Company Detail

Job Description

JOB DESCRIPTION

Job Summary

The Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easier for them to connect to the care they need. The MFE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs such as Medicaid/Medicaid Managed Care, Child Health Plus and Essential Plan. Additionally, the MFE will assist in enrollment into Qualified Health Plans. The MFE must offer all plans and all products. MFEs assist families with their applications, provides assistance with completing the application, gathers the necessary documentation, and assists in selection of the appropriate health plan. The Enroller provides information on managed care programs and how to access care. The MFE is responsible for processing paperwork completely and accurately, including follow up visit documentation and other necessary reports. The MFE is also responsible for assisting current members with recertification with their plan. MFEs must source, develop and maintain professional, congenial relationships with local community agencies as well as county and state agency personnel who refer potentially eligible recipients.

KNOWLEDGE/SKILLS/ABILITIES

• Responsible for achieving monthly, quarterly, and annual enrollment goals and growth targets, as established by management.

• Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Medicaid Managed Care, Child Health Plus the Essential Plan and Qualified Health Plans for Molina and other plans who operate in our service area

• Meet with consumers at various sites throughout the communities

• Provide education and support to individuals who are navigating a complex system by assisting consumers with the application process, explaining requirements and necessary documentation

• Identify and educate potential members on all aspects of the plan including answering questions regarding plan's features and benefits and walking client through the required disclosures

• Educate members on their options to make premium payments, including due dates

• Assist clients with choosing a plan and primary care physician

• Submit all completed applications, adhering to submission deadline dates as imposed by NYSOH and Molina enrollment guidelines and requirements

• Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing the annual recertification application including adding on additional eligible family members

• Respond to inquiries from prospective members and members within the marketing guidelines

• Must adhere to all NYSOH rules and regulations as applicable for MFE functions

• Outreach Projects

• Participate in events and community outreach projects to other agencies as assigned by Management for a minimum of 8 hours per week

• Establish and maintain good working relationships with external business partners such as hospital and provider

• organizations, city agencies and community-based organizations where enrollment activities are conducted

• Develop and strengthen relations to generate new opportunities

• Attend external meetings as required

• Attend community health fairs and events as required

• Occasional weekend or evening availability for special events.

JOB QUALIFICATIONS

Required Education

HS Diploma

Required Experience

• Minimum one year of experience working with State and Federal Health Insurance programs and populations

• Demonstrated organizational skills, time management skills and ability to work independently

• Ability to meet deadlines

• Excellent written and oral communication skills; strong presentation skills

• Basic computer skills including Microsoft Word and Excel

• Strong interpersonal skills

• A positive attitude with ability to adapt to change

• Must have reliable transportation and a valid NYS drivers' license with no restrictions

• Knowledge of Managed Care insurance plans

• Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities

• Ability to work a flexible schedule, including nights and weekends

Required License, Certification, Association

Successful completion of the NYSOH required training, certification and recertification

Preferred Education

AA/AS - Associates degree

Preferred Experience

Previous experience as a Marketplace Facilitated Enroller - Bilingual

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $16.40- $31.97 hourly*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

#PJED

#LI-BEMORE

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

We have an extensive training program for new Grads!

Molina Student Loan Payment program available to Nurse Practitioners

Job Summary

The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and -pop up- clinic.

The Nurse Practitioner will be required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, women's health).

Perform comprehensive medical assessments, order appropriate tests/procedures for diagnostic purposes, formulate treatment plans, obtain specialists' consultations as needed, and do appropriate documentations as required.

Job Duties

• Provide general medical care and care coordination to various and/or specific patient levels - adults, women's health, pediatric, and geriatric.

• Perform comprehensive evaluations including history and physical exams for gaps in care and preventative assessments

• Address both chronic and acute primary care complaints, and able to ascertain medical urgency

• Establish and document reasonable medical diagnoses

• Seek specialty consultation as appropriate

• Order/perform pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptom; able to work within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately

• Responsible for knowing when a patient's needs are beyond their scope of knowledge and when physician oversight is needed.

