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Representative, Customer Experience

Molina Healthcare - Yonkers, NY

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Job Description

JOB DESCRIPTION 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 u2022 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. u2022 Conduct varies surveys related to health assessments and member/provider satisfaction. u2022 Accurately document pertinent details related to Member or Provider inquiries. u2022 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. u2022 Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations. u2022 Aptitude to listen attentively, capture relevant information, and identify Member or Provideru2019s inquiries and concerns. u2022 Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives. u2022 Able to proactively engage and collaborate with varies Internal/ External departments. u2022 Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider. u2022 Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims. u2022 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 : Associateu2019s 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. Pay Range: $21.16 - $28.82 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-09-22

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