Military Hire
500+ results found

Representative, Support Center II (Bilingual English/Spanish. ONSITE Long Beach, CA)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Long Beach, CA
JOB DESCRIPTION Job Summary Provides level II support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and service information, identifies opportunities to improve the member and provider experience, and supports continuous quality improvement initiatives related to member/provider engagement and retention. Essential Job Duties • 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. • Supports member/provider issues in areas involving member/provider impact and engagement including: appeals and grievances (A&G), problem research and resolution, and the development/maintenance of member/provider materials. • Assists members and providers with a focus on process improvement and retention. • Consistently delivers excellent customer service and first call resolution. • Accurately documents all calls across multiple platforms. • Works regularly scheduled shifts within Molina hours of operation, follows protocol related to scheduled lunches and breaks, and accommodates overtime and/or weekends as needed. • Quickly builds rapport and responds to customers in an empathetic manner by identifying and exceeding customer expectations. • Listens attentively, captures relevant information, and identifies and resolves member and provider inquiries and concerns. • Meets or exceeds individual performance goals established in the areas of: call quality, attendance, adherence and other support center objectives. • Proactively engages and collaborates with various internal/external stakeholders. • Demonstrates personal responsibility and accountability by taking ownership of real-time solutioning and timely member and/or provider follow-up. • Supports a wide variety of member and provider inquiries involving benefits, claims, premiums, provider portal, member eligibility, and other issues; conducts initial research and works to immediately resolve issues. • Evaluates risk criteria and determines urgency and appropriate escalation path. • Demonstrates proficiency in at least two lines of business (e.g., Medicaid, Marketplace). • Manages multiple channels of communication (e.g., Teams, email) within a timely manner. • Demonstrates understanding of provider service inquiries related to claims, authorizations, appeals, contracting and credentialing. Required Qualifications • At least 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience. • Customer service skills. • 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. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $20.34 - $30.39 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

Manager, Appeals & Grievances (Must live or work PST hours)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
California
JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties • Manages team responsible for the submission/resolution of member and provider appeals and grievances; ensures resolutions are compliant with applicable standards and requirements. • Assesses and audits business processes to determine effective and efficient resolution of member and provider grievances. • Serves as primary interface with stakeholders and business partners, and ensures standard processes are implemented. • Oversees preparation of narratives, graphs, flowcharts, etc. to be used for committee presentations, audits and internal/external reports; oversees necessary correspondence in accordance with regulatory requirements. • Ensures claims production standards set by the department are met. • Maintains call tracking system of correspondence and outcomes for provider and member appeals/grievances; oversees/monitors appeals to ensure all internal and regulatory timelines are met. Required Qualifications • At least 7 years of managed care experience in a call center, appeals, and/or claims environment, or equivalent combination of relevant education and experience. • At least 1 year management/leadership experience. • Experience reviewing all types of medical claims (e.g. HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss, Surgery, Anesthesia, high-dollar complicated claims, COB and DRG/RCC pricing). • Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. • Previous experience leading projects. • Strong customer service experience. • Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting. • Completion of a health care related vocational program in health care (i.e., certified coder, billing, or medical assistant). 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: $73,008 - $135,480 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

Care Review Clinician (RN)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Long Beach, CA
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

RN Care Manager - STARS

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
California
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Experience closing care gaps (HEDIS measures, medication adherence, HOS surveys). • Comfort using care management platforms and population health tools. • Track record of successful member engagement and outreach. • Understanding of CMS Star Ratings methodology and quality bonus payments. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

Supervisor, Configuration Oversight (Payment Integrity Claims Audit)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Enterprise, CA
JOB DESCRIPTION Job Summary Leads and supervises team responsible for configuration oversight activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and system requirements as it pertains to auditing of contracting, benefits, prior authorizations, fee schedules and other business requirements. Essential Job Duties • Supervises configuration oversight (Claim Audit) team, and demonstrates accountability for team performance - including meeting or exceeding established performance targets; targets may be based upon specific health plan requirements, and/or federal/state requirements. • Oversees end-to-end audits, internal operating controls and processes/practices for operational areas including claims, configuration, provider operations, etc. • Ensures completion of timely audits and compliance with audit standards. • Compiles and shares audit outcomes with operations functional areas for review and action, and ensures that findings are corrected within appropriate time frames and in accordance with cost control/regulatory standards. • Represents as primary liaison with various functional areas/stakeholders (i.e. utilization management, claims, configuration, provider network, health plan leadership, etc.) to seek understanding of workflows and obtain required documentation for applicable audits. • Demonstrates accountability for identifying regulatory compliance issues within various operations functions areas to validate and mitigate risks, and ensure that improvement activities in functional support areas are in progress. • Leads and organizes audit submissions and interacts with auditors as applicable. • Develops policies and procedures for end-to-end audit process to ensure consistency/compliance. • Supports review of operational policies, procedures, guidelines, and job aids to ensure compliance with company and government regulations. • Identifies risks related to operational oversight processes, provides recommendation for mitigation solutions, and reports accordingly to leadership. • Participates in and contributes to the development of strategies to meet business needs. • Conducts and documents operational meetings with business partners (vendors, health plans, claim operations, etc.) on a monthly basis. • Provides guidance to team regarding interpretation of specific state and/or federal benefits, benefit and provider contracts, and business requirements (i.e. coding, system tables, fee schedules, etc.), and converts terms to configuration parameters. • Maintains awareness of current laws, regulations, statutes, etc. for assigned area(s) of operations audited by team. • Proactively collaborates with leadership on operational effectiveness to ensure compliance. • Performs analysis and reviews to ensure performance targets are met. • Effectively plans for daily priorities, and responds to new priorities and opportunities assigned by leadership. • Assists with compiling and submitting daily, weekly and monthly departmental reports to leadership. • Represents as a technical expert in handling complaints and other escalated issues from internal customers. • Leads performance improvement activities for configuration oversight function. • Manages fluctuating volumes of work and prioritizes work to meet deadlines and needs of the configuration department and user community. • Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of configuration/department-specific goals. Required Qualifications • At least 6 years of configuration oversight, claims, auditing, and/or health care operations experience in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or equivalent combination of relevant education and experience. • Advanced understanding of claims processes. • Advanced ability to identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources. • Strong analytical, critical-thinking, and problem-solving skills. • Strong multitasking ability, and decision-making skills. • Flexibility to meet changing business requirements, and strong commitment to high-quality/on-time delivery. • Ability to work cross-collaboratively in a highly matrixed organization. • High attention to detail. • Strong verbal and written communication skills. • Microsoft Office suite proficiency, including intermediate to advanced Excel abilities (VLOOKUP/Pivot Tables, etc.), and applicable software programs proficiency. Preferred Qualifications • Management/leadership experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $59,810.6 - $129,589.63 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