• Create and implements a medical plan of care

• Schedule patient appointments for telehealth or in-person visits when appropriate

• Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization

• Perform face-to-face in-person visits in a variety of settings including home, skilled nursing facilities, and public locations.

• Additionally, may perform face-to-face synchronous video communications using Telehealth platform based on business need, leadership direction, and state regulations

• Order bulk laboratory orders to target specific populations of member.

• Perform alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develop appropriate plan of care

• Participate in community-based -Pop Up Clinics- as way of building relationship with community while addressing gaps in health care

• Drive up to 120 miles a day on a regular basis to a variety of locations within the assigned region. There may be drives beyond 120 miles as part of Extended Mileage Special Project days.

• Obtain and maintain cross state license in other states besides home state based on business need.

• Collaborate with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively

• Actively participate in regional meetings

• Prescribe medications and perform procedures as appropriate

• Perform timely documentation in medical records in an electronic medical record computer system

• On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Master's degree in family health from accredited nursing program

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

Advanced computer skills. Proficient with Word, Excel, and Electronic Medical Record.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

• An active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners; American Nurses Credentialing Center

• Current state-issued license to practice as a Family Nurse Practitioner

• Current Basic Life Support for Healthcare Professional certification

• Current unrestricted driver's license

PREFERRED EDUCATION:

PREFERRED EXPERIENCE:

• 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health, community health, or public health setting

• Previous experience in home health as a licensed clinician, especially in management of chronic conditions

• Experience with underserved populations facing socioeconomic barriers to health care

• Fluency in a language in addition to English is plus

• Immunization and point of care testing skills

Pay Range: $80,412.03 - $156,803.45 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

We have an extensive training program for new Grads!

Molina Student Loan Payment program available to Nurse Practitioners

Job Summary

The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and -pop up- clinic.

The Nurse Practitioner will be required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, women's health).

Perform comprehensive medical assessments, order appropriate tests/procedures for diagnostic purposes, formulate treatment plans, obtain specialists' consultations as needed, and do appropriate documentations as required.

Job Duties

• Provide general medical care and care coordination to various and/or specific patient levels - adults, women's health, pediatric, and geriatric.

• Perform comprehensive evaluations including history and physical exams for gaps in care and preventative assessments

• Address both chronic and acute primary care complaints, and able to ascertain medical urgency

• Establish and document reasonable medical diagnoses

• Seek specialty consultation as appropriate

• Order/perform pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptom; able to work within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately

• Responsible for knowing when a patient's needs are beyond their scope of knowledge and when physician oversight is needed.

• Create and implements a medical plan of care

• Schedule patient appointments for telehealth or in-person visits when appropriate

• Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization

• Perform face-to-face in-person visits in a variety of settings including home, skilled nursing facilities, and public locations.

• Additionally, may perform face-to-face synchronous video communications using Telehealth platform based on business need, leadership direction, and state regulations

• Order bulk laboratory orders to target specific populations of member.

• Perform alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develop appropriate plan of care

• Participate in community-based -Pop Up Clinics- as way of building relationship with community while addressing gaps in health care

• Drive up to 120 miles a day on a regular basis to a variety of locations within the assigned region. There may be drives beyond 120 miles as part of Extended Mileage Special Project days.

• Obtain and maintain cross state license in other states besides home state based on business need.

• Collaborate with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively

• Actively participate in regional meetings

• Prescribe medications and perform procedures as appropriate

• Perform timely documentation in medical records in an electronic medical record computer system

• On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Master's degree in family health from accredited nursing program

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

Advanced computer skills. Proficient with Word, Excel, and Electronic Medical Record.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

• An active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners; American Nurses Credentialing Center

• Current state-issued license to practice as a Family Nurse Practitioner

• Current Basic Life Support for Healthcare Professional certification

• Current unrestricted driver's license

PREFERRED EDUCATION:

PREFERRED EXPERIENCE:

• 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health, community health, or public health setting

• Previous experience in home health as a licensed clinician, especially in management of chronic conditions

• Experience with underserved populations facing socioeconomic barriers to health care

• Fluency in a language in addition to English is plus

• Immunization and point of care testing skills

Pay Range: $80,412.03 - $156,803.45 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Detail

