Customer Service Jobs at Molina Healthcare with Visa Sponsorship
Customer Service roles at Molina Healthcare sit at the intersection of healthcare operations and member support, covering functions like claims assistance, benefits navigation, and care coordination. Molina has a consistent track record of sponsoring international talent across multiple visa categories for this function.
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Get Access To All JobsINTRODUCTION
Molina Healthcare is hiring for several Pharmacy Customer Service Representatives. These positions are remote, however those in later time zones are encouraged to apply.
This team handles the Pharmacy UM / Prior Authorization calls and services external calls from providers with Medicaid and/or Marketplace members. Our agents assist with all Medicaid and Marketplace member Pharmacy-related calls. This is a pharmacy call center environment focused on first call resolution and the member's experience.
ROLE AND RESPONSIBILITIES
Shift times will be Monday through Friday 1PM to 930PM EST and 10AM to 630PM PST all dependent on business needs.
Essential Job Duties
- Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs) through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
BASIC QUALIFICATIONS
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS
- Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
- Health care industry experience.
LOCATION
Remote
COMPENSATION
- Pay Range: $14 - $24.02 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Same Posting Description for Internal and External Candidates.
INTRODUCTION
Molina Healthcare is hiring for several Pharmacy Customer Service Representatives. These positions are remote, however those in later time zones are encouraged to apply.
This team handles the Pharmacy UM / Prior Authorization calls and services external calls from providers with Medicaid and/or Marketplace members. Our agents assist with all Medicaid and Marketplace member Pharmacy-related calls. This is a pharmacy call center environment focused on first call resolution and the member's experience.
ROLE AND RESPONSIBILITIES
Shift times will be Monday through Friday 1PM to 930PM EST and 10AM to 630PM PST all dependent on business needs.
Essential Job Duties
- Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
- Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards.
- Provides coordination and processing of pharmacy prior authorization requests and/or appeals.
- Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies.
- Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated.
- Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes.
- Assists members and providers with initiating verbal and written coverage determinations and appeals.
- Records calls accurately within the pharmacy call tracking system.
- Maintains established pharmacy call quality and quantity standards.
- Interacts with appropriate primary care providers to ensure member registry is current and accurate.
- Supports pharmacists with completion of comprehensive medication reviews (CMRs) through pre-work up to case preparation.
- Proactively identifies ways to improve pharmacy call center member relations.
BASIC QUALIFICATIONS
- At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience.
- Excellent customer service skills.
- Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc.
- Ability to multi-task applications while speaking with members.
- Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
- Ability to meet established deadlines.
- Ability to function independently and manage multiple projects.
- Excellent verbal and written communication skills, including excellent phone etiquette.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS
- Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
- Health care industry experience.
LOCATION
Remote
COMPENSATION
- Pay Range: $14 - $24.02 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Same Posting Description for Internal and External Candidates.
See all 101+ Customer Service at Molina Healthcare jobs
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Get Access To All JobsTips for Finding Customer Service Jobs at Molina Healthcare Jobs
Tailor your resume to Medicaid workflows
Molina Healthcare serves Medicaid and Medicare populations, so framing your customer service experience around high-volume call handling, benefits verification, or care coordination signals direct relevance to hiring managers screening for this specific member base.
Confirm LCA postings before your interview
Before your interview, check whether Molina has filed Labor Condition Applications for Customer Service roles in your target city. DOL's public disclosure data shows prevailing wages by location, helping you negotiate confidently and confirm the role is sponsorship-eligible.
Target bilingual Customer Service postings specifically
Molina actively hires bilingual Spanish-English customer service staff to serve its Medicaid membership. These roles have a stronger business case for sponsorship and are posted more consistently, giving internationally qualified candidates a clearer path to an offer.
Use Migrate Mate to filter open roles by visa type
Molina posts Customer Service roles across multiple states with varying sponsorship eligibility. Use Migrate Mate to filter those openings by the visa category you need, so you're only applying to positions where sponsorship is already confirmed rather than guessing from the job listing.
Request I-129 filing timeline before accepting an offer
Once Molina extends an offer, ask their immigration team directly when they plan to file the I-129 petition with USCIS. Standard processing runs several months, and knowing the filing window lets you plan your current status, CPT end date, or grace period accordingly.
Customer Service at Molina Healthcare jobs are hiring across the US. Find yours.
Find Customer Service at Molina Healthcare JobsFrequently Asked Questions
Does Molina Healthcare sponsor H-1B visas for Customer Service?
Yes, Molina Healthcare has a history of sponsoring H-1B visas for Customer Service roles. These positions typically qualify when the role requires specialized knowledge of healthcare systems, benefits administration, or compliance functions that align with H-1B specialty occupation standards. Your offer letter and job duties need to support that classification when USCIS reviews the petition.
Which visa types does Molina Healthcare commonly sponsor for Customer Service roles?
Molina Healthcare sponsors across several visa categories for Customer Service, including H-1B, TN for Canadian and Mexican nationals, and F-1 OPT and CPT for recent graduates. For candidates seeking permanent residency, Molina has also supported EB-2 and EB-3 Green Card pathways. The right category depends on your nationality, education, and how the specific role is structured.
What qualifications does Molina Healthcare expect for Customer Service roles?
Most Customer Service positions at Molina require experience in a healthcare or managed care environment, familiarity with Medicaid or Medicare member populations, and strong communication skills. Bilingual proficiency, particularly Spanish, is frequently listed as a preference. For sponsored roles, a relevant bachelor's degree strengthens your H-1B petition by supporting the specialty occupation classification USCIS requires.
How do I apply for Customer Service jobs at Molina Healthcare?
You can browse current Customer Service openings at Molina Healthcare through Migrate Mate, which filters roles by visa sponsorship type so you can identify positions that match your authorization needs before applying. Molina's application process typically involves an online submission, a phone screening focused on healthcare customer service experience, and one or more structured interviews with the hiring team.
How do I manage my visa timeline while waiting for Molina to file my petition?
Once you have an offer, align your current status expiration with Molina's filing schedule. For H-1B cap-subject cases, USCIS accepts petitions starting April 1 for an October 1 start, so a late-spring offer may require bridging on OPT STEM extension or another valid status. For TN renewals, you can request a new TN at the port of entry, which is faster than waiting on USCIS processing.
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