About The Company

Magellan Health is a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits, and other specialty areas of healthcare. We deliver innovative solutions and services, while focusing on person-centered care. At Magellan, we empower our teams to support members and providers through compassionate and efficient service. Our mission is to lead humanity to healthy, vibrant lives.

About The Role

We are seeking a Customer Experience Associate – HMSA to join our team remotely in Hawaii. In this service-focused position, you will serve as a customer advocate by assisting Magellan’s members, providers, and clients with program-related inquiries. This includes answering healthcare-related calls, educating providers about benefits and claims, and facilitating member services while maintaining confidentiality. The role requires a balance of communication skills, attention to detail, and compassion in line with our values and service standards.

Responsibilities

Handle incoming and outgoing calls related to healthcare benefits and services.

Educate members and providers on claims, eligibility, benefits, EAP services, and authorizations.

Accurately input intake documentation into appropriate systems.

Ensure high-quality service delivery and strive for first-call resolution.

Identify crisis situations and connect callers with appropriate resources.

Support routine referral processes and triage as needed.

Stay informed on updates to procedures, policies, and system changes.

Support team activities and contribute to a high-performance culture.

Participate in training and development to support personal career growth.

Maintain detailed documentation of customer interactions in internal systems.

Comply with all operational, compliance, and confidentiality standards.

Qualifications

High School Diploma or GED required; Associate or Bachelor’s degree preferred.

1–2 years of customer service experience required, preferably in healthcare or a call center.

Ability to talk and type simultaneously with strong attention to detail.

Proficiency in navigating multiple computer applications.

Flexibility in scheduling and adaptability in a fast-paced environment.

Willingness to have calls recorded and evaluated for quality and compliance.

Strong interpersonal, problem-solving, and communication skills.

Benefits

Competitive salary range: $31,175 – $46,765 (based on skills, experience, and location)

Eligible for short-term incentives

Comprehensive benefits including medical, dental, vision, life insurance, and more

Paid time off and wellness programs

Opportunities for professional development and career advancement

Remote work opportunity (must reside in Hawaii)

Equal Opportunity

Magellan Health, Inc. is an Equal Opportunity Employer and a tobacco-free workplace. We are committed to building a diverse and inclusive environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, veteran status, disability status, sexual orientation, gender identity, or any other legally protected status.

Desired Skills and Experience

Customer Service