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Specialist, Market Growth Retention (Remote in NY) - Bilingual Spanish and / or Russian Required

100% remote Flexible hours Hiring now

divh2Job Posting / h2pBilingual Spanish and / or Russian Required. Written / Verbal / pp3 weeks of Remote Training : Monday-Friday : 9 : 00am 5 : 30 pm EST / pp3 weeks of in Office Training : Monday-Friday : 9 : 00am 5 : 30 pm EST Flatbush CSC 857 Flatbush Ave. Brooklyn, NY 11226 / ppShift : Monday - Friday 9 : 30am - 6 : 00pm EST / ph3Job Summary / h3pProvide prospective and existing members with assistance (telephonically inbound and outbound) 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 (i.e.; product overviews, premiums, gaps in care, care management, member engagement events etc..) and assist as needed with resolving issues, scheduling appointments, conducting outreach to appropriate State entities and resources to ensure member satisfaction, retention initiatives and quality metrics are met. / ph3Job Duties / h3ulliPro-actively facilitate outreach (and handle inbound calls) to Molina members regarding their upcoming recertification with the state and healthplan. Educating members on process, qualifications, necessary documentation needed etc; while completeing the required applications and submissions to the State. / liliManagement of individual State dashboards required / liliAssist and resolve complex member issues related to application errors, immigration status, multi-family enrollment, premiums, eligibility; etc. / liliProvide non-clinical reminders (i.e. product overviews, premiums, gaps in care, member engagement events etc.) / liliFacilitate the closure of at-risk care gaps, scheduling appointments, conducting outreach to appropriate State entities, direct toward available resources and care management opportunities; to ensure member satisfaction, retention, and drive plan quality performance. / liliResponsible for promoting and increasing member enrollments into plan programs (i.e.; Member portal, Rewards Program, etc.) / liliAssists Medicaid Members in contacting their social worker regarding eligibility issues and follow-up with members to ensure follow through, if allowed by the members respective state. / liliConduct outreach to retain members that have been identified as late renewals, post terms and potential disenrollments, assist and educate members on next steps and required paperwork. / liliAccurately and timely documentation of outreach in the appropriate databases. / liliCollaborate with the leadership team to provide feedback, trends and insights for areas of opportunity for improvement related to technology, process, people, retention and member experience. / liliAccess a number of organizational based platforms and tools for the purpose of inputting and outputting data, related to documenting member care, status, renewal status etc. (such as : Salesforce, CCA, Sharepoint, Excel, Genesys etc) / liliAttend and assist with in-person community based member retention events / liliPlacement in demonstrated high foot traffic locations, to assist with member in-person interactions may be required. Assist with in-person renewals, eligibility issues, application updates, submission of paperwork etc.. / liliMaintain appropriate certifications and quality scores in compliance with the State and Molina Healthcare. / liliSome in office trainings, meetings and field work required; will be based on business needs / li / ulh3Job Qualifications / h3pREQUIRED EDUCATION : High School Diploma or equivalent / ppREQUIRED EXPERIENCE / KNOWLEDGE, SKILLS ABILITIES : / pulli2-4 years customer service experience, preferably in a call center environment / liliExperience communicating with members in a customer service setting and have the ability to assess needs and make thoughtful decisions to help a member / li / ulpREQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Must have NYS Certified Application Counselor Certification and / or be able to obtain certification within 60 days of hire date / ppPREFERRED EDUCATION : Associates Degree or equivalent combination of education and experience / ppPREFERRED EXPERIENCE : 3-5 years customer service experience in a call center environment / ppTo all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing. / ppMolina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $17 - $38.37 / HOURLY

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

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