• Company:
  Molina Healthcare

Job Description

Job Description

Job Summary

Under the direction of the (TBD) , the Supervisor(s) oversees the development and implementation of the facilitated enrollment, Retention outreach and community engagement outreach of members within

the Individual Marketplace. This position supervises, coordinates and is accountable for the daily work of employees who provide facilitated enrollment services for Medicaid/Medicaid Managed Care (MA/MMC), Health and Recovery Plan (HARP) and Child Health Plus (CHP), and/or outreach activities. The position requires a systematic approach to identify opportunities for community and provider partnerships conducive to market growth. The Supervisor provides appropriate resources, coaching and assistance to the implementation and training needs of staff regarding rules and regulations, change management, productivity of individual and regional facilitated enrollment and outreach sales activities and/or retention program needs and activities. The Supervisor provides input on strategy as the business needs change within given territory.

Knowledge/Skills/Abilities

-Provides direction and supervision segment staff including departmental function, individual development plans, 1:1's, Quarterly Check-in's and performance reviews. Responsible for coordinating communication and daily activities of staff and assuring adequate staffing to accomplish corporate goals. Responsible for recruitment, training and retention of staff.

-Participates in strategic discussions with director, to ensure company goals are met; shifting to a more pro-active retention & sales approach, staying within company and state marketing guidelines.

-Fosters team culture during shift in strategy to help team work through changes.

-Takes lead in priority project(s) based on team (SWOT) Strengths/Weakness/Opportunity/Threat assessments within assigned segments (Customer Service. Facilitated Enrollment, Outreach or Retention) responsible for leadership, management, collaboration on assigned projects.

-Participates in the design and implementation of process improvements within the current (segment) facilitated enrollment policies, procedures, services and workflow to improve the customer experience and retention, as well as internal productivity.

-Ensures implementation and monitoring of new processes meet the New York State Department of Health (NYSDOH) rules and regulations of the programs, both current and new.

-Maintains Facilitator Enroller / SHOP annual recertification as outlined by NYSDOH.

-Monitors daily operations, identifies need for program tools, and works with management to meet staff needs.

-Manages the daily over-site of direct report staff input into (CRM) client relationship management system. Participates in the design/management of report methodologies that support facilitated enrollment services and the value of those services.

-Interacts with staff responsible for training, reporting, compliance, retention, enrollment, IT needs, and health plan management to assure that all functions of retention enrollment & customer service experience fit into the existing program structure. With special emphasis on community outreach techniques for those associated with these responsibilities.

-Maintains expert knowledge of current processes and rules and regulations of the MMC, HARP, EP & CHP, programs and serves as a resource for implementation, training teams, director of sales team.

-Ensures program processes are designed and implemented consistently across all regions and per department policies, procedures and guidelines. Facilitates quality and monitors results of the programs through quality indicators.

-Makes recommendations to leadership regarding corrective action plans and conducts other quality activities as directed by management. Activities include but are not limited to policy and procedure review, application reviews, and data collection and analysis related to current quality assurance indicators.

-Carries out job responsibilities in accordance with departmental, Health Plan, and state guidelines.

-Performs research assignments as directed by program leadership, which may include but are not limited to educational resources, best practice, corporate values and industry standards.

-Consistently demonstrates high standards of integrity by supporting Molina Healthcare of NY Inc. mission and values and adhering to the Corporate Code of Conduct and Leading to the Molina Healthcare of NY Inc.

-Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

-Maintains knowledge of all relevant legislative and regulatory mandates and ensures that all activities are in compliance with these requirements.

-Conducts periodic staff meetings to include timely distribution and education related to departmental and Ethics/Compliance information.

-Regular and reliable attendance is expected and required.

-Performs other functions as assigned by management.

Additional Facilitated Enrollment Segment Responsibilities:

-Responsible for ensuring data collection, tracking and reporting for all appointment & facilitated enrollment activities are input into CRM by staff members in timely manner; conducts quality assurance activities with established process cadence.

-Anticipates and updates reporting requirements as needed.

-Represents team at multiple facilitated enrollment / compliance segment meetings on regular basis by region.

