Motivated Plan Operations Associate, consistently increases development of key processes, maximizes productivity and optimizes customer satisfaction. Expert in customer relationship management and adept consideration to client needs. Trained in conflict resolution. Dependable and detail-oriented professional adept at quickly identifying and resolving operational issues, implementing new processes and providing exemplary customer service. Possesses excellent organizational, problem-solving, and communication skills.
As part of the Member Services team within Customer Experience, the Plan Operations team owns specialized processes that require close collaboration with finance, legal, product, and other internal teams. Plan Operations has five different teams that each specialize in different key processes that support and enable the Member Claims team and broader CX organization. The five Plan Ops teams are: Plan Partners, Plan Payments, Plan Policies, Plan Structure & Launch, and Systems
As part of the Plan Operations team within Customer Experience, the Plan Structure & Launch team is responsible for building and maintaining Collective Health's core claims logic and system while implementing our clients' health benefit plans onto the Collective Health platform as well as owning and further developing key processes that support and enable the Member Claims team.
Support the execution of the day-to-day operations of our medical plans, including but not limited to:
Researching & responding to member inquiries related to your team's area of expertise
Coordinating with relevant external and internal departments on key team initiatives
Acting as the subject matter expert across multiple domains
Own & apply a scalability lens to several key areas within your team's domains of expertise
Build (and/or work with the development team to build) internal tools to improve processes as we identify and fix problems
Collaborate cross-functionally with Member Claims, Product, Analytics, Development, Legal, Clinical, and Client Success teams to delight our customers
When business needs arise, assist with work from other Plan Operations teams
Customer presentations