Specialist, Market Growth & Retention (Remote in NY) - Bilingual – Spanish

Job description

Job Description Job Summary: Provide 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. Job Duties: - Pro-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. - Management of individual State dashboards required - Assist and resolve complex member issues related to application errors, immigration status, multi-family enrollment, premiums, eligibility; etc. - Provide non-clinical rem...