All roles

Rep, Customer Experience (Must reside in OH)

Remote · USA Full-time New today

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!

Related roles

Licensed Property & Casualty/Personal Lines Insurance Producer

Remote · USA Full-time

Patient Accounts Resolution Representative - Remote MN or WI

Remote · USA Full-time

Senior IT Ops System Adm

Remote · USA Full-time

Software Architect

Remote · USA Full-time

Entry Level Full Stack/Java Developer(REMOTE)

Remote · USA Full-time

Analyst III - Regulatory Affairs

Remote · USA Full-time

Programmer Analyst

Remote · USA Full-time

QC Engineer (Manual + Automation)

Remote · USA Full-time

Claims Adjuster Attorney Represented Injury

Remote · USA Full-time

SIU Investigator (Part-Time)

Remote · USA Full-time

Delivery driver | Secaucus, NJ

Remote · USA Full-time

Patient Care Pharmacist (Evening Shift/Work from home)

Remote · USA Full-time

[Remote] AI Engineer

Remote · USA Full-time

Experienced Part-Time Remote Data Entry Specialist – Organizational Efficiency and Data Management for Disney Projects

Remote · USA Full-time

Benefit Fair Representative - Seasonal Part-Time

Remote · USA Full-time

Experienced Remote Customer Support Agent – Deliver Exceptional Service Experience at arenaflex

Remote · USA Full-time

Remote Customer Service Representative – Pet‑Care Specialist & E‑Commerce Support at arenaflex

Remote · USA Full-time

Senior Software Engineer | Cloud

Remote · USA Full-time

Experienced Part-Time Customer Service Representative – Delivering Exceptional Experiences for arenaflex Customers

Remote · USA Full-time

Experienced Receptionist/Customer Service Representative – Front Desk Support & Client Liaison

Remote · USA Full-time