The Vendor is required to provide a consulting partner with deep expertise in contact center transitions, government operations, and health insurance customer support, preferably with ACA exchange experience.
- Fundamentally transformed the health insurance landscape, demanding increases in accessibility, operational resilience, and customer experience through state-based exchanges (SBEs).
- This transition requires sophisticated planning, execution, workforce transformation, and continuous alignment with evolving Federal and State requirements.
- Services include:
• Perform an evaluation and gap analysis of current vendor-based services to highlight successes and areas for improvement.
• Plan and execute a seamless transition from a vendor-based contact center to internal operations.
• Design and implement an exemplary contact center aligned with agency mission and values.
• Design and implement a contact center that complies with the centers for medicare and medicaid services (CMS) regulations and the aca.
• Design and implement an exemplary contact center that complies with federal and state privacy and security requirements.
• Recruit, hire, train, and operationalize a high-performing, consumer-centric team.
• Develop and achieve operational, compliance, and consumer-experience standards in alignment with industry benchmarks and best practices.
• Ensure continuity, security, and resilience during all transition and operational phases.
• Develop and establish robust frameworks for technology, quality assurance (QA), compliance, and continuous improvement.
• Design and implement a staffing strategy, including reporting structure, organizational chart, and position descriptions.
• Develop a list of software and hardware necessary to launch the contact center and successfully integrate these technologies.
Set up free email alerts and get notified when new government bids, tenders and procurement opportunities match your industry and location. Choose daily or weekly delivery.