What are the responsibilities and job description for the Manager, Contact Center Operations position at Heathos LLC?
Job Title: Manager, Contact Center Operations – U.S. Healthcare
Reports To: Director, Operations
Location: Panama City, Panama
About Heathos
Heathos is transforming the healthcare insurance landscape through a connected, data-driven ecosystem that simplifies complexity and drives long-term success. Built on trust, innovation, and integrity, we provide technology, services, and insights that support agencies, carriers, and members at every stage. Our family of brands—FirstEnroll, AdminOne, and SonicMarketing—works together to streamline operations and deliver a seamless insurance experience.
Position Summary
The Manager, Contact Center Operations is responsible for leading contact center operations based in Panama that support U.S.-based healthcare clients. This role ensures high-quality service delivery, operational efficiency, and adherence to applicable U.S. healthcare regulations, client contractual obligations, and Panamanian legal requirements.
The role oversees team performance, workforce planning, service metrics, quality assurance, and escalation management in a high-volume, highly regulated environment. This position requires strong bilingual leadership (English/Spanish) and the ability to manage operations aligned with U.S. healthcare standards while maintaining compliance with local employment and data privacy laws in Panama.
Key Responsibilities
Contact Center & Operations Management
- Oversee daily operations of the contact center, ensuring efficient handling of provider, member, client, and internal inquiries related toplans,members, agents, agencies,and general service support.
- Handle and oversee claims center calls for internal and external partners related toclaims, eligibility, benefits, authorizations, andpayment services.
- Monitor call volumes, service levels, and key performance indicators (KPIs), including Average Speed of Answer (ASA), Abandonment Rate, Handle Time, First Contact Resolution (FCR), and Quality Scores.
- Ensure adherence to client service-level agreements (SLAs) and contractual performance standards.
- Develop and implement strategies to improve operational efficiency, service quality, and customer experience.
Team Leadership & Development
- Lead, coach, and developSupervisors,Trainers, and frontlineAgents to drive high performance and accountability.
- Foster a culture of continuous improvement, compliance awareness, and customer service excellence.
- Support employee engagement, retention, and development initiatives.
- Manage workforce planning, scheduling, and staffing to align with business demand and service requirements.
- Deliver training programs focused on U.S. healthcare processes, compliance requirements, and service delivery standards.
Regulatory Compliance, Risk & Quality Assurance
- Ensure compliance with U.S. healthcare regulations, including HIPAA privacy and security requirements, and applicable CMS guidelines where relevant.
- Oversee proper handling, storage, and protection of Protected Health Information (PHI)in accordance withU.S. regulatory standards.
- Ensure adherence to Panamanian legal requirements, including:
- Panamanian Labor Code
- Caja de Seguro Social (CSS)obligations
- Law 81 of 2019 (Personal Data Protection)
- Maintain quality assurance programs to ensure accuracy, consistency, and compliance with both client and regulatory expectations.
- Partner with HR, Legal, Compliance, and Payroll teams to ensure proper employment practices and regulatory alignment.
- Ensure audit readiness for internal reviews, client audits, and regulatory inquiries.
Customer Experience & Escalation Management
- Oversee escalations and complex service issues, ensuringtimelyand effective resolution.
- Partner with internal stakeholders and U.S.-based clients to address operational challenges and improve outcomes.
- Analyze customer feedback, complaints, and service trends toidentifyimprovement opportunities.
- Drive initiatives to improve customer satisfaction (CSAT) and reduce repeat contacts.
Technology & Process Optimization
- Collaborate with IT and business teams to enhance contact center systems, including CRM,CMS,telephony (ACD/IVR), workforce management, and reporting toolsas well as other technologiesidentifiedto support our partners.
- Identifyopportunities to implement automation, self-service tools, and process improvements.
- Streamline workflows to improve turnaround times (TATs), accuracy, and scalability.
- Support implementation ofnew technologiesand operational enhancements.
Reporting & Performance Management
- Develop and present operational and performance reports toSeniorLeadership andotherstakeholders.
- Monitor KPIs, service trends, staffing metrics, quality results, and compliance indicators.
- Use data-driven insights to support decision-making, forecasting, and continuous improvement.
- Ensure accountability for performance outcomes across teams.
Qualifications & Skills
- Bachelor’s degree in Business Administration, Healthcare Administration, or a related field preferred.
- Minimum of 5 years of experience in contact center operations management, preferably in healthcare, insurance, TPA, or BPO environments.
- Experience supporting U.S.-based operations strongly preferred, particularly in healthcare or regulated industries.
- Strong knowledge of contact center metrics, workforce management, and performance optimization.
- Demonstrated experience managing teams in a high-volume, fast-paced environment.
- Fluency in English and Spanish (required).
- Strong understanding of compliance, data privacy, and operational controls.
- Experience working in environmentsrequiringHIPAA compliance and handling of PHI.
- Proficiencywith CRM systems, telephony platforms, and reporting/analytics tools.
- Strong analytical, problem-solving, and decision-making skills.
- Excellent communication and stakeholder management abilities.
Heathos is proud to be an equal opportunity and affirmative action employer. We are committed to building a workforce that is representative of the agencies, carriers, and members we serve, creating a culture of belonging, and providing an equal employment opportunity regardless of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, criminal histories consistent with legal requirements, or any other basis protected by law. See also Know Your Rights: Workplace Discrimination is Illegal.
If you have a need that requires accommodation, please let us know here.
Heathos is a binational company and, in order to facilitate efficient collaboration and communication binationally, English proficiency is a requirement for all roles unless stated otherwise in the job posting.