Member & Provider Support Specialist II

Molina Healthcare; Vicksburg (MS); On-site; USD 22,000 - 36,000; Full time

Job summary

Molina Healthcare seeks a level II support center specialist to deliver customer service excellence for members and providers across Medicaid, Medicare and Marketplace lines. You will document interactions, resolve issues, and support quality improvement while maintaining HIPAA compliance.

You will handle calls, chats, and emails, build rapport, and strive for first-call resolution across multiple lines of business, ensuring timely follow-up and escalation when needed.

Qualifications

• At least 1 year of customer service or call center experience.
• Strong data processing and organizational skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Effective verbal and written communication abilities.
• Proficiency in Microsoft Office and related software.

Responsibilities

• Provide level II support center customer service across channels (phone, chat, email) for Medicaid, Medicare and Marketplace lines.
• Resolve member/provider issues, document interactions, and escalate when needed.
• Support process improvements and retention efforts for member/provider engagement.
• Meet performance goals for call quality, attendance, and resolution.
• Collaborate with internal/external stakeholders and ensure timely follow-up.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Communication skills

Microsoft Office

Team collaboration

Tools

Microsoft Office Suite

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Availity

Video conferencing

Job description

Molina Healthcare seeks a level II support center specialist to deliver customer service excellence for members and providers across Medicaid, Medicare and Marketplace lines. You will document interactions, resolve issues, and support quality improvement while maintaining HIPAA compliance.

You will handle calls, chats, and emails, build rapport, and strive for first-call resolution across multiple lines of business, ensuring timely follow-up and escalation when needed.