Specialist, Member Engagement - Remote

Job Summary

This role will act as an advocate for Molina members and be a subject matter expert about members’ extra benefits and covered services. The overarching driver will be increasing member retention and member satisfaction, and facilitating improvements in the health plan. Uses data sources like member utilization, satisfaction, and operational inputs to drive improvement in the member experience. Represnts member perspective in areas involving member impact and engagement, oversees, tracks, and reports on value‑added benefits for Medicaid and MyCare Ohio, and partners with state and enterprise vendor teams to ensure benefit integrity.

Represents member issues in areas involving value‑added benefits and their impact on member experience. Serves as an advocate for Molina members by working with health plan and enterprise departments as well as external stakeholders such as community‑based organizations and regulator partners.

Acts as a subject matter expert for Medicaid and MyCare Ohio value‑added benefits for internal and external audiences.

Supports the delivery of the plan’s extra benefits, particularly Medicaid and MyCare Ohio benefits, tracking and reporting on utilization and key performance indicators while representing member issues and experience.

Investigates member complaints related to value‑added benefits in collaboration with the Appeals & Grievances team and Medicare teams handling CMS Complaints Tracking Module complaints.

Facilitates and attends benefit work groups at health plan and enterprise levels, presenting in cross‑functional forums and potentially to the state regulator or other external partners.

Initiates and drafts external‑facing print materials and website content about the benefits.

• Critical thinking, follow‑through, problem‑solving, working independently, taking initiative, and operating decisively in ambiguity.

High School diploma.

• At least 2 years of experience in customer service, consumer advocacy, project management, or core operations.
• Experience tracking and reporting data in Excel and Smartsheet.
• Basic understanding of managed care.
• Proficiency with Microsoft Suite programs such as Word, Excel, PowerPoint, Outlook, One Note, and Teams.
• Proofreading ability.

• Valid driver’s license with a clean driving record and reliable transportation within Ohio.

• Call center experience.
• Managed care experience.

Associate’s or Bachelor’s Degree in Business, Social Work, Human Services, Health Care Administration, or related fields.

Molina Healthcare offers a competitive benefits and compensation package.

Hourly pay range: $14.90 - $29.06. Actual compensation may vary based on geographic location, work experience, education, and/or skill level.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.