Job Description
Job description Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Provide overall leadership and direction for multi-channel Contact Center Customer Service teams, ensuring timely and effective responses to customer inquiries. Oversee service performance metrics to meet PacificSource's standards and support high levels of member and provider satisfaction. Uphold and advance PacificSource's reputation for exceptional service by actively supporting the organization's vision, mission, and values. Provide direct leadership to team leaders and indirect leadership to all department staff, ensuring consistent achievement of Standards of Work, Service Level Agreements (SLAs), and departmental performance goals. Ensure team leaders clearly understand and manage expectations related to workflow, quality, productivity, staffing adherence, and individual performance metrics. Drive accountability for key contact center KPIs, including but not limited to: Service Level / Speed of Answer, Abandonment Rate, First Call Resolution (FCR), Average Handle Time (AHT) (balanced with quality), Call Quality Scores, Schedule Adherence, After‑Call Work (ACW), and Member and Provider Satisfaction. Build and sustain high‑performing teams through visible leadership, consistent communication, recognition, and engagement practices that support KPI and SLA achievement. Resolve complex and escalated customer complaints, ensuring outcomes meet service recovery standards, quality expectations, and regulatory requirements. Oversee audit and quality monitoring programs to ensure call responses consistently meet standards for accuracy, courtesy, compliance, and first‑call resolution. Ensure corrective actions are implemented promptly when KPI or SLA targets are missed, including performance coaching, workflow adjustments, or process improvements. Lead the oversight, development, implementation, and communication of departmental programs, policies, and procedures to support operational consistency and performance outcomes. Manage the full employee lifecycle, including hiring, onboarding, coaching, performance evaluations, corrective action, and terminations, ensuring alignment with service expectations and productivity requirements. Provide ongoing performance feedback through regular one‑on‑one meetings, scorecard reviews, and formal performance evaluations, using data and metrics to guide development. Develop and manage the annual department budget; monitor expenses against plan and adjust resource allocation to support volume forecasts, service levels, and organizational priorities. Operations, IT, Finance, Training, Compliance) to ensure cross‑functional alignment and support SLA commitments. Utilize visual management boards, dashboards, and daily huddles to monitor KPIs, SLAs, trends, and gaps, and to identify and prioritize improvement opportunities. Actively participate as a key contributor in Manager and Supervisor meetings to review performance results, share best practices, and align strategic initiatives. Serve on strategic and operational committees to represent contact center needs, communicate performance insights, and reinforce PacificSource values and service expectations across the organization.
Supporting Responsibilities:
Meet departmental and organizational performance standards, including productivity, quality, and attendance expectations. Adhere to PacificSource privacy policies and comply with all HIPAA laws and regulations to ensure the confidentiality and security of protected health information. SUCCESS PROFILE
Work Experience:
A minimum of 5 years of progressive customer service experience required, including at least 2 years of customer service operations experience within a contact center or similar high‑volume service environment required. Experience leading contact center performance with direct accountability for key performance indicators (KPIs) and Service Level Agreements (SLAs), required. Health insurance industry experience and strong medical terminology knowledge strongly preferred. Experience leading and/or supporting technology innovation initiatives within a customer service or contact center environment preferred. Proven success fostering a collaborative, inclusive, and high‑performance team culture that encourages engagement, innovation, and shared ownership of results required. Bachelor's degree required. Preferred areas of focus:
business or related field. Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered. Knowledge:
Demonstrated ability to develop a comprehensive understanding of PacificSource products, plan designs, provider relationships, and health insurance terminology across Commercial and/or Government healthcare lines. Proven strength in building effective working relationships and delivering clear, proactive communication, with the ability to perform well under time‑sensitive conditions and manage workload independently. Strong computer proficiency, including working knowledge of Microsoft Office applications, accurate typing skills, and a foundational understanding of claims processing systems and standard customer service operations. In depth knowledge of contact center technologies, including operational oversight, optimization, and performance management, is highly valued. Demonstrated capability in change management, including fostering a supportive, trauma‑informed culture for both staff and PacificSource Health Plan members. Proven ability to establish, communicate, and enforce Standards of Work (SOW) to ensure consistent service delivery, quality, compliance, and operational efficiency. Strong people‑leadership and management skills, including the ability to coach, mentor, and develop leaders and staff to improve performance, engagement, and retention. Demonstrated effectiveness in providing clear expectations, ongoing feedback, and data‑driven performance management aligned with organizational goals. Ability to lead with integrity and accountability by modeling PacificSource values, reinforcing ethical behavior, and ensuring compliance with regulatory and organizational standards. Strong communication skills with the ability to clearly convey performance expectations, operational priorities, and strategic direction to leaders, teams, and cross‑functional partners. Ability to partner across departments to drive continuous improvement, operational alignment, and service excellence in support of member and provider needs. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Partnerships Customer Focus Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment:
Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills:
Accountable leadership, Collaboration, Data-driven & Analytical, Delegation, Effective communication, Listening (active), Situational Leadership, Strategic Thinking Compensation Disclaimer The wage range provided reflects the full range for this position. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. We are each responsible for customer service. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. PacificSource is anything but a typical health insurance company. Founded in 1933, we're an independent, not-for-profit organization that puts our members, and their communities first—across Idaho, Oregon, Montana, and Washington. It's our employees who make it happen: promoting health equity and partnering with providers to deliver better access to optimal, affordable care. In our effort to put members first—more than 525,000 of them—initiative, commitment, and hard work are supported and rewarded with excellent benefits, competitive wages, and opportunities for personal growth and advancement. Benefits:
Flexible telecommute policy, medical, vision, and dental insurance, incentive program, paid time off and holidays, 401(k) plan, volunteer opportunities, tuition reimbursement and training, life insurance, and options such as a flexible spending account. A mission with a real sense of shared values Competitive wages and outstanding benefits, including telecommuting Opportunities for learning development and career advancement Organizational leadership style rooted in servant and transformational leadership A commitment to support the communities we serve A belief in the importance of work-life balance Stay tuned! PacificSource is an equal opportunity employer and a company that loves helping people. We work with our employees to understand their goals, and provide training, individual development, and career advancement opportunities to help them achieve just that. Click here to review our AAP Policy Statement. If you have questions about working at PacificSource or need help with your application, please email HRrecruiting@PacificSource.com.
