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Molina Talent Acquisition

via Oraclecloud

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Representative, Customer Experience - Outbound (Remote)

Anywhere
full-time
Posted 9/9/2025
Direct Apply
Key Skills:
Customer Service
Sales
Communication
Empathy
Documentation
Problem Solving
Collaboration
Microsoft Office
Salesforce
CRM
Verint
Kronos
Video Conferencing
Health Assessments
Member Satisfaction
Provider Support

Compensation

Salary Range

$Not specified

Responsibilities

The representative provides customer support and service to Molina members and providers, resolving issues and addressing needs effectively. They also document inquiries and engage with internal and external departments to enhance member and provider experiences.

Requirements

Candidates must have a high school diploma or equivalent and 1-3 years of sales or customer service experience in a fast-paced environment. Preferred qualifications include an associate's degree and familiarity with various software systems.

Full Description

JOB DESCRIPTION Start Date: 10/27/2025 Shift: 10:30am – 7:00pm CST Job Summary Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences. Job Duties • Provide service support to members and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but not limited to, phone, chat, email, and off phone work supporting our Medicaid, Medicare and/or Marketplace business. • Conduct varies surveys related to health assessments and member/provider satisfaction. • Accurately document pertinent details related to Member or Provider inquiries. • Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed. • Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations. • Aptitude to listen attentively, capture relevant information, and identify Member or Provider’s inquiries and concerns. • Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives. • Able to proactively engage and collaborate with varies Internal/ External departments. • Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider. • Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims. • Ability to effectively communicate in a professionally setting. Job Qualifications REQUIRED EDUCATION: HS Diploma or equivalent combination of education and experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment PREFERRED EDUCATION: Associate’s Degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 1-3 years Preferred Systems Training: Microsoft Office Genesys Salesforce Pega QNXT CRM Verint Kronos Microsoft Teams Video Conferencing CVS Caremark Availity 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.

This job posting was last updated on 9/10/2025

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