Sr. Operations Manager - Medicaid Eligibility | Relocation Assistance Available

Essential Duties and Responsibilities:

• Oversee the daily operations of a team to ensure performance metrics are met.
• Provide action plans and timelines for performance improvement as needed.
• Maintain updated knowledge of performance requirements as well as corporate and project policies and procedures. Provide updates to staff regarding these policies and procedures.
• Evaluate the need for training to ensure that staff maintains current knowledge of multiple programs.
• Collaborate with the customers to ensure open communication, cooperation, and timely issue resolution.
• Address inadequate quality issues with the supervisory and management teams in relation to reviews and corrections of calls monitored.
• Monitor performance goals and objectives for staff and complete related reports.
• Provide leadership with updates on all issues regarding quality, training, policy, procedures, staff issues, and departmental performance levels and escalate issues timely to Project leadership.
• Monitor compliance with ISO standards as applicable.
• Implement necessary corrective actions to ensure consistent application of all laws, regulations, policies, and procedures.
• Monitor and evaluate performance, write performance appraisals, and provide corrective actions as needed.
• Responsible for identifying and resolving issues, problems, and concerns with employees.
• Recommend changes to policies and establish procedures and assist in the implementation of process improvements when necessary.
• Provide direction to staff when complaints are escalated to management level.
• Performs other duties as required by Project leadership.

Key Functional Competencies
Operations Management
- Workforce planning and staffing optimization.
- Capacity planning and forecasting.
- Workflow design and process improvement.
- Queue management and workload balancing.
- Business continuity planning.
- Operational risk management.

Eligibility Operations
- Understanding of eligibility determination processes.
- Knowledge of Medicaid eligibility rules and regulations.
- Experience managing production environments with accuracy and timeliness requirements.
- Familiarity with case management systems and workflow tools.

Contact Center Operations
- Call center metrics and performance management.
- Workforce management principles.
- Service level management.
- Escalation management.
- Quality assurance programs.
- Customer experience improvement.

Reporting and Analytics
- Ability to interpret operational performance data.
- Experience using dashboards and reporting tools.
- Root cause analysis.
- Trend identification and corrective action planning.
- Executive-level reporting.

• Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience.
• Three (3) or more years of people management experience.

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at [email protected].