Specialist, Member Engagement
New
M
Molina HealthcareHealthcare Administration
Remote must be in OhioFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 2 years experience in either customer service, consumer advocacy, project management, or core operations.
- Required Skills
- Project ManagementMicrosoft ExcelMicrosoft OfficeProblem SolvingCustomer serviceCritical thinking
Requirements
- High School diploma.
- 2 years of experience in customer service, consumer advocacy, project management, or core operations.
- Experience tracking and reporting on data in Excel and Smartsheet.
- Basic understanding of managed care.
- Proficiency with Microsoft Suite programs (Word, Excel, PowerPoint, Outlook, OneNote, Teams).
- Proofreading ability.
- Critical thinking, problem-solving, and independent work skills.
- Must have a valid driver's license with a good driving record.
- Ability to drive within the state of Ohio with reliable transportation.
Responsibilities
- Act as an advocate for members and a subject matter expert regarding extra benefits and covered services.
- Oversee, track, and report on value-added benefits for Medicaid and MyCare Ohio.
- Investigate member complaints related to value-added benefits in collaboration with Appeals & Grievances and Medicare teams.
- Facilitate and attend workgroups at health plan and enterprise levels.
- Draft external-facing print materials and website content regarding benefits.
- Present findings and member perspectives in cross-functional forums and to external regulators.
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