both Cayuse senior leadership and the client, ensuring full visibility into operational successes and potential challenges.
Oversee onboarding and training readiness for all the client’s staff, ensuring all team members are fully equipped to deliver high-quality customer support.
Implement a strategy for continuous improvement, including staff development, technology adoption, and quality monitoring to ensure customer excellence.
Requirements
Bachelor’s degree in Business Administration, Public Health, Healthcare Administration, or a related field.
5+ years of experience managing complex customer service operations, preferably in a health insurance or benefits exchange environment.
Proven history of achieving performance goals in multi-channel customer service solutions.
Demonstrated ability to oversee and meet strict SLAs while driving customer satisfaction improvements.
Familiarity with implementing and operating under federal or state health exchange program requirements.
Exceptional interpersonal skills with the ability to communicate in a clear, professional, and articulate manner.
Exceptional verbal and written communication skills.
Excellent organizational, analytical, and problem-solving skills with high-level attention to detail.
Proven ability to multitask and prioritize in a fast paced environment with changing priorities; adaptable to change and a quick learner.
Proficient in MS Office, Word, Outlook, PowerPoint, and Excel.
Proven leadership and collaboration abilities, especially in managing cross-functional teams that include Operations, Quality, and Technology staff.
Strong knowledge of customer service technologies, including AI/CRM systems, workforce management tools, and advanced reporting solutions.
Expertise in compliance with privacy laws, accessibility standards, and other regulatory frameworks.
Benefits
Medical, Dental and Vision Insurance; Wellness Program
Flexible Spending Accounts (Healthcare, Dependent Care, Commuter)
Short-Term and Long-Term Disability options
Basic Life and AD&D Insurance (Company Provided)
Voluntary Life and AD&D options
401(k) Retirement Savings Plan with matching after one year
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