-Conducts quarterly announced / unannounced monitoring of staff; submits required monitoring paperwork and reports results including development recommendations to Director in a timely manner. Coordinates educational opportunities with director.

-Ability to travel to regional/staff and/or outreach efforts as assigned. In addition, attend quarterly on-site staff meeting and Adhoc organizational / department meetings.

Additional Community Engagement Outreach Segment Responsibilities:

-Represents team at multiple community engagement segment meetings on regular basis by region.

-Responsible for ensuring data collection, tracking and reporting for all Outreach activities are input into CRM by staff members in timely manner; conducts quality assurance activities with established process cadence. Anticipates and updates reporting requirements as needed.

-Establishes and maintains relationships with key community-based organizations. May include participation in community based or business meetings.

-Responsible for developing and maintaining a business relationship with IPA Navigator resources within given region, regular cadence of face to face interaction required.

-Responsible for developing annual regional Outreach Strategy Sales Plan, working in conjunction with internal key stakeholders with segment knowledge, staff and organic interaction with the community at large.

-Responsible for reporting Outreach Results in Quarterly Business Review with key management.

-Ability to travel to regional/staff and/or outreach efforts as assigned. In addition, attend quarterly on-site staff meeting and Adhoc organizational / department meetings..

Job Qualifications

Required Education

High School Diploma

Required Experience

-High School Diploma plus 5 years' experience in Managed Care. Associate degree plus 6 years' experience preferred; or Bachelor's Degree plus 4 years' experience. Team-lead experience a plus.

-Relevant business experience working in a managed care or other healthcare-related field with significant interface with the community/members.

-Strong project management skills and ability to work in a team environment.

-Meets or exceeds the minimum continuing education requirements as set forth by departmental and corporate policy.

-Excellent written and verbal communication skills.

-Ability to present information to a variety of audiences with effective follow-through.

-Strong organizational and leadership skills. Knowledge of MS office, (Word, Excel, Access), Lotus Notes (calendar, email), Salesforce client relationship management (CRM) tool and other technical applications as appropriate.

-Ability to establish priorities and make decisions that support corporate strategies and operations with minimum supervision.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $49,930 - $97,363 yearly*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

#PJED

#LI-JR1

Job Detail

• Company:
  Molina Healthcare

Job Description

Affinity by Molina Healthcare is hiring a Sr Healthcare Marketing & Communications Specialist .

Candidates for this role will be working remotely but must live in the New York Tri-State area.

This position works with internal business owners and external partners to create and edit materials for use with our internal stakeholders (Sales, Growth & Engagement, Retention etc..) along with our Members & Providers. This role will be responsible for creating audience-focused content that is clear and concise. The role will support member engagement and an improved member experience via our communications strategy.

The Sr Marketing & Communications Specialist is a facilitator who works with other departments to create and improve all company branded materials. The Specialist will write, edit, design, order and/or perform mailings of member and provider materials. This role requires someone with proven writing/editing experience, especially someone who can take dense or complex content and change how it's presented, based on the audience.

Managed Care Experience in this realm is HIGHLY desired.

HIGHLY PREFERRED EXPERIENCE INCLUDES THE FOLLOWING:

• Writing/editing background and/or Marketing background preferably with a degree in a communications or marketing related field

• Proven problem solving and critical thinking ability

• Experience working with multiple people and personalities

• Experience working on many projects at once (15-20+), with competing deadlines

• Self-motivated

• Proactive communicator

• Customer engagement experience, such as working with focus groups, surveys, social media, advertising, and/or customer analytics

• Audience-focused writing experience

• Competitor analysis and marketing data experience

KNOWLEDGE/SKILLS/ABILITIES

• Responsible for the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs.

• Leads in the writing, development and content creation for internal and external communications and marketing materials

• Edits, proofs, and reviews all communications produced by team members to meet the Molina tone, voice, and style requirements.

• Determines the production, ordering and distribution of communications, including print and promotional orders, external mailings, e-newsletters, and the publishing of web content, ensuring on-time production and distribution/delivery of materials

• Serves as a communication liaison to department leaders and the external vendor(s) on special projects and initiatives; proactively and routinely meets with department leaders to determine communication and content needs

• Identifies and addresses departmental process improvements and gaps

• Creates and updates policies and procedures, workflows, job aides and communication department training materials

• Directs regulatory approval of materials as required by state and federal requirements

• Leads in the on-boarding of new team members, develops a training schedule, and provides training and support.

