Director, Member Services - Remote (Medicare SME)
Molina Healthcare Arizona; Texas; Utah; Washington; Wisconsin; Florida; Georgia; Idaho; Iowa; Kentucky; Michigan; Nebraska; New Mexico; Ohio; New York Job ID 2028681Job Description
Job Summary
Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member relationships. Recommends and implements programs to support member needs
Knowledge/Skills/Abilities
Provides leadership and oversight for the Member and Provider Contact Center to ensure stellar service is delivered according to Molina policies and procedures. Responsible for the overall results of their site or location. Directly supervises contact center managers and supervisors to support servicing of members and providers. Responsible for ensuring teams deliver effective customer service for all service needs including benefits, claims, billing inquiries, service requests, suggestions and complaints. Directly and through team members resolves both member and provider inquiries and complaints fairly and effectively. Provides direction and coordination to deliver accurate product and service information to members and providers, and identifies opportunities to increase membership by improving our member and provider experience. Recommends and implements programs to support member and provider needs. Works within a matrix environment with dotted line relationships across multiple lines of business.
• Sets a positive example for others and builds our Molina culture by modeling our vision and values in their daily actions.
• Dynamic leadership for Contact Center management team and agents.
• Strong leader, ability to develop teams focused on delivering great healthcare service to a population that has often been underserved.
• Directs and coordinates all aspects of Member and Provider Contact Center operations through partnerships with other teams and departments, as well as development of their own team.
• Meets and exceeds department KPI's including productivity and service quality goals. Implements strategies to meet/exceed goals.
• Drives process improvements to ensure performance standard goals including quality goals are met
• Participates in audits including state, federal, internal, NCQA and HEDIS as applicable
• Provides exemplary customer service to all customers including our members, co-workers, vendors, providers, government agencies, business partners and the general public..
Job Qualifications
Required Education
Graduate Degree or equivalent combination of education and experience
Required Experience
7+ years Contact Center Management. Proven leadership success within medium-large contact centers managing multiple people managers. Ability to work within matrix environment with dotted line responsibilities. Strong collaboration and communication skills.
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
10+ years experience in the Healthcare industry.
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.
#PJCC
#LI-AC1
Pay Range: $97,299 - $227,679 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
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. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 12/06/2024ABOUT OUR LOCATION
View Map- Medical Economics Consultant (Medicare) - REMOTE Arizona, Bellevue Washington, Madison Wisconsin, Georgia, Iowa, Nebraska, Phoenix Arizona, Mesa Arizona, Orlando Florida, St. Petersburg Florida, Detroit Michigan, Las Cruces New Mexico, Santa Fe New Mexico, Rochester New York, Columbus Ohio, Austin Texas, Fort Worth Texas, Seattle Washington, Tacoma Washington, Racine Wisconsin, Florida, Idaho, Utah, Wisconsin, Atlanta Georgia, Savannah Georgia, Nampa Idaho, Cedar Rapids Iowa, Davenport Iowa, Sterling Heights Michigan, Ann Arbor Michigan, Roswell New Mexico, Yonkers New York, Milwaukee Wisconsin, Tucson Arizona, Miami Florida, Boise Idaho, Des Moines Iowa, Sioux City Iowa, Iowa City Iowa, Albuquerque New Mexico, New York New York, Syracuse New York, Provo Utah, Michigan, Scottsdale Arizona, Jacksonville Florida, Columbus Georgia, Kearney