Customer Experience Supervisor-Hybrid (Orange, CA)

Alignment Healthcare

Job Location:

Orange, CA - USA

Monthly Salary: $ 58531 - 87797

Posted on: 20 days ago

Vacancies: 1 Vacancy

Job Summary

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we this fast-growing company you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters not only changing lives but saving them. Together.

The hybrid Supervisor of our Customer Experience team is responsible for leading and developing a team of Customer Experience Specialists who deliver compassionate seamless and fully accountable service to our members. This Hybrid role champions a culture built on caring connections true ownership of member issues and first-call resolution ensuring that every interaction makes healthcare easier clearer and more supportive.
The Supervisor leads by examplemodeling empathy accountability and service excellencewhile driving performance outcomes in quality service level member satisfaction retention and engagement. This leader ensures Specialists answer questions and fully own to resolve member needs end-to-end reinforcing accountability at every level of the organization.

Join our Customer Experience team and play a key leadership role in delivering exceptional service to our members. As a Customer Experience Supervisor you will lead and develop a team of Customer Experience Specialists who are dedicated to providing compassionate seamless and accountable support. This position is part of our 365-day Customer Experience operation and is responsible for fostering a culture centered on caring connections ownership and first-call resolution.

In this hybrid leadership role you will model empathy accountability and service excellence while driving team performance in quality service levels member satisfaction retention and employee engagement. You will ensure that team members not only answer member questions but also take full ownership of resolving member needs from start to finish making healthcare easier clearer and more supportive for every member interaction.

Schedule and Work Requirements

Monday through Friday work schedule.
Participation in a rotational weekend schedulethat includes both Saturday and Sunday at least once per month.
Flexibility to work a rotating shift schedule with start times that may include 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM or 11:00 AM.
Hybrid work arrangement based in Orange California.
- Required onsite presence at least two days per week with additional onsite attendance as needed to support business and operational requirements.

The ideal candidate is a proven people leader with a passion for developing high-performing teams delivering exceptional member experiences and fostering a culture of accountability ownership and continuous improvement. This individual thrives in a dynamic environment embraces operational flexibility and is committed to supporting both team success and member satisfaction.

Job Duties/Responsibilities:

Leads a Culture of Caring Connections
- Coaches and develops team members to lead every interaction with empathy patience and respect
- Reinforces service behaviors that build trust and emotional connection with older adults individuals with disabilities and special needs
- Models compassionate leadership and a serving-heart mindset in all interactions

Drives True Ownership & First Call Resolution
- Instills accountability for end-to-end resolution of member issues
- Monitors and improves first call resolution (FCR) performance and follow-through behaviors
- Ensures Specialists advocate for members navigate systems effectively and resolve root causes vs. just surface issues or pass off
- Promotes proactive problem-solving and discourages unnecessary transfers or repeat contacts

Performance Leadership & Coaching
- Directly supervises a team of Customer Experience Specialists
- Monitors Specialist performance across KPIs including quality FCR schedule adherence productivity documentation accuracy member satisfaction and engagement
- Conducts live call monitoring coaching and documented feedback sessions focused on empathy ownership and resolution
- Holds monthly 1:1 performance meetings with direct reports and develops individualized documented coaching plans
- Creates and administers performance improvement plans for all direct reports to raise the bar
- Appropriately performance manages including creating documented corrective actions as needed
- Continually recognizes and rewards behaviors that demonstrate accountability and service excellence
- Encourages engagement by leading with words and actions

Operational Oversight
- Supports Workforce Management to Oversee daily workflow queue management and ensures assignment distribution follows WFM process to ensure service level targets achieved
- Ensures Specialists respond within established service levels while maintaining quality and empathy standards
- Timely tracks and approves timecards; monitors schedule adherence and attendance meeting required deadlines
- Collaborates with leadership to align staffing capacity with business needs
- Serves as weekend coverage point of contact on rotation schedule with shift flexibility

Subject Matter Expertise
- Serves as a subject matter expert in Medicare Advantage benefits eligibility provider networks claims grievances and support services
- Ensures team maintains up-to-date knowledge of policies procedures systems and regulatory requirements
- Supports resolution of escalated member complaints and complex cases ensuring root cause analysis and systemic improvement

Quality & Documentation Oversight
- Ensures accurate timely and thorough documentation of all member interactions
- Analyzes call trends grievances disenrollment drivers and repeat contact data to identify coaching and process improvement opportunities
- Partners with Quality and Compliance teams to uphold HIPAA privacy and regulatory standards

Talent Development & Engagement
- Conducts interviews and participates in hiring decisions
- Oversees onboarding and training of new Specialists reinforcing service culture and accountability expectations
- Creates an environment of continuous coaching learning and psychological safety
- Promotes team engagement resilience and professional growth

Continuous Improvement & Accountability
- Identifies opportunities to improve processes that reduce member effort and repeat calls as well as ways to improve the overall operation
- Drives accountability at all levels by reinforcing clear performance expectations and measurable outcomes
- Prepares performance and operational reports as requested
- Maintains confidentiality and upholds data integrity and security standards

Supervisory Responsibilities:

Directly oversees Customer Experience Specialists in a onsite environment. Carries out supervisory responsibilities in accordance with organizational policies and applicable laws. Responsibilities include hiring training planning assigning and monitoring work coaching and performance management rewarding and disciplining employees addressing complaints resolving problems and fostering a high-accountability culture focused on member experience excellence.

Job Requirements:

Minimum 3 years of customer service experience in healthcare insurance or Medicare Advantage
Minimum 2 years of supervisory or team lead experience in a contact center or member services environment

Preferred Requirements:

Experience leading teams focused on first call resolution and customer experience transformation initiatives

Education:

Required: High School Diploma or GED.

Preferred: Associates or Bachelors degree

Specialized Skills Required:

Strong knowledge of Medicare Advantage Medicare Managed Care and related regulatory requirements

Demonstrated ability to coach empathy de-escalation and service recovery techniques
Proven ability to drive performance in KPIs such as FCR quality scores member satisfaction adherence and productivity
Ability to interpret data and translate trends into actionable coaching and process improvements
Excellent written and verbal communication skills; ability to communicate complex healthcare information clearly and compassionately
Strong problem-solving and decision-making skills with an ownership mindset
Proficiency in MS Office CRM systems and contact center technologies.
Ability to maintain confidentiality and ensure HIPAA compliance in a remote environment

Preferred:

Bilingual (English/Spanish or other prevalent languages in service area)
Experience in grievance and appeals management

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job the employee is regularly required to talk or hear. The employee regularly is required to stand walk sit use hand to finger handle or feel objects tools or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $58531.00 - $87797.00

Pay range may be based on a number of factors including market location education responsibilities experience etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability age protected veteran status gender identity or sexual orientation.

*DISCLAIMER:Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal be advised that Alignment Health and its subsidiaries will never ask you for a credit card send you a check or ask you for any type of payment as part of consideration for employment with our you feel that you have been the victim of a scam such as this please report the incident to the Federal Trade Commission at If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Healths talent acquisition team please email .

Required Experience:

Manager