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IEHP

Supervisor, Member Services

IEHP

. Supervise day-to-day Member Experience operations for Member Services Representatives and Coordinators .

Posted 10/27/2026full-timeRancho Cucamonga • California • United StatesJuniorMid-Level💰 $71,573 - $93,038 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in call center operations management, including staff supervision, performance evaluation, and compliance with healthcare regulations. Proficient in analyzing performance data and implementing process improvements to enhance member experience and operational efficiency.

Highest-signal resume keywords
Call Center SupervisionMedicare/Medi-Cal ExperiencePerformance Data AnalysisTraining and DevelopmentRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Healthcare Call Center ExperienceKnowledge of Medical TerminologyDual Choice Product KnowledgeMicrosoft Word ProficiencyMicrosoft Excel Proficiency
Soft Skills
Excellent Written CommunicationExcellent Verbal CommunicationStrong Organizational SkillsInterpersonal SkillsMotivational Skills
Tools & Technologies
VerintADPCisco FinesseCisco JabberTelephones
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HMOManaged CareMember RetentionCall AuditsLEAN Process Improvement

About the role

Key responsibilities & impact
  • Supervise day-to-day Member Experience operations for Member Services Representatives and Coordinators
  • Ensure inquiries and issues are answered timely, knowledgeably, and efficiently
  • Manage staffing levels, scheduling, and workforce management coordination
  • Participate in hiring new Team Members
  • Maintain current, documented, compliant operational processes and call center practices
  • Ensure member care follows IEHP benefits, policies, and procedures
  • Lead outreach call campaigns for member retention and regulatory or operational initiatives
  • Provide coaching, performance evaluations, and development opportunities using data-based decision making
  • Conduct call audits and quality reviews; identify training needs and implement improvement plans
  • Complete performance reviews and disciplinary action according to IEHP guidelines
  • Maintain accurate and accessible training materials, knowledge resources, processes, and job aids
  • Partner with training and quality teams to develop and deliver training modules and operational updates
  • Communicate regulatory and policy updates to the team
  • Ensure team practices meet compliance, quality, and service standards
  • Resolve escalated member concerns and discrepancies with timely follow-through
  • Manage case follow-up, web portal inquiries, chat, incoming mail, faxes, and walk-ins
  • Identify escalation trends and recommend improvements
  • Collaborate with cross-functional departments for coordinated service delivery
  • Lead LEAN process-improvement initiatives and identify inefficiencies and waste
  • Analyze performance data, assess trends, identify root causes, and recommend process changes
  • Develop, review, and interpret team and individual performance reports
  • Lead process enhancements, service improvements, and member-retention projects
  • Foster positive team communication and incorporate feedback
  • Partner with the Leadership Team to align actions with IEHP’s Vision and Team Culture
  • Support the Employee Engagement Survey and facilitate feedback discussions and action plans
  • Perform other duties required for successful Health Plan operations

Requirements

What you’ll need
  • Two (2) years of experience working directly with Medicare/Medi-Cal Members required
  • Prior call center supervision required
  • Three (3) or more years of healthcare call center experience working in a health care delivery setting
  • Experience in an HMO, Managed Care environment
  • Experience with Dual Choice Product and/or Medicare and Medi-Cal business practices
  • High School diploma or GED required
  • Prior call center supervisory/lead capacity required
  • Strong knowledge and understanding of Dual Choice Product and/or Medicare and Medi-Cal product lines and programs
  • Knowledge of medical terminology
  • Knowledge of Team Members’ learning styles and thought processes
  • Mentorship approaches ensuring individual growth and well-roundedness
  • Proficient in Microsoft Word and Excel
  • Excellent written, verbal communication, and interpersonal skills
  • Strong organizational and sound decision-making skills
  • Ability to establish and maintain effective working relationships
  • Ability to supervise and train Team Members
  • Ability to balance multiple projects while ensuring deadlines are met
  • Detailed oriented
  • Motivational and interpersonal skills with an emphasis on superior service
  • Expertise in call center systems including Verint, ADP, Cisco Finesse, telephones, and Cisco Jabber
  • Public Speaking skills to conduct meetings, train, and develop staff
  • Interview skills
  • Bilingual Spanish/English preferred

Benefits

Comp & perks
  • Competitive salary
  • State of the art fitness center on-site
  • Medical Insurance with Dental and Vision
  • Life, short-term, and long-term disability options
  • Career advancement opportunities and professional development
  • Wellness programs that promote a healthy work-life balance
  • Flexible Spending Account – Health Care/Childcare
  • CalPERS retirement
  • 457(b) option with a contribution match
  • Paid life insurance for employees
  • Pet care insurance