• #LI-TR1

JOB QUALIFICATIONS

Required Education : Bachelor's Degree in communication, journalism, public relations or other related field or equivalent combination of education and work experience

Preferred Education : Master's Degree in marking, communication, journalism, public relations or other related field

Required Experience

• 3+ years marketing or communications experience

• 3+ years' experience writing or editing

• 2+ years' experience assisting with the management of communications projects

• 2+ year experience in Microsoft Office programs

Preferred Experience

• Medicaid and/or Managed Care experience

• Healthcare Marketing and/or Healthcare Writing experience

• Experience in Associated Press (AP) Style

• Experience with SharePoint or similar Intranet program

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Pay Range: $49,930 to $97,393 per year with actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Key Words: Marketing, marcom, marketing and communications, copywriter, healthcare marketing writing, marketing proposal writer, content marketing coordinator, communications, communication, writer, writing, healthcare, training materials, content, tone, voice, style, print, member materials, production, marketing materials, edit, proofs, mailings, e-newsletters, publish, publishing, web content, Adobe, AP, Associated Press Style, SharePoint, journalism, public relations, health care, health insurance, managed care, MCO, Medicaid, Medicare, health interpreter, adherence, advocacy, audience, audience focused, awareness, campaign, community-centered prevention, cultural competence, disparities, medical terminology, documentation, health literacy, risk communication,

#PJHPO

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

This position will support our Senior Whole Health business. Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare. We are looking for Registered Nurse Care Review Clinicians, Inpatient Review with Utilization Management (UM) experience.

Remote position. Work hours: Monday - Friday 8:30am - 5:00pm EST.

KNOWLEDGE/SKILLS/ABILITIES

• Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.

• Analyzes clinical service requests from members or providers against evidence based clinical guidelines.

• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.

• Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed.

• Processes requests within required timelines.

• Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner.

• Requests additional information from members or providers in consistent and efficient manner.

• Makes appropriate referrals to other clinical programs.

• Collaborates with multidisciplinary teams to promote Molina Care Model.

• Adheres to UM policies and procedures.

• Occasional travel to other Molina offices or hospitals as requested, may be required. This can vary based on the individual State Plan.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing.

Required Experience

3+ years hospital acute care/medical experience.

Required License, Certification, Association

Active, unrestricted State Registered Nursing (RN) license in good standing.

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

NY unrestricted licensure

State Specific Requirements:

IL Qualifications: Licensed within the state of Illinois or will apply for licensure within the state of Illinois within 30 days of employment

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

Recent hospital experience in ICU, Medical, or ER unit.

UM experience

MS Office- proficient experience with Word and Excel highly preferred.

Preferred License, Certification, Association

Active, unrestricted Utilization Management Certification (CPHM).

Pay Range: $26.41 - $51.49 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.

• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

• Conducts face-to-face or home visits as required.

• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

• Maintains ongoing member case load for regular outreach and management.

• Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.

• Facilitates interdisciplinary care team meetings and informal ICT collaboration.

• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.

• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.

• 25- 40% local travel required.

• RNs provide consultation, recommendations and education as appropriate to non-RN case managers.

• RNs are assigned cases with members who have complex medical conditions and medication regimens

• RNs conduct medication reconciliation when needed.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Required Experience

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Required License, Certification, Association

Active, unrestricted State Registered Nursing (RN) license in good standing.

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred License, Certification, Association

Active, unrestricted Certified Case Manager (CCM)

Pay Range: $26.41 - $51.49 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Detail

• Company:
  Molina Healthcare

Job Description

Affinity by Molina Healthcare is hiring a Sr Healthcare Marketing & Communications Specialist .

Candidates for this role will be working remotely but must live in the New York Tri-State area.

This position works with internal business owners and external partners to create and edit materials for use with our internal stakeholders (Sales, Growth & Engagement, Retention etc..) along with our Members & Providers. This role will be responsible for creating audience-focused content that is clear and concise. The role will support member engagement and an improved member experience via our communications strategy.

