Job Description

Key Responsibilities

Operational Management

  • Oversee daily operations of HMO account support teams to ensure timely, accurate, and compliant service delivery
  • Develop, implement, and optimize operational processes, workflows, and standard operating procedures (SOPs)
  • Monitor service-level agreements (SLAs), turnaround times, and performance metrics

Account & Client Support

  • Act as the primary escalation point for HMO clients, corporate accounts, and internal stakeholders
  • Ensure effective coordination between providers, claims, enrollment, billing, and customer service teams
  • Maintain strong working relationships with HMO partners, healthcare providers, and vendors.

Team Leadership

  • Lead, coach, and develop account support staff and supervisors
  • Conduct performance reviews, training, and capacity planning
  • Foster a customer-focused, compliant, and high-perfo...

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