Health Plan Member & Provider Support Specialist II

Molina Healthcare; Albuquerque (NM); On-site; USD 21,000 - 36,000; Full time

Job summary

Molina Healthcare in Albuquerque, NM is seeking a level II service center associate to provide customer service excellence to Molina members and providers across multiple states and products. You will handle inquiries via phone, chat, and email, document interactions, support Medicaid, Medicare and Marketplace lines, and strive for first contact resolution.

The role emphasizes empathy, accuracy, and process improvement, with attention to confidentiality and HIPAA, frequent teamwork with internal

Qualifications

• At least 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• HIPAA confidentiality compliance.
• Effective verbal and written communication.
• Proficiency in Microsoft Office suite.

Responsibilities

• Provides service support to members and/or providers via phone, chat and email.
• Documents interactions across multiple platforms accurately.
• Supports Medicaid, Medicare and Marketplace lines of business.
• Resolves issues with focus on member/provider engagement and retention.
• Demonstrates first call resolution and empathetic responsiveness.
• Escalates issues with appropriate urgency and follows up.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal/written communication

Microsoft Office

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare in Albuquerque, NM is seeking a level II service center associate to provide customer service excellence to Molina members and providers across multiple states and products. You will handle inquiries via phone, chat, and email, document interactions, support Medicaid, Medicare and Marketplace lines, and strive for first contact resolution.

The role emphasizes empathy, accuracy, and process improvement, with attention to confidentiality and HIPAA, frequent teamwork with internal