The Sr Marketing & Communications Specialist is a facilitator who works with other departments to create and improve all company branded materials. The Specialist will write, edit, design, order and/or perform mailings of member and provider materials. This role requires someone with proven writing/editing experience, especially someone who can take dense or complex content and change how it's presented, based on the audience.

Managed Care Experience in this realm is HIGHLY desired.

HIGHLY PREFERRED EXPERIENCE INCLUDES THE FOLLOWING:

• Writing/editing background and/or Marketing background preferably with a degree in a communications or marketing related field

• Proven problem solving and critical thinking ability

• Experience working with multiple people and personalities

• Experience working on many projects at once (15-20+), with competing deadlines

• Self-motivated

• Proactive communicator

• Customer engagement experience, such as working with focus groups, surveys, social media, advertising, and/or customer analytics

• Audience-focused writing experience

• Competitor analysis and marketing data experience

KNOWLEDGE/SKILLS/ABILITIES

• Responsible for the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs.

• Leads in the writing, development and content creation for internal and external communications and marketing materials

• Edits, proofs, and reviews all communications produced by team members to meet the Molina tone, voice, and style requirements.

• Determines the production, ordering and distribution of communications, including print and promotional orders, external mailings, e-newsletters, and the publishing of web content, ensuring on-time production and distribution/delivery of materials

• Serves as a communication liaison to department leaders and the external vendor(s) on special projects and initiatives; proactively and routinely meets with department leaders to determine communication and content needs

• Identifies and addresses departmental process improvements and gaps

• Creates and updates policies and procedures, workflows, job aides and communication department training materials

• Directs regulatory approval of materials as required by state and federal requirements

• Leads in the on-boarding of new team members, develops a training schedule, and provides training and support.

• #LI-TR1

JOB QUALIFICATIONS

Required Education : Bachelor's Degree in communication, journalism, public relations or other related field or equivalent combination of education and work experience

Preferred Education : Master's Degree in marking, communication, journalism, public relations or other related field

Required Experience

• 3+ years marketing or communications experience

• 3+ years' experience writing or editing

• 2+ years' experience assisting with the management of communications projects

• 2+ year experience in Microsoft Office programs

Preferred Experience

• Medicaid and/or Managed Care experience

• Healthcare Marketing and/or Healthcare Writing experience

• Experience in Associated Press (AP) Style

• Experience with SharePoint or similar Intranet program

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Pay Range: $49,930 to $97,393 per year with actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Key Words: Marketing, marcom, marketing and communications, copywriter, healthcare marketing writing, marketing proposal writer, content marketing coordinator, communications, communication, writer, writing, healthcare, training materials, content, tone, voice, style, print, member materials, production, marketing materials, edit, proofs, mailings, e-newsletters, publish, publishing, web content, Adobe, AP, Associated Press Style, SharePoint, journalism, public relations, health care, health insurance, managed care, MCO, Medicaid, Medicare, health interpreter, adherence, advocacy, audience, audience focused, awareness, campaign, community-centered prevention, cultural competence, disparities, medical terminology, documentation, health literacy, risk communication,

#PJHPO

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

For this position we are seeking a Registered Nurse (RN) who lives in Michigan and must be licensed for the state of Michigan.

This position will support our MMP (Medicaid Medicare Population) that is part of the WAIVER team. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Local travel into our office may be required.

SOME TRAVEL in the field to do member visits in the surrounding areas will be required: Wayne County. Mileage will be reimbursed.

Schedule: Monday thru Friday 8:30AM to 5:00PM / 30-minute lunch break. We are looking for candidates who are flexible with work hours.

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes face-to-face comprehensive assessments of members per regulated timelines.

• Facilitates comprehensive waiver enrollment and disenrollment processes.

• Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

• Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.

• Assesses for medical necessity and authorize all appropriate waiver services.

• Evaluates covered benefits and advise appropriately regarding funding source.

• Conducts face-to-face or home visits as required.

• Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.

• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.

• Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.

• Identifies critical incidents and develops prevention plans to assure member's health and welfare.

