Member & Provider Support Specialist II

Molina Healthcare Inc; United States; Sur place; USD 40 000 - 56 000; Plein temps

Résumé du poste

Molina Healthcare in the United States seeks a customer service specialist to provide level II support for members and providers across Medicaid, Medicare and Marketplace lines, resolving issues and supporting quality improvement initiatives.

You will handle multi‑channel inquiries (phone, chat, email, Teams), document interactions, protect HIPAA privacy, and strive to meet key performance goals including first-call resolution and accuracy.

Qualifications

• 1 year or more of customer service experience in a fast-paced/high-volume environment.
• Strong customer service skills and experience handling multiple channels.
• Data processing experience and attention to detail.
• Ability to maintain confidentiality and comply with HIPAA.
• Effective verbal and written communication skills.

Responsabilités

• Provide level II support to Molina members and providers via multiple channels.
• Document calls accurately across platforms and maintain records.
• Resolve issues with a focus on customer experience and retention.
• Meet or exceed performance goals (call quality, attendance, adherence).
• Collaborate with internal/external stakeholders and escalate as needed.

Connaissances

Customer service

Data processing

Attention to detail

Communication skills

HIPAA compliance

Outils

Microsoft Office

Description du poste

Molina Healthcare in the United States seeks a customer service specialist to provide level II support for members and providers across Medicaid, Medicare and Marketplace lines, resolving issues and supporting quality improvement initiatives.

You will handle multi‑channel inquiries (phone, chat, email, Teams), document interactions, protect HIPAA privacy, and strive to meet key performance goals including first-call resolution and accuracy.