Associate Director, Contact Center Operations

Title: Associate Director Contact Center

Job Type: Full-time

Location: Hybrid 4 days per week in Brighton MA office; 1 day remote

FLSA Status: Exempt

About Us:

Brighton Marine is a nonprofit social enterprise delivering healthcare housing and hope to veterans and military-connected families with enterprise discipline in service to those who served.

Position Overview:

The Associate Director Contact Center Operations is responsible for delivering operational excellence regulatory compliance and exceptional member and provider experiences across Brighton Marine Inc. This role provides both strategic and hands-on leadership for the health plan contact center and is instrumental in scaling operations to support new business lines and organizational growth.

The Associate Director will design build and continuously optimize the contact center infrastructureincluding people processes technology and performance management frameworksto ensure service levels quality standards compliance requirements and budgetary targets are consistently met. This leader will hire train and manage a team of 12 or more call center representatives to be hired later this year driving high performance through coaching accountability and data-driven decision-making while ensuring a superior member and provider experience.

Serving as a strategic advisor to senior leadership this role will guide the organization in scaling a fiscally responsible compliant and highly effective contact center operation that supports the organizations long-term goals.

Key Responsibilities

Operational Leadership & Performance Management

• Lead and oversee the day-to-day operations of the contact center supporting health plan members and providers.
• Establish monitor and optimize key performance indicators (KPIs) including service level agreements (SLAs) average speed of answer first-call resolution quality scores productivity and member/provider satisfaction.
• Use data and reporting to identify trends mitigate risks and drive continuous operational improvement.
• Ensure operational readiness and scalability to support new products programs and organizational growth.

Contact Center Infrastructure & Technology

• Own and optimize contact center technologies including CRM systems telephony platforms workforce management tools quality monitoring solutions and reporting dashboards.
• Partner with IT and business stakeholders to identify implement and enhance technology solutions that improve efficiency quality and the member/provider experience.
• Maintain systems and workflows to support regulatory requirements and accurate documentation.

Compliance Quality & Risk Management

• Ensure compliance with Department of Health Administration requirements and all applicable state and federal regulations.
• Develop maintain and enforce standard operating procedures (SOPs) to ensure consistent compliant and high-quality service delivery.
• Build implement and evolve a comprehensive quality assurance (QA) program including auditing calibration feedback loops and corrective action planning.
• Lead internal readiness for audits reviews and regulatory inquiries related to contact center operations.

People Leadership & Talent Development

• Lead coach and develop contact center leadership (e.g. managers supervisors) and frontline staff to drive engagement accountability and high performance.
• Define workforce models staffing plans and capacity strategies to align with business needs.
• Design and oversee onboarding and training programs that ensure staff competency regulatory knowledge and customer service excellence.
• Foster a culture of continuous learning collaboration and employee engagement.

Financial & Strategic Oversight

• Develop and manage the contact center operating budget ensuring fiscally responsible decision-making.
• Identify cost-efficiency opportunities while maintaining service quality and compliance.
• Collaborate with cross-functional leaders to align contact center strategy with organizational objectives.
• Serve as a thought partner to senior leadership on scaling operations driving innovation and improving the overall member and provider experience.

Qualifications

Education & Experience

• Bachelors degree in healthcare administration business administration or related field or 8 years of healthcare operations experience.
• 6 years of leadership experience managing payer health plan contact center operations including member services provider services claims prior authorizations and/or appeals.
• Demonstrated expertise in health plan operations including benefits administration prior authorizations claims processing and appeals workflows.
• Experience developing and maintaining operational SOPs and business requirement documents.
• Experience building or scaling startup or growth stage health plan contact center teams processes and infrastructure preferred.

Skills & Competencies

• Excellent written and verbal communication skills with the ability to influence stakeholders across all organizational levels.
• Ability to lead coach and develop frontline teams while managing competing priorities in a fast-paced environment.
• Background in developing training curricula onboarding programs and ongoing performance development initiatives.
• Strong analytical and problem-solving skills with the ability to translate data into operational improvements.
• Familiarity with implementing or utilizing workforce management concepts including forecasting scheduling and capacity planning.
• Strong working knowledge of contact center operations including IVR design call routing queue management and service level optimization.
• Proficiency using CRM platforms contact center technologies and performance reporting tools.
• Experience designing and leveraging operational dashboards and KPIs to drive performance and accountability.
• Knowledge of Department of Health Administration (DHA) requirements and applicable state and federal healthcare regulations preferred.

Other Requirements

• Up to 30% travel within New England to support business needs. The role manages a hybrid team with employees across the region and requires periodic in-person engagement.
• Must be able to obtain and maintain U.S. Government personnel security clearance as a condition of employment.

Physical Nature of the Job

Some elements of the job are sedentary but the employee will be required to stand for periods of time or move throughout the campus.

Equal Opportunity Employer Statement

Brighton Marine is an Equal Opportunity Employer. We prohibit discrimination and harassment of any kind based on race color religion sex (including pregnancy gender identity and sexual orientation) national origin age disability genetic information protected veteran status or any other characteristic protected by federal state or local law. We strongly encourage applications from veterans and individuals with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process.

Work Authorization

Candidates must be authorized to work in the United States without sponsorship now or in the future.