Senior Member & Provider Support Specialist

Molina Healthcare; United States; Remote; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Level III contact center specialist to provide exceptional service to members and providers across multiple states. You will resolve issues, document interactions, and support engagement initiatives within a fast-paced environment.

Ideal candidates have at least 2 years in a high-volume customer service setting, with knowledge of Medicaid/Medicare and Marketplace enrollment, and strong communication skills. Microsoft Office proficiency is required.

Qualifications

• At least 2 years of customer service or call center experience.
• Knowledge of Medicaid, Medicare and Marketplace enrollment.
• Strong research skills while maintaining clear conversations with customers.
• Data processing experience.
• HIPAA confidentiality and professional standards.
• Proficient in Microsoft Office and related software.

Responsibilities

• Provide level III support to Molina members and providers via phone, chat, or email.
• Document all member and provider communications accurately.
• Handle escalated calls on behalf of leadership.
• Support scheduled shifts within Molina hours; accommodate overtime/weekends as needed.
• Identify opportunities to improve member/provider engagement and retention.
• Assist training and support to new and existing support center representatives.
• Respond to inquiries about eligibility, benefits, claims, premiums, authorizations, and credentialing.
• Gather information to evaluate options and resolve issues.

Tools

Genesys

Salesforce

Pega

QNXT

CRM

Job description

Molina Healthcare is seeking a Level III contact center specialist to provide exceptional service to members and providers across multiple states. You will resolve issues, document interactions, and support engagement initiatives within a fast-paced environment.

Ideal candidates have at least 2 years in a high-volume customer service setting, with knowledge of Medicaid/Medicare and Marketplace enrollment, and strong communication skills. Microsoft Office proficiency is required.