Veterans, Reservists, Guardsmen and military family members are encouraged to apply!!

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)

Job Summary

Supervises, trains, coaches, and develops the Customer Service Representative team. Supervises the daily operations and drives performance in the Customer Service Contact Center. This position ensures compliance with the Department of Defense TRICARE requirements, and TriWest policies and procedures. Ensures production, accuracy and quality metrics are met in a multi-channel Contact Center environment that manages Department of Defense claims, enrollment, approved medical authorizations, and appointment scheduling. Directly interacts with a variety of internal and external customers daily. Works in a detailed, multi-tasked and fast-paced production environment.

Education & Experience

Required:
• High School Diploma or G.E.D. • U.S. Citizenship • Must be able to receive favorable Interim and adjudicated final Department of Defense (DoD) background investigation • 3+ years experience in a contact center customer service environment • 2 years supervisory or leadership experience leading teams to meet performance targets

Preferred:
• College education or equivalent • Knowledge of medical terminology • TRICARE experience

Key Responsibilities

• Monitors Contact Center performance levels, identifies training needs, and develops action plans for staff development. Monitors real-time and historical reporting to ensure department service levels and contract requirements are met.
• Reviews CRM and customer portal entries for accuracy and appropriate handling of encounters and inquiries.
• Counsels individual employees on job performance issues. Develops and monitors progress on employee Performance Improvement Plans. Drafts performance evaluations for management review. Alerts management and consults with Human Capital on performance and behavior issues. Assists employees in creating development plans and helping employees identify talents that expand TriWest's internal talent pool while enhancing employee engagement.
• Ensures internal standards, guidelines and procedures are in place to achieve/maintain high customer service and performance levels. Ensures Customer Service Representative Team follows protocols for TRICARE guidelines, as well as CRM and customer portal guidelines.
• Provides for adequate coverage of Contact Center by partnering with the Workforce Management Team to plan and adjust employee work schedules.

• Assists with the employee selection process, supports the coordination of the training of new employees, and assists with Contact Center training initiatives.
• Conducts staff meetings and provides clear communication regarding any changes/issues affecting the Contact Center or team members.
• Assists Contact Center staff with customer contacts requiring supervisory intervention.
• As needed performs all Customer Service Representative duties, while providing contact center operational oversight and direction to staff.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

Competencies

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.

Coping / Flexibility: Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position.

Leadership: Successfully manage different styles of employees; Provide clear direction and effective coaching.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Technical Skills: Knowledge of Contact Center information systems. Ability to achieve daily and monthly production standards.

Working Conditions

Working Conditions:
• Ability to cover any work schedule • Onsite: Works within a standard office environment • Remote: Private and secure work space and work station with high speed internet is required. • Extensive computer work with prolonged sitting and wearing of headset

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

DoD Statement

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage


• Generous paid time off


• 401(k) Retirement Savings Plan (with matching)


• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance


• Tuition reimbursement


• Paid volunteer time

*Annual base salary for Colorado, Hawaii and Washington State residents: $68,000 - $70,000 depending on experience*

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.