Provider Services Unit Lead in United States at Jobgether
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Job Description
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Provider Services Unit Lead in the United States.
This role sits at the intersection of healthcare operations, customer service leadership, and provider support within a high-volume contact center environment. You will oversee a team responsible for resolving complex provider inquiries related to coverage, claims, and policy interpretation, ensuring accurate and compliant outcomes. Acting as both an operational leader and subject matter expert, you will guide escalated issue resolution while maintaining service quality and regulatory adherence. The position requires strong coordination across systems, teams, and processes in a fast-paced virtual setting. You will also play a key role in mentoring and developing team members to strengthen overall performance and service consistency. This is a mission-driven opportunity to improve healthcare service delivery through efficient, accurate, and compassionate support.
- Provide day-to-day operational leadership for the provider services/help desk team, ensuring efficient handling and resolution of complex escalated inquiries.
- Support high-volume call center operations while maintaining accuracy, professionalism, and adherence to service standards.
- Assist providers and callers with coverage questions, claims processing issues, and policy interpretation to ensure correct outcomes.
- Investigate and resolve disputed or complex claims through research, coordination, and timely follow-up.
- Maintain clear, accurate documentation of all interactions and ensure knowledge resources remain updated and accessible.
- Mentor and support team members through coaching, knowledge sharing, and performance guidance to improve overall effectiveness.
- Ensure all activities comply with HIPAA regulations and applicable healthcare privacy and security standards.
- 3+ years of experience in customer contact operations within healthcare, healthcare technology, Medicaid (MMIS), or related environments.
- Strong understanding of healthcare provider services, claims processes, or insurance operations.
- Proficiency with Microsoft Office tools and contact center platforms such as CxOne, Verint, and Avaya.
- Excellent verbal and written communication skills, with the ability to handle professional provider interactions effectively.
- Strong analytical and problem-solving abilities with attention to detail and accuracy in high-volume settings.
- Ability to manage multiple priorities while working efficiently across systems and applications simultaneously.
- Familiarity with HIPAA requirements and strong commitment to confidentiality and data security.
- Proven ability to work independently in a remote, fast-paced, and structured environment.
- Competitive compensation within a range of $33,500 – $47,900 annually, depending on experience and location.
- Comprehensive health benefits available from the first day of employment.
- 401(k) retirement plan with employer match.
- Flexible vacation policy supporting work-life balance.
- Fully remote work environment with structured home office requirements.
- Access to professional development programs and career advancement opportunities.
- Leadership and technical training academies to support ongoing skill growth.
- Collaborative and supportive virtual team culture focused on inclusion and continuous improvement.