Specialist, Member Engagement

About the role

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Responsibilities

• Provides direct telephonic assistance to members and/or member family members seeking to resolve issues or complaints;
• Serves as an advocate in collaboration with providers, regulatory agencies, outside agencies, colleagues and other functional departments as appropriate;
• Educates members on covered services available, including preventive services;
• Collaborates with the care management team to support resolution of member issues/concerns; ensures that trends are identified and solutions outlined;
• Conducts focus groups in service delivery area as needed to ensure member needs are being addressed;
• Supports ongoing member advocacy training and disseminates member advocacy educational materials to internal staff, providers, and subcontractors.

Requirements

• At least 2 years of experience in member services, member outreach, community engagement, consumer advocacy, and/or customer service —preferably in a managed care or health care setting, or equivalent combination of relevant education and experience.
• Effective interpersonal skills, with a customer-first mindset.
• Experience conducting intake, interviews, and/or research of consumer or provider issues.
• Basic understanding of managed health care systems and behavioral health issues.
• Ability to work both independently and as part of a team in a fast-paced environment.
• Ability to assess needs and make thoughtful decisions to support members.
• Time-management and organizational skills.
• Ability to work cross-functionally within a highly matrixed organization.
• Effective verbal and written communication skills, and professional telephone etiquette skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Qualifications

• At least 2 years of experience in member services, member outreach, community engagement, consumer advocacy, and/or customer service —preferably in a managed care or health care setting, or equivalent combination of relevant education and experience.
• Effective interpersonal skills, with a customer-first mindset.
• Experience conducting intake, interviews, and/or research of consumer or provider issues.
• Basic understanding of managed health care systems and behavioral health issues.
• Ability to work both independently and as part of a team in a fast-paced environment.
• Ability to assess needs and make thoughtful decisions to support members.
• Time-management and organizational skills.
• Ability to work cross-functionally within a highly matrixed organization.
• Effective verbal and written communication skills, and professional telephone etiquette skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Skills

• Call center experience.
• Managed care experience.

Benefits

• Molina Healthcare offers a competitive benefits and compensation package.

Pay

Pay Range: $14.9 - $22.5 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Schedule

Full Time