Member Services Supervisor jobs in San Francisco, CA

Member Services Supervisor supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Being a Member Services Supervisor assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. Additionally, Member Services Supervisor typically reports to a manager. The Member Services Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Member Services Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Member Services Program Supervisor
  • Health Plan of San Mateo
  • South San Francisco, CA FULL_TIME
  • The role of Member Services Program Supervisor demands a meticulous and results-driven professional with a penchant for maintaining order and excellence. This position requires overseeing the daily operations of a team of Program Specialists while expertly managing a personal caseload.    Position overview Accomplish staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and implementing corrective action steps when necessary; coordinating, and enforcing systems, policies, procedures, and productivity standards. Complete performance evaluations in a timely manner. Work with the entire Unit to continuously measure and improve the performance. Schedule staff to ensure adequate level of service to members, adjust schedules, and ensure backup coverage as needed. Establish, monitor and evaluate staff performance through a variety of reporting mechanisms to assure that services are provided promptly and there is adequate staff coverage. Oversee and/or manage selection and orientation process for new employees. Provide on-going training and staff development. Perform all duties of a program specialist; handle more difficult member inquiries and concerns. Develop and revise policies, procedures and correspondence. Review entries made to HPSM system to ensure that calls are documented. Communicate on an on-going basis with other HPSM departments regarding cases requiring additional intervention. Represent Member Services at internal and external meetings; participate in department and management meetings; participate in external meetings, committees, and coalitions as requested by or approved by Manager. Oversee production of weekly, monthly, and ad-hoc reports. Analyze new or updated regulations, laws and contract language and implement appropriate changes to internal policies, procedures and workflows.   Requirements These are the qualifications typically needed to succeed in this position. However, you don’t need to meet every requirement to apply.  Education and experience Four (4) years of experience providing customer service in a healthcare setting. Experience working with persons with disabilities and/or seniors. Previous supervisory experience in customer service or demonstrated leadership success. Knowledge of: Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint. Medicare and Medi-Cal programs. Managed care. Medical terminology. Phone systems and call documentation systems highly preferred. Supervisory principles and practices as well as techniques and methods to organize and manage direct reports. Ability to: Work cooperatively with others. Work as part of a team and support team decisions. Communicate effectively, both verbally and in writing. Adapt to changes in requirements/priorities for daily and specialized tasks. Supervise and motivate staff. Provide excellent customer service. Communicate effectively orally and in writing. Make presentations. Analyze issues and resolve problems with minimal guidance. Demonstrate PC skills and experience with the range of Microsoft Office products preferred. Work weekends and outside regular business hours.   Skills: Bilingual skills in Spanish, Tagalog or Russian may be required for this position. Must have access to a reliable vehicle and possess a valid license with proof of insurance to attend offsite events.   Salary and benefits The starting salary range is $67,283-$89,150/year, depending on the candidate’s work experience. Excellent benefits package includes: HPSM-paid premiums for employee’s medical, dental and vision coverage (employee pays 10% of each dependent’s premiums) Fully paid life, AD&D and LTD insurance Retirement plan (HPSM contributes equivalent of 10% of annual compensation) 12 paid holidays a year, 12 paid sick days a year and paid vacation starting at 16 days a year Tuition reimbursement plan Employee wellness program It is HPSM's policy to provide equal employment opportunity for all applicants and employees.  HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law.  HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
  • 11 Days Ago

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Member Services Social Worker
  • North East Medical Services
  • San Francisco, CA FULL_TIME
  • The Member Services Social Worker I carries out eligibility screening for clients and prospective clients on a regular basis; conducts psychosocial assessments, assesses the health and related needs o...
  • 8 Days Ago

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Dietary Services Supervisor/Certified Dietary Manager - Burlingame
  • Rockport Healthcare Services
  • Burlingame, CA FULL_TIME
  • Dietary Services Supervisor/Certified Dietary Manager - Principal Responsibilities CLINICAL · Ensures the timely preparation and delivery of nutritious and attractive meals, and supplements to all res...
  • 2 Months Ago

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Campaign Manager
  • Campaign for Moe Jamil for San Francisco District 3 Supervisor
  • San Francisco, CA FULL_TIME
  • We are seeking a highly motivated individual to join Team Jamil. As a Campaign Manager, you will be responsible for managing field operation, voter outreach, media content and more. This position play...
  • 14 Days Ago

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Campaign Manager
  • Campaign for Moe Jamil for San Francisco District 3 Supervisor
  • San Francisco, CA FULL_TIME
  • We are seeking a highly motivated individual to join Team Jamil. As a Campaign Manager, you will be responsible for managing field operation, voter outreach, media content and more. This position play...
  • 14 Days Ago

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Adult Services Program Supervisor
  • AbilityPath
  • Burlingame, CA FULL_TIME
  • We are hiring a Program Supervisor to support our Adult Services Program in San Jose! The Supervisor provides mentorship, supervision, training, and curriculum development for instructors, interns and...
  • 21 Days Ago

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0 Member Services Supervisor jobs found in San Francisco, CA area

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Bilingual Member Service Representative
  • A-Line Staffing Solutions
  • Alameda, CA
  • Job Description Job Description Now hiring a Bilingual Member Service Representative in Alameda, CA. This MSR position r...
  • 4/24/2024 12:00:00 AM

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Director of Wellness Services and Client Practices
  • Social Service Staffing & Recruiting, Inc.
  • San Francisco, CA
  • Job Description Job Description PRIMARY RESPONSIBILITY: The Director of Wellness Services & Client Practice is responsib...
  • 4/23/2024 12:00:00 AM

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Patient Care Coordinator (Medical Assistant) - Oncology Pleasanton - 1.0 FTE Days (08 - HR)
  • Stanford Health Care
  • Emeryville, CA
  • If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our...
  • 4/23/2024 12:00:00 AM

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Customer Service Representative ( REMOTE WORK )
  • Morphius Corp
  • San Francisco, CA
  • MUST RESIDE IN CALIFORNIA!! We are a rapidly growing company that has more clients than we can see. We understand that i...
  • 4/22/2024 12:00:00 AM

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Director, Perioperative Nursing Services *Sign On Bonus
  • Alameda Health System
  • Oakland, CA
  • Summary Role Overview Alameda Health System offers outstanding benefits that include: 100% employer health plan for empl...
  • 4/22/2024 12:00:00 AM

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Member Services Representative - Hybrid Remote
  • VetJobs
  • Alameda, CA
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/20/2024 12:00:00 AM

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Administrative Services Supervisor
  • SEIU 1021
  • Oakland, CA
  • Administrative Services Supervisor: We are seeking a detail-oriented and organized individual to join our team as an Adm...
  • 4/20/2024 12:00:00 AM

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Customer Advocate
  • Community Choice Financial Family of Brands
  • San Francisco, CA
  • Overview: As a Customer Service Representative, you will play an essential part in ensuring that our loyal and new custo...
  • 4/18/2024 12:00:00 AM

San Francisco is located on the West Coast of the United States at the north end of the San Francisco Peninsula and includes significant stretches of the Pacific Ocean and San Francisco Bay within its boundaries. Several picturesque islands—Alcatraz, Treasure Island and the adjacent Yerba Buena Island, and small portions of Alameda Island, Red Rock Island, and Angel Island—are part of the city. Also included are the uninhabited Farallon Islands, 27 miles (43 km) offshore in the Pacific Ocean. The mainland within the city limits roughly forms a "seven-by-seven-mile square", a common local collo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Supervisor jobs
$76,385 to $95,861
San Francisco, California area prices
were up 4.5% from a year ago