• Provides consultation, recommendations and education as appropriate to non-RN case managers

• Works cases with members who have complex medical conditions and medication regimens

• Conducts medication reconciliation when needed.

• 50-75% travel required.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing

Required Experience

• At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.

• 1-3 years in case management, disease management, managed care or medical or behavioral health settings.

• Required License, Certification, Association

• Active, unrestricted State Registered Nursing license (RN) in good standing

• If field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

State Specific Requirements

Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

• 3-5 years in case management, disease management, managed care or medical or behavioral health settings.

• 1 year experience working with population who receive waiver services.

Preferred License, Certification, Association

Active and unrestricted Certified Case Manager (CCM)

Pay Range: $26.41 - $51.49 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

e is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $23.76 - $51.49 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.

• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

• Conducts face-to-face or home visits as required.

• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

• Maintains ongoing member case load for regular outreach and management.

• Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.

• Facilitates interdisciplinary care team meetings and informal ICT collaboration.

• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.

• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.

• 25- 40% local travel required.

• RNs provide consultation, recommendations and education as appropriate to non-RN case managers.

• RNs are assigned cases with members who have complex medical conditions and medication regimens

• RNs conduct medication reconciliation when needed.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Required Experience

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Required License, Certification, Association

Active, unrestricted State Registered Nursing (RN) license in good standing.

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred License, Certification, Association

Active, unrestricted Certified Case Manager (CCM)

Pay Range: $26.41 - $51.49 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Detail

• Company:
  Molina Healthcare

Job Description

Affinity by Molina Healthcare is hiring a Sr Healthcare Marketing & Communications Specialist .

Candidates for this role will be working remotely but must live in the New York Tri-State area.

This position works with internal business owners and external partners to create and edit materials for use with our internal stakeholders (Sales, Growth & Engagement, Retention etc..) along with our Members & Providers. This role will be responsible for creating audience-focused content that is clear and concise. The role will support member engagement and an improved member experience via our communications strategy.

The Sr Marketing & Communications Specialist is a facilitator who works with other departments to create and improve all company branded materials. The Specialist will write, edit, design, order and/or perform mailings of member and provider materials. This role requires someone with proven writing/editing experience, especially someone who can take dense or complex content and change how it's presented, based on the audience.

Managed Care Experience in this realm is HIGHLY desired.

HIGHLY PREFERRED EXPERIENCE INCLUDES THE FOLLOWING:

• Writing/editing background and/or Marketing background preferably with a degree in a communications or marketing related field

• Proven problem solving and critical thinking ability

• Experience working with multiple people and personalities

• Experience working on many projects at once (15-20+), with competing deadlines

• Self-motivated

• Proactive communicator

• Customer engagement experience, such as working with focus groups, surveys, social media, advertising, and/or customer analytics

• Audience-focused writing experience

• Competitor analysis and marketing data experience

KNOWLEDGE/SKILLS/ABILITIES

• Responsible for the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs.

• Leads in the writing, development and content creation for internal and external communications and marketing materials

• Edits, proofs, and reviews all communications produced by team members to meet the Molina tone, voice, and style requirements.

• Determines the production, ordering and distribution of communications, including print and promotional orders, external mailings, e-newsletters, and the publishing of web content, ensuring on-time production and distribution/delivery of materials

• Serves as a communication liaison to department leaders and the external vendor(s) on special projects and initiatives; proactively and routinely meets with department leaders to determine communication and content needs

• Identifies and addresses departmental process improvements and gaps

• Creates and updates policies and procedures, workflows, job aides and communication department training materials

• Directs regulatory approval of materials as required by state and federal requirements

• Leads in the on-boarding of new team members, develops a training schedule, and provides training and support.

