See all roles

Rep, Customer Experience (Must reside in OH)

Work from home Full-time role Hiring

JOB DESCRIPTION Job Summary Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences. Job Duties • Provide service support to members and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but not limited to, phone, chat, email, and off phone work supporting our Medicaid, Medicare and/or Marketplace business. • Conduct varies surveys related to health assessments and member/provider satisfaction. • Accurately document pertinent details related to Member or Provider inquiries. • Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed. • Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations. • Aptitude to listen attentively, capture relevant information, and identify Member or Provider’s inquiries and concerns. • Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives. • Able to proactively engage and collaborate with varies Internal/ External departments. • Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider. • Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims. • Ability to effectively communicate in a professionally setting. Job Qualifications REQUIRED EDUCATION: HS Diploma or equivalent combination of education and experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment 1 year of healthcare knowledge such as Medicare/Medicaid PREFERRED EDUCATION: Associate’s Degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 1-3 years experience in the listed below: • Preferred Systems Training: • Microsoft Office • Genesys • Salesforce • Pega • QNXT • CRM • Verint • Kronos • Microsoft Teams • Video Conferencing • CVS Caremark • Availity Training: Must have 100% attendance for 4 weeks in training starting from April 28, 2025 - May 23, 2025. Nesting will be for 2 weeks then the schedules will be closing shifts ending at 8pm EST. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Apply Job!

You might like

Licensed Property & Casualty/Personal Lines Insurance Producer

Work from home Full-time role

Patient Accounts Resolution Representative - Remote MN or WI

Work from home Full-time role

Senior IT Ops System Adm

Work from home Full-time role

Software Architect

Work from home Full-time role

Entry Level Full Stack/Java Developer(REMOTE)

Work from home Full-time role

Analyst III - Regulatory Affairs

Work from home Full-time role

Programmer Analyst

Work from home Full-time role

QC Engineer (Manual + Automation)

Work from home Full-time role

Claims Adjuster Attorney Represented Injury

Work from home Full-time role

SIU Investigator (Part-Time)

Work from home Full-time role

Experienced Home Health Licensed Practical Nurse - Full Time Opportunity with Competitive Salary and Comprehensive Benefits in Bayville, NY

Work from home Full-time role

Experienced Entry-Level Data Entry Specialist – Remote Opportunity at arenaflex

Work from home Full-time role

Experienced Part-Time Customer Service Representative – Delivering Exceptional Healthcare Support at blithequark

Work from home Full-time role

Network Software Development QA Specialist

Work from home Full-time role

Korean Translator – AI Trainer

Work from home Full-time role

Experienced Part-Time Center Associate – Retail Operations and Customer Service Excellence at The UPS Store #6346 in Colorado Springs, CO

Work from home Full-time role

Utilization Review Clinician - ABA

Work from home Full-time role

Retail Sales Associate - Part-time

Work from home Full-time role

Tagger Jobs, Netflix, Jobs With Netflix, Netflix Careers Work From…

Work from home Full-time role

Senior Fullstack Engineer (Remote, United Kingdom)

Work from home Full-time role