Specialist, Market Growth & Retention - Bilingual Spanish Required (Remote in New York)

Job Posting

Provide prospective and existing members with assistance completing state required applications, for the purpose of obtaining and maintaining healthcare coverage, and accurate information for eligibility for Medicaid, CHP and Essential Plan. Provide non-clinical reminders and assist as needed with resolving issues, scheduling appointments, conducting outreach to ensure member satisfaction, retention initiatives and quality metrics are met.

Job Duties :

• Pro-actively facilitate outreach to Molina members regarding their upcoming recertification with the state and healthplan.
• Management of individual State dashboards required.
• Assist and resolve complex member issues related to application errors, immigration status, multi-family enrollment, premiums, eligibility.
• Provide non-clinical reminders.
• Facilitate the closure of at-risk care gaps, scheduling appointments, conducting outreach to appropriate State entities, direct toward available resources and care management opportunities.
• Responsible for promoting and increasing member enrollments into plan programs.
• Assist Medicaid Members in contacting their social worker regarding eligibility issues and follow-up with members.
• Conduct outreach to retain members that have been identified as late renewals, post terms and potential disenrollments.
• Accurately and timely documentation of outreach in the appropriate databases.
• Collaborate with the leadership team to provide feedback, trends and insights for areas of opportunity for improvement.
• Access a number of organizational based platforms and tools for the purpose of inputting and outputting data.
• Attend and assist with in-person community based member retention events.
• Maintain appropriate certifications and quality scores in compliance with the State and Molina Healthcare.
• Some in office trainings, meetings and field work required.

Job Qualifications :

REQUIRED EDUCATION : High School Diploma or equivalent.

REQUIRED EXPERIENCE / KNOWLEDGE, SKILLS & ABILITIES :

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION :

PREFERRED EDUCATION : Associate's Degree or equivalent combination of education and experience.

PREFERRED EXPERIENCE : 3-5 years customer service experience in a call center environment.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $16.5 - $38.37 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.