JOB DESCRIPTION

Job Summary

Responsible for continuous quality improvements regarding member engagement and member retention.  Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the development/maintenance of Member Materials. 

KNOWLEDGE/SKILLS/ABILITIES

• Under general direction, identifies and initiates continuous quality improvements regarding member engagement and member retention.
• Manages and develops a team focused on meeting or exceeding established performance targets.  Targets may be based upon plans, federal or state requirements as dictated.
• Proactively plans for daily priorities as well as responds to new priorities within the organization and opportunities assigned from upper management.
• Collaborates with operational areas involving member impact and engagement including:  Appeals and Grievances, Member Inquiry Research and Resolution, and development/maintenance of Health Plan and, specifically, Member Materials.
• May serve as liaison from Health Plan to the Contact Center and Enrollment/Membership Accounting in the absence of director.
• May serve as liaison from Health Plan to Medicare Appeals and Grievances and Medicare/MMP Member Materials in absence of the director.
• Represents Member issues on the Plan's Senior Leadership Team.

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Education

Graduate degree or equivalent combination of education and experience

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.

Pay Range: $66,456 - $155,508 / 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.