Director Operations - Customer Service

  • Full-time
  • Department: Operations | Claims | Customer Service | Business Support
  • Work Environment: Hybrid
  • Pay Grade: 27

Company Description

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! 

  • Learn more about our unique benefit offerings here
  • You can also learn more about working at Wellmark here.

Why Leadership at Wellmark: 

  • Click here to learn about our strength-based approach to leadership at Wellmark.

Job Description

About the Role:  In this pivotal leadership position, you will serve as a key driver of organizational success by leading and developing a team of front-line customer service leaders. Your role will be instrumental in shaping a strong, positive culture while championing continuous improvement across processes, metrics, and key initiatives. You will provide oversight to multiple market segment teams, ensuring that day-to-day operations align seamlessly with long-term strategic goals.

Beyond managing operations, you will take the lead in directing, planning, and executing strategies that reinforce the company’s mission, vision, and values. You will play a central role in ensuring that all policies, procedures, and functions not only meet internal standards but also comply with external regulations. This position requires a thoughtful balance of strategic vision and operational execution, guaranteeing that service delivery is efficient, effective, and responsive to organizational needs.

About You:  You bring proven experience in a customer service environment, giving you the insight and expertise needed to address and solve service-specific challenges. You are passionate about developing leaders who, in turn, empower and inspire frontline staff to deliver consistently exceptional service to our members.

Your leadership style is rooted in collaboration, mentorship, and accountability, enabling you to cultivate talent and build teams that thrive in a dynamic environment. You have a track record of attracting, developing, and retaining top talent, ensuring that your teams are not only equipped to meet tactical goals but are also aligned with the organization’s broader strategic objectives. Above all, you are committed to fostering a culture of service excellence, innovation, and continuous growth.

Qualifications

Required: 

  • Bachelor’s degree in business, health care administration or related field or equivalent work experience required. 
  • A minimum of 7 years of experience in a highly complex industry such as insurance or financial services, including experience in a dynamic customer service or contact center environment with extensive knowledge of related systems. 
  • A minimum of 7 years of experience in leading others obtained through a combination of formal and informal/project leadership in a fast-paced, dynamic work environment that demonstrates knowledge of processes, products/services, and leadership competencies; must have demonstrated experience formally leading a team, setting clear expectations and performance goals, holding the team accountable for delivering positive results, and providing opportunities to develop team members’ skills and experiences. 
  • Experience demonstrating effective resource management/planning, budgeting, forecasting and strategic planning. 
  • Critical thinking, analytical problem solving and workflow management skills; demonstrated ability to develop understanding and appreciation for upstream and downstream impacts in processes. 
  • Continuous improvement focus; demonstrated ability to simplify business processes through the application of process/quality improvement tools/techniques and project management processes/methodologies including successfully leading change management efforts. 
  • Demonstrated customer and partner relationship management skills, including effective communication, presentation, negotiation, and conflict resolution skills; ability to solicit cooperation and action from others not under their direct report by creating a sense of urgency and a teachable point of view 

Preferred:

  • Strong change management and stakeholder engagement skills to guide adoption of AI-driven or continuous improvement initiatives.
  • Experience in a SAFe Agile Product Centric Environment  

Additional Information

Director of Operations - Customer Service Accountabilities:

a. Provide strategic direction and leadership for Customer Service, Claims, Membership & Enrollment, and Benefit Implementation/Documents that supports Wellmark and Operations strategy and goals. Cascade and communicate strategy and initiatives to team members, driving customer/stakeholder service, supporting achievement of overall company results. 
 
b. Provide leadership and day-to-day management of financial and human resources, primarily focusing on customer goals and guarantees, employee and leader development, performance improvement, coordination and budgeting of multiple staff, and functions/services that comprise the Operations team. 
 
c. Oversee the timely management and resolution of claims and customer service inquiries and issues, and ensures goals and expectations are met or exceeded for assigned lines of business. 
 
d. Lead continuous process improvement and business simplification efforts that result in improved, cost effective and standardized processes across the organization. 
 
e. Ensure compliance with business process controls and regulatory requirements department goals through documentation, monitoring and reporting of critical division activities. 
 
f. Ensure that the customer voice is heard and shared, resulting in the development and implementation of changes that increase satisfaction with our products and services. 
 
g. Improve partnerships with providers, brokers and other vendors 
 
h. Other duties as assigned. 

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected]

Please inform us if you meet the definition of a "Covered DoD official".

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants 

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