Member & Provider Support Specialist II

Molina Healthcare; Jackson (MS); On-site; USD 30,000 - 41,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is hiring for a Level II support center role to assist members and providers across Medicaid, Medicare and Marketplace lines. You will resolve issues, provide product and service information, and support member/provider engagement and retention.

Responsibilities include documenting calls, ensuring quality service, and escalating when necessary. The role requires HIPAA compliance and a strong focus on customer service excellence.

Qualifications

• At least 1 year of customer service/call center experience in a fast-paced/high-volume environment.
• Data processing experience.
• Attention to detail, organizational and time-management skills.

Responsibilities

• Provide level II support to members and providers across multiple channels (phone, chat, email).
• Document calls across platforms and ensure timely follow-ups.
• Research benefits, claims, eligibility and provider portal inquiries for resolution.
• Maintain first-call resolution where possible and escalate when needed.
• Work scheduled Molina hours and handle overtime/weekends as required.
• Collaborate with internal/external stakeholders to improve member/provider experience.

Skills

Customer service

Communication

Attention to detail

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare is hiring for a Level II support center role to assist members and providers across Medicaid, Medicare and Marketplace lines. You will resolve issues, provide product and service information, and support member/provider engagement and retention.

Responsibilities include documenting calls, ensuring quality service, and escalating when necessary. The role requires HIPAA compliance and a strong focus on customer service excellence.