Lead, Support Center - Remote

Molina Healthcare
Long Beach, United States of America
1 month ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Working hours
Regular working hours
Languages
English
Experience level
Senior
Compensation
$ 66K

Job location

Long Beach, United States of America

Tech stack

Microsoft Office
Salesforce
Pega
Data Processing
Genesys
Marketplace
QNXT

Job description

  • Manages and resolves complex member/provider support center issues; effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow-through to closure.
  • Collaborates with peers, leadership, and other departments to resolve member/provider issues in an effective and timely manner.
  • Provides technical expertise to co-workers and handles elevated escalations; provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to: phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business.
  • Provides exemplary customer service to customers including members, providers, co-workers, vendors, providers, government agencies, business partners, and the general public.
  • Assists representatives with questions and escalated support center communication channels across multiple states and/or products; recognizes trends and patterns in call types and engages leadership with suggested solutions.
  • Accurately documents all support center communication channels.
  • Achieves individual performance goals as it relates to support center objectives.
  • Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations.
  • Provides training, mentoring, and support to new and existing support center representatives.

Requirements

  • At least 4 years of customer service, call center and/or sales experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience.
  • Understanding of insurance products including Medicaid, Medicare and Marketplace/enrollment processes.
  • Customer service skills, including ability to conduct thorough research while maintaining coherent conversation with customers.
  • Data processing experience.
  • Attention to detail, organizational and time-management skills, and ability to manage simultaneous tasks to meet business needs.
  • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
  • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
  • Effective verbal and written communication skills.
  • Proficiency in Microsoft Office suite and applicable software programs.

Preferred Qualifications

  • Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity.
  • Call center experience.
  • Managed care/health care experience.
  • Broker/health insurance license.

Benefits & conditions

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $14.76 - $31.97 / HOURLY

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