Field Nurse Practitioner (Victorville, CA)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Victorville, CA
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric. • Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments. • Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. • Establishes and documents reasonable medical diagnoses. • Seeks specialty consultation as appropriate. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately. • Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed. • Creates and implements a medical plan of care. • Schedules appointments for visits when appropriate. • Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization. • Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations. • Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations. • Orders bulk laboratory orders to target specific member populations. • Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care. • Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care. • Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay. • Obtains and maintains cross-state license in other states besides home state based on business need. • Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively. • Actively participates in regional meetings. • May prescribe medications and perform procedures as appropriate. • Performs timely medical records documentation in electronic medical record (EMR) computer system. • On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment. • Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws. • Local travel required (based upon state/contractual requirements). Required Qualifications • At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience. • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC). • Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice. • Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice. • Current Basic Life Support (BLS) certification. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication. • Ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience. Preferred Qualifications • Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting. • Experience in home health as a licensed clinician, especially in management of chronic conditions. • Experience with underserved populations facing socioeconomic barriers to health care. • Immunization and point of care testing skills. • Bilingual. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $101,721 - $198,356 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

Senior Medical Records Collector - Hybrid (Must reside in San Diego, CA)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
San Diego, CA
JOB DESCRIPTION Job SummaryProvides senior level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. • Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. • Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. • Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. • Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. • Provides mentorship and leadership to team members and represents at a senior level for process and project improvement initiatives. • Participates in and prepares feedback for meetings with vendors related to the medical record collection process. • Some medical records collection related travel may be required. Required Qualifications• At least 2 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). • Proficiency with data analysis tools (e.g., Excel). • Ability to manage files, schedules and information efficiently. • Ability to effectively interface with staff, clinicians, and leadership. • Strong prioritization skills and detail orientation. • Strong verbal and written communication skills, including professional phone etiquette. • Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications • Registered Health Information Technician (RHIT). #PJHS #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $20.34 - $33.42 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

Program Manager, Healthcare Services (Enhanced Care Mgmt - PST hours)

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
California
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion. • Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes. • May engage and oversee the work of external vendors. • Focuses on process improvement, organizational change management, program management and other processes relative to business needs. • Serves as a subject matter expert and leads healthcare services programs to meet critical needs. • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. • Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate. • Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents. Required Qualifications • At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience. • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • Strong analytical and problem-solving skills. • Strong organizational and time-management skills. • Ability to work in a cross-functional, professional environment. • Experience working within applicable state, federal, and third-party regulations. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Knowledge of CalAIM (ECM or CS) Strong analytical skills Project management experience Strong attention to detail Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification. • Leadership experience. • Medicaid/Medicare population experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $84,067 - $163,931 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...

Account Representative, Medicare Sales-LA-Fully bilingual-Spanish

Molina Healthcare - Aug 07, 2026
Location-based
Full-time
Salary
Los Angeles, CA
JOB DESCRIPTION Job Summary Provides support for Molina Medicare sales activities. Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within market areas to achieve revenue, profitability and retention goals. Adheres to ethical sales practices, compliance with Centers for Medicare and Medicaid Services (CMS), and other regulatory requirements. Essential Job Duties • Deploys sales strategies to procure a sufficient number of referrals and other self-generated leads to meet sales targets through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences, and other potential marketing sites. • Assists in generating leads through referrals and local outreach efforts. • Follows up on assigned company-generated leads promptly. • Supports scheduling of individual meetings and group presentations from assigned leads. • Works toward achieving monthly sales goals as set by leadership. • Participates in sales presentations with potential customers and assists in tailoring presentations to customer needs. • Assists eligible individuals in enrollment in Molina Medicare products by guiding them through the application process and ensuring accurate documentation. • Provides clear and accurate information to Medicare beneficiaries about product options, enrollment steps, and service contacts. • Maintains records of sales activities and updates lead status regularly in Salesforce. • Travels locally within assigned sales territories. Required Qualifications • At least 2 years of experience with Medicare, Medicaid, Marketplace, and/or other health insurance-related sales, or equivalent combination of relevant education and experience. • Active and unrestricted Life & Health insurance license. • Must have reliable transportation for travel throughout assigned sales territory. • Knowledge/understanding of community resources. • Customer service/sales skills. • Multi-tasking and organizational skills. • Experience working with senior citizens and low income individuals. • Effective verbal and written communication skills, and relationship building skills. • Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications • Medicare-specific knowledge/experience. • Bilingual. #PJSales #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $73,008 - $92,535 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
...
Page 1 of 1,842 for this search

Save Job Alert