Specialist, Medicare Member Engagement

Ideal Candidate will reside in the Pacific Time Zone and must be able to work a 5:30am – 2:30pm PST shift.  Bilingual Spanish Preferred.
Job Summary

Responsible for continuous quality improvements regarding member engagement and member
retention. Represents Member issues in areas involving member impact and engagement including:
New Member Onboarding, member plan benefits education, and the development/maintenance
of Member Materials.

Knowledge/Skills/Abilities

• Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options and how to use their new plan benefits.
• Serve as the member’s navigator during the onboarding process and address any plan questions and anticipate any issues that may arise. Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member’s area of interest/needs; and follow up with member to ensure needs are met and member is having a positive plan experience.  Develop relationship with member to be the go-to person with any future issues or questions.  
• Log all contacts in a database.
• Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed.
• Participates in regular member benefits training with health plan, including the member advocate/engagement role.

Job Qualifications

REQUIRED EDUCATION:

High School diploma.

REQUIRED EXPERIENCE:

2 years experience in customer service, consumer advocacy, and/or health care systems. Experience

conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager.  Basic understanding of managed healthcare systems and Medicare.

PREFERRED EDUCATION:

Associate's or Bachelor's Degree in Social Work, Human Services, or related field.

PREFERRED EXPERIENCE:

2 years experience in customer service, consumer advocacy, and/or health care systems. Experience

conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager.  Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP.

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is

generally performed in an office environment in which there is only minimal exposure to unpleasant

and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable

accommodations may be made to enable individuals with disabilities to perform the essential function.

Pay Range: $14.90 - $29.06 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

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.