Director, Customer Experience (IT Solutions / QNXT & Salesforce) - REMOTE

Posted 8 Hours Ago
Be an Early Applicant
2 Locations
In-Office or Remote
Senior level
Insurance
The Role
Lead enterprise member retention and customer experience strategy for Medicaid (and related lines), partner with growth and operations leaders, identify technology needs (QNXT/Salesforce), drive process improvements, analyze disenrollment data, establish performance metrics, and influence cross-functional teams to achieve membership growth and retention goals.
Summary Generated by Built In

Job Summary

This role, on the Customer Experience team, will be responsible for technically based projects like liaising with IT to upgrade Salesforce or create visions for technical solutions that improve the overall member/provider/customer experience. The ideal candidate will have a strong understanding of technical healthcare systems (Salesforce, QNXT, etc.) and is able to translate technical knowledge into business requirements. 

In partnership with Plan Growth Leaders, the Director, Customer Experience is responsible for developing, implementing and monitoring a successful strategy to achieve Molina’s Medicaid membership retention goals & objectives across the enterprise for the Medicaid lines of business (TANF, ABD, Expansion, CHIP) including similar solutions for other LOBs (Medicare, Marketplace) as appropriate.  This position is accountable for ensuring Growth Leaders and the State Plans achieve established Medicaid membership growth goals related to retention.

Knowledge/Skills/Abilities

  • Develops enterprise tactical plan to achieve Medicaid voluntary enrollment growth goals, while focusing on opportunities to improve the member experience and retention.
  • Collaborates with Growth Leaders and VPs of Ops in each state and the Health Plan Services leadership to drive cross enterprise member satisfaction/retention efforts.
  • Actively participates in the strategic planning for the member experience effort related to member contact information, streamlined communication (Member 360), One Molina, etc.
  • Drives process improvement work to uplift member contact information, improve member retention rates, etc.
  • Participates and contributes in Enterprise Health Plan meetings, regarding the overall strategic planning for the health plan.
  • Analyzes state and county level disenrollment information to assess and drive member improvement opportunities.
  • Develops and supports enterprise Growth performance management processes.
  • Identifies opportunities and helps develop / prioritize retention initiatives, collateral and materials.
  • Provides enterprise leadership and collaborates with the local teams to ensure that each Growth Leader has the best opportunity for success in their specific geographic market(s).
  • Works closely with the leadership team to ensure that the results of member satisfaction/retention activities are consistent with the state’s direction and objectives, and develops & implements strategies to quickly course correct, when necessary.
  • Ensures alignment and appropriate prioritization for retention strategies are understood by all supporting departments.  Leads these groups through influence.
  • Establishes and reviews performance metrics (“scorecards” and reports) on a regular basis to ensure each health plan is on track to deliver results in line with the organizations strategic plan; provides recognition and recommendation to improve membership growth.
  • Collaborates with the VP of Marketplace Operations and VP of Medicare Sales to identify synergies between products that can enhance overall growth.
  • Communicates extensively with other Molina departments to ensure policies, programs and strategies achieve membership retention targets.
  • Identifies technology support needs that help facilitate member retention and satisfaction activities and drives successful implementation.

 

Job Qualifications

REQUIRED EDUCATION:

Bachelor’s degree in health-related degree or equivalent experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

•    Minimum 7 years’ experience in Medicaid Managed Care, particularly in sales or outreach role.

•    Minimum 3 years management/supervisory experience.

•    Exceptional networking and negotiations skills, as well as strong public speaking/presentations skills.

•    Ability to work in a fast-paced, team-oriented environment with little supervision.

•    Process Improvement (Six Sigma) expertise.

•    Proven ability to influence or persuade senior level leaders regarding matters of organizational significance.

•    Proven ability to influence policy making.

•    Knowledge of applicable State, Federal and third-party regulations.

•    Thorough understanding of Medicaid product lines.

•    Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.


PREFERRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

  • Expertise with QNXT.
  • Expertise with Salesforce.

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

Skills Required

  • Bachelor's degree in a health-related field or equivalent experience
  • Minimum 7 years' experience in Medicaid Managed Care (sales or outreach role)
  • Minimum 3 years management/supervisory experience
  • Process Improvement (Six Sigma) expertise
  • Proven ability to influence or persuade senior-level leaders and influence policy making
  • Knowledge of applicable State, Federal and third-party regulations
  • Thorough understanding of Medicaid product lines (TANF, ABD, Expansion, CHIP)
  • Exceptional networking and negotiation skills and strong public speaking/presentation skills
  • Ability to work in a fast-paced, team-oriented environment with little supervision
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
  • Expertise with QNXT
  • Expertise with Salesforce
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company

What We Do

Molina Healthcare Inc. is dedicated to delivering effective, reliable, and affordable health care to those who need it most. The company focuses on improving the health and well-being of its members and positively impacting the communities it serves. Recognized as a leader in the health insurance category, it provides essential healthcare services to ensure accessible and quality care for its members.

Similar Jobs

Rubrik Logo Rubrik

Senior Product Marketing Manager

Artificial Intelligence • Big Data • Cloud • Information Technology • Software • Cybersecurity • Data Privacy
Remote
United States
3000 Employees
156K-233K Annually
Remote or Hybrid
2 Locations
289097 Employees

JPMorganChase Logo JPMorganChase

Architect

Financial Services
Remote or Hybrid
3 Locations
289097 Employees

Hometap Logo Hometap

Consultant

Fintech • Real Estate • Software • Financial Services • PropTech
Easy Apply
Remote or Hybrid
USA
314 Employees
100K-100K Annually

Similar Companies Hiring

Globe Life Thumbnail
Insurance • Financial Services
McKinney, TX
3000 Employees
MassMutual India Thumbnail
Big Data • Fintech • Information Technology • Insurance • Financial Services
Hyderabad, Telangana
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account