Nebraska, Houston Texas, Layton Utah, Spokane Washington, Kenosha Wisconsin, Bowling Green Kentucky, Owensboro Kentucky, Lincoln Nebraska, Cleveland Ohio, Green Bay Wisconsin, Kentucky, Texas, Chandler Arizona, Augusta Georgia, Idaho Falls Idaho, Caldwell Idaho, Covington Kentucky, Bellevue Nebraska, Rio Rancho New Mexico, Orem Utah, New York, Ohio, Tampa Florida, Macon Georgia, Lexington-Fayette Kentucky, Grand Rapids Michigan, Omaha Nebraska, Buffalo New York, Cincinnati Ohio, Akron Ohio, Salt Lake City Utah, Vancouver Washington, New Mexico, Washington, Meridian Idaho, Louisville Kentucky, Warren Michigan, Grand Island Nebraska, Dayton Ohio, Dallas Texas, West Valley City Utah, San Antonio Texas 01/06/2025
- Medical Claim Review Nurse (RN) Arizona, Texas, Augusta Georgia, Nampa Idaho, Davenport Iowa, Lincoln Nebraska, Buffalo New York, New York, Ohio, Phoenix Arizona, Orlando Florida, Louisville Kentucky, Lexington-Fayette Kentucky, Bowling Green Kentucky, Yonkers New York, Cincinnati Ohio, Madison Wisconsin, Wisconsin, St. Petersburg Florida, Meridian Idaho, Ann Arbor Michigan, Bellevue Nebraska, Las Cruces New Mexico, Roswell New Mexico, New York New York, Akron Ohio, Houston Texas, Georgia, Idaho, Tucson Arizona, Chandler Arizona, Macon Georgia, Cedar Rapids Iowa, Grand Rapids Michigan, Sterling Heights Michigan, Rio Rancho New Mexico, Rochester New York, Cleveland Ohio, Dayton Ohio, Fort Worth Texas, Salt Lake City Utah, Provo Utah, Orem Utah, Layton Utah, Vancouver Washington, Kentucky, Michigan, Milwaukee Wisconsin, Scottsdale Arizona, Boise Idaho, Des Moines Iowa, Sioux City Iowa, Detroit Michigan, Warren Michigan, Omaha Nebraska, Kearney Nebraska, Dallas Texas, Bellevue Washington, Nebraska, New Mexico, Racine Wisconsin, Utah, Tampa Florida, Atlanta Georgia, Covington Kentucky, Albuquerque New Mexico, San Antonio Texas, Austin Texas, Iowa, Tacoma Washington, Green Bay Wisconsin, Kenosha Wisconsin, Washington, Miami Florida, Columbus Georgia, Savannah Georgia, Owensboro Kentucky, Santa Fe New Mexico, Columbus Ohio, West Valley City Utah, Seattle Washington, Mesa Arizona, Jacksonville Florida, Idaho Falls Idaho, Caldwell Idaho, Iowa City Iowa, Grand Island Nebraska, Syracuse New York, Florida, Spokane Washington 01/13/2025
- Specialist, Appeals & Grievances Arizona, Roswell New Mexico, Florida, Georgia, Buffalo New York, Syracuse New York, Wisconsin, Akron Ohio, Vancouver Washington, Kenosha Wisconsin, Phoenix Arizona, Tucson Arizona, Mesa Arizona, Atlanta Georgia, Meridian Idaho, Idaho Falls Idaho, Warren Michigan, Sterling Heights Michigan, Ann Arbor Michigan, Michigan, New York New York, Houston Texas, West Valley City Utah, Madison Wisconsin, Chandler Arizona, St. Petersburg Florida, Savannah Georgia, Boise Idaho, Des Moines Iowa, Lincoln Nebraska, Santa Fe New Mexico, Columbus Ohio, Washington, Cleveland Ohio, Fort Worth Texas, Spokane Washington, Tacoma Washington, Orlando Florida, Davenport Iowa, Lexington-Fayette Kentucky, Covington Kentucky, Kearney Nebraska, Rio Rancho New Mexico, Nebraska, New York, Dayton Ohio, Layton Utah, Green Bay Wisconsin, Tampa Florida, Augusta Georgia, Caldwell Idaho, Bowling Green Kentucky, Owensboro Kentucky, Idaho, Kentucky, New Mexico, Ohio, Texas, Austin Texas, Salt Lake City Utah, Bellevue Washington, Racine Wisconsin, Macon Georgia, Sioux City Iowa, Detroit Michigan, Bellevue Nebraska, Iowa, Rochester New York, Utah, Cincinnati Ohio, Provo Utah, Seattle Washington, Scottsdale Arizona, Jacksonville Florida, Cedar Rapids Iowa, Iowa City Iowa, Grand Rapids Michigan, Omaha Nebraska, Grand Island Nebraska, Albuquerque New Mexico, Yonkers New York, Dallas Texas, Columbus Georgia, Nampa Idaho, Las Cruces New Mexico, San Antonio Texas, Orem Utah, Milwaukee Wisconsin, Miami Florida, Louisville Kentucky 01/08/2025
- Lead Finance Analyst (FP&A/G&A) - REMOTE Arizona, Michigan, Georgia, Idaho, Iowa, Ohio, Utah, Florida, Kentucky, New Mexico, Texas, Wisconsin, Nebraska, New York, Washington 11/13/2024
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs