Manager, Provider Services

Posted 19 Days Ago
Be an Early Applicant
4 Locations
Remote
Senior level
Information Technology • Consulting
The Role
The Manager, Provider Services oversees operations, ensures service delivery, manages teams, analyzes data, and develops SOPs for provider services.
Summary Generated by Built In

Position Overview

The Manager, Provider Services, is responsible for overseeing the daily operations of the provider services team, ensuring optimal service delivery to providers. This role includes direct management of supervisors, focusing on operational efficiency, workforce capacity optimization, and process standardization. The Manager will implement and maintain best practices to enhance service quality, support team performance, and drive process improvements through SOP development and documentation.

What You’ll Do

  • Ensure alignment with business objectives and performance expectations. 

  • Monitor team performance, provide coaching, and establish accountability for key operational metrics. 

  • Develop training and support initiatives to enhance team capabilities and ensure continuous improvement in service delivery. 

  • Manage workforce allocation to ensure efficient handling of provider interactions and service requests. 

  • Analyze data to identify trends, optimize capacity, and implement process improvements to increase efficiency. 

  • Maintain performance dashboards and reporting tools to track key metrics and identify areas for improvement. 

  • Ensure a high level of service quality by identifying gaps in processes and implementing solutions to enhance the provider experience. 

  • Work cross-functionally with internal departments to address service-related challenges and improve overall service delivery. 

  • Establish feedback mechanisms to monitor provider satisfaction and drive continuous improvement initiatives. 

  • Lead the development, implementation, and maintenance of Standard Operating Procedures (SOPs) to ensure consistency in operations. 

  • Regularly review and update processes to reflect operational changes, efficiency improvements, and industry best practices. 

What You’ll Bring to Zelis

  • Strong leadership and team management skills, with experience supervising managers or supervisors. 

  • Proficiency in customer service operations, preferably in healthcare, finance, or a regulated industry. 

  • Analytical skills with the ability to leverage data for decision-making and operational improvements. 

  • Experience with customer service CRM systems such as Salesforce, Zendesk, or Jira. 

  • Strong communication and documentation skills, with the ability to develop and enforce SOPs. 

  • Bachelor’s degree in Business Administration, Operations Management, or a related field or equivalent experience.

  • Minimum of five years of experience in customer service management, including leadership roles. 

  • Demonstrated experience in workforce management, process optimization, and service operations.

Location and Workplace Flexibility

We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. 

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

Commitment to Diversity, Equity, Inclusion, and Belonging 
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity  
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.  

Accessibility Support 

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected].  

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

Top Skills

JIRA
Salesforce
Zendesk
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The Company
HQ: Bedminster, NJ
924 Employees
On-site Workplace
Year Founded: 2016

What We Do

As a leading healthcare payments company, we price, explain and pay for care on behalf of payers, providers, and healthcare consumers. Zelis was founded on a belief there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us. We partner with over 700 payers, 1.5 million providers, and millions of members -- enabling the healthcare industry to pay for care, with care.

Zelis brings adaptive technology, a deeply ingrained service culture, and an integrated pre-payment through payments platform to manage the complete payment process.

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