Specialist, Market Growth & Retention
New
M
Molina HealthcareHealthcare coverage
Remote in NYFull-TimeJunior
Salary not disclosed
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Job Details
- Experience
- At least 2 years of customer service experience, preferably in a call center/health care environment, or equivalent combination of relevant education and experience.
- Required Skills
- Microsoft OfficeCustomer service
Requirements
- At least 2 years of customer service experience, preferably in a call center or health care environment, or an equivalent combination of relevant education and experience.
- Strong customer service acumen.
- 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.
- Proficiency with Microsoft Office suite or applicable software programs.
- For New York: Certified Application Counselor (CAC) certification or ability to obtain it within 60 days of hire.
Responsibilities
- Facilitate outreach to members regarding upcoming state or health-plan recertification.
- Educate members on processes, qualifications, and required documentation, and complete applications and submissions to the state.
- Resolve member issues related to application errors, immigration status, multi-family enrollment, premiums, and eligibility.
- Manage individual state dashboards and handle inbound member calls.
- Provide member reminders and information about products, premiums, care gaps, and engagement events.
- Schedule appointments, conduct outreach to state entities, and direct members to resources and care management opportunities.
- Promote enrollment in plan programs and follow up with members on eligibility issues when permitted by the member’s state.
- Contact members with late renewals, post terms, or potential disenrollments and explain next steps and required paperwork.
- Document outreach and member care and renewal status in appropriate databases and platforms.
- Attend community-based retention events and assist with in-person renewals, eligibility issues, application updates, and paperwork.
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