Member & Provider Support Specialist II

Molina Healthcare; Cedar Rapids (IA); On-site; USD 30,000 - 42,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Level II customer service specialist to support members and providers across Medicaid, Medicare, and Marketplace lines. You will resolve inquiries, document interactions, and collaborate with stakeholders to improve experience and retention.

The role requires strong communication, confidentiality, and the ability to handle high-volume tasks while meeting performance metrics.

Qualifications

• At least 1 year of customer service in a fast-paced/high-volume environment.
• Data processing experience.
• Attention to detail and strong organizational skills.
• Effective verbal and written communication; ability to maintain confidentiality (HIPAA).
• Proficiency with Microsoft Office and related software.

Responsibilities

• Provide level II support across channels (phone, chat, email) for Molina members and providers.
• Document calls accurately across platforms.
• Resolve member/provider inquiries related to benefits, claims, premiums, portals, and eligibility.
• Escalate issues based on urgency and policy; meet performance goals (call quality, attendance).
• Collaborate with internal/external stakeholders and maintain timely follow-up.

Skills

Customer service

Data processing

Attention to detail

Time management

Verbal and written communication

HIPAA compliance

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare is seeking a Level II customer service specialist to support members and providers across Medicaid, Medicare, and Marketplace lines. You will resolve inquiries, document interactions, and collaborate with stakeholders to improve experience and retention.

The role requires strong communication, confidentiality, and the ability to handle high-volume tasks while meeting performance metrics.