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AI summary
Community Partnership Specialist role focused on improving member engagement and retention by advocating for members and resolving issues across appeals, grievances, and service delivery. You’ll represent member concerns, run focus groups, educate members on covered services, and coordinate with providers and agencies. Molina Healthcare offers a competitive benefits and compensation package.
Key skills
Member advocacyAppeals and grievances supportCustomer serviceCase logging/database entryIntake interviewing and issue triageManaged healthcare systems knowledgeFocus group facilitationMember education on covered/preventive servicesConfidential phone support/helpline managementValid driver's license and reliable transportation
Salary not listed — comparable Long Beach, CA community/member engagement specialist roles typically pay about $45k–$65k depending on experience.
You'll thrive here if you enjoy advocating for healthcare members, handling complaints and appeals calmly, and coordinating with multiple stakeholders to resolve issues.
Why apply
Member advocate and engagement role
Conduct focus groups with members
Competitive benefits and compensation package
Job Description
Job Summary
Responsible for continuous quality improvements regarding member engagement and
member retention. Represents Member issues in areas involving member impact and
engagement including: Appeals and Grievances, Member Problem Research and
Resolution, and the development/maintenance of Member Materials.
Knowledge/Skills/Abilities
• Maintains confidential telephone line to provide direct assistance to Members
and/or family members who are unable to resolve their issues or complaints
individually. Serves as an advocate in working with providers, regulatory
agencies, outside agencies, co-workers and other departments as appropriate.
Conducts in person meetings with Members and/or family members as appropriate.
Logs all cases in a database.
• Assists members in the complaint and appeal process. Determines the nature of
the member's needs or problem; informs members of their rights in the complaints
and appeals process; and advises/refers as appropriate for investigation and
resolution.
• Conducts focus groups in service delivery area as needed to ensure member
needs are being addressed.
• Educates members on covered services available to them, including preventive
services.
• Participates in annual member complaints and appeals training with health
plan, including the member advocate/engagement role..
Job Qualifications
Required Education
High School diploma.
Required Experience
2 years experience in customer service, consumer advocacy, and/or health care
systems. Experience conducting intake, interviews, and/or research of consumer
or provider issues. Basic understanding of managed healthcare systems and mental
health issues.
Required License, Certification, Association
Must have valid driver's license with good driving record and be able to drive
within applicable state or locality with reliable transportation.
Preferred Education
Associate's or Bachelor's Degree in Social Work, Human Services or related
field.
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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.