• #LI-TR1

JOB QUALIFICATIONS

Required Education : Bachelor's Degree in communication, journalism, public relations or other related field or equivalent combination of education and work experience

Preferred Education : Master's Degree in marking, communication, journalism, public relations or other related field

Required Experience

• 3+ years marketing or communications experience

• 3+ years' experience writing or editing

• 2+ years' experience assisting with the management of communications projects

• 2+ year experience in Microsoft Office programs

Preferred Experience

• Medicaid and/or Managed Care experience

• Healthcare Marketing and/or Healthcare Writing experience

• Experience in Associated Press (AP) Style

• Experience with SharePoint or similar Intranet program

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Pay Range: $49,930 to $97,393 per year with actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Key Words: Marketing, marcom, marketing and communications, copywriter, healthcare marketing writing, marketing proposal writer, content marketing coordinator, communications, communication, writer, writing, healthcare, training materials, content, tone, voice, style, print, member materials, production, marketing materials, edit, proofs, mailings, e-newsletters, publish, publishing, web content, Adobe, AP, Associated Press Style, SharePoint, journalism, public relations, health care, health insurance, managed care, MCO, Medicaid, Medicare, health interpreter, adherence, advocacy, audience, audience focused, awareness, campaign, community-centered prevention, cultural competence, disparities, medical terminology, documentation, health literacy, risk communication,

#PJHPO

Job Detail

• Company:
  Molina Healthcare

Job Description

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.

• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

• Conducts face-to-face or home visits as required.

• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

• Maintains ongoing member case load for regular outreach and management.

• Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.

• Facilitates interdisciplinary care team meetings and informal ICT collaboration.

• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.

• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.

• 25- 40% local travel required.

• RNs provide consultation, recommendations and education as appropriate to non-RN case managers.

• RNs are assigned cases with members who have complex medical conditions and medication regimens

• RNs conduct medication reconciliation when needed.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Required Experience

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Required License, Certification, Association

Active, unrestricted State Registered Nursing (RN) license in good standing.

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred License, Certification, Association

Active, unrestricted Certified Case Manager (CCM)

Pay Range: $26.41 - $51.49 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Detail

• Company:
  Molina Healthcare

Job Description

*Remote and must live in Michigan*

Job Description

Job Summary

Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

Knowledge/Skills/Abilities

- In conjunction with the Director, Provider Contracts, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members.

- Prepares the provider contracts in concert with established company guidelines with physicians, hospitals, MLTSS and other health care providers.

- Assists in achieving annual savings through recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region.

- Utilizes standardized contract templates and Pay for Performance strategies.

- Utilizes established Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development of new reimbursement models in concert with Director.

- Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network Management on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements.

- Ensures compliance with applicable provider panel and network capacity, adequacy requirements and guidelines. Produces and monitors weekly/monthly reports to track and monitor compliance with network adequacy requirements.

- Develops and implements strategies to minimize the company's financial exposure. Monitors and adjusts strategy implementation as needed to achieve desire goals and reduce minimize the company's financial exposure..

Job Qualifications

Required Education

Bachelor's Degree in a related field (Business Administration, etc.,) or equivalent experience

Required Experience

5-7 years

Preferred Education

Graduate degree

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $73,101 - $142,549 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level

Pay Range: $65,791.66 - $142,548.59 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare

Job Description

Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. We are committed to providing excellent customer service to our members and providers. We have competitive benefits along with a clear career path to allow growth within 6-8 months. This role is a remote position and salary will be based on experience you bring to Molina!

Molina is a fast-pace, energetic organization and is committed to caring for our customers. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences

JOB DESCRIPTION

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

KNOWLEDGE/SKILLS/ABILITIES

• Support Inbound/Outbound phone calls from Members or Providers on routine or simple issues.

• Conduct varies surveys related to health assessments and member satisfaction.

• Accurately document pertinent details related to Member or Provider calls.

• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.

• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.

• Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.

• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.

• Able to proactively engage and collaborate with varies Internal/ External departments.

• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.

• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

• Ability to effectively communicate in a professionally setting.

Preferred Systems Training:

• Microsoft Office

• Genesys

• Salesforce

• Pega

• QNXT

• CRM

• Verint

• Kronos

• Microsoft Teams

• Video Conferencing

• CVS Caremark

• Availity

JOB QUALIFICATIONS

REQUIRED EDUCATION:

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE:

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION:

Associate's Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

1-3 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJCC

#LI-BEMORE

Pay Range: $11.09 - $24.02 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Detail

• Company:
  Molina Healthcare