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Remote First Call Resolution Jobs in California (NOW HIRING)

Molina Healthcare

Pharmacy CSR, Remote

Long Beach, CA · Remote

$17.50 - $23.75/hr

These positions are remote, however those in later time zones are encouraged to apply. This team ... This is a pharmacy call center environment focused on first call resolution and the member ...

Molina Healthcare

Pharmacy CSR, Remote

Long Beach, CA · On-site +1

$11.09 - $24.02/hr

These positions are remote, however those in later time zones are encouraged to apply. This team ... This is a pharmacy call center environment focused on first call resolution and the member ...

Gallagher

Senior Resolution Manager

Sacramento, CA · Remote

Location: This role is fully remote work. How you'll make an impact * Apply claims management ... A collaborative, people-first culture with accessible leadership * The opportunity to do meaningful ...

White Coat Management Group

Radiology Physician

Novato, CA · Remote

$375K - $469K/yr

... remote-first infrastructure. About the Role We are seeking board-certified/board-eligible ... shift call Consistent case volume W2 or 1099 compensation models Malpractice coverage provided ...

Biointellisense

DevOps Engineer

Redwood City, CA · Remote

$140K - $170K/yr

... resolution vital sign trending and data-driven insights to enable earlier detection of patient deterioration and proactive intervention for better, safer care. We're a remote-first, lean start-up ...

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Remote First Call Resolution information

What is the difference between Remote First Call Resolution vs Remote Customer Support Specialist?

AspectRemote First Call ResolutionRemote Customer Support Specialist
Primary FocusResolving customer issues on first contactProviding support and assistance to customers
Skills RequiredProblem-solving, communication, technical knowledgeCommunication, product knowledge, patience
Work EnvironmentRemote, often with performance metricsRemote, customer-facing role
CertificationsCustomer service or technical certifications beneficialCustomer service certifications helpful

Remote First Call Resolution focuses on resolving customer issues during the initial contact, emphasizing efficiency and problem-solving. In contrast, a Remote Customer Support Specialist provides ongoing support, handling multiple interactions to assist customers. Both roles are remote, require strong communication skills, and are vital in customer service industries.

What are the most commonly searched types of First Call Resolution jobs in California? The most popular types of First Call Resolution jobs in California are:
What cities in California are hiring for Remote First Call Resolution jobs? Cities in California with the most Remote First Call Resolution job openings:
Remote First Call Resolution jobs near you
Infographic showing various Remote First Call Resolution job openings in California as of July 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 78% Full Time, 14% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.
Pharmacy CSR, Remote

Pharmacy CSR, Remote

Molina Healthcare

Long Beach, CA • Remote

$17.50 - $23.75/hr

Full-time

Posted 14 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

133rd of 281 rated insurance

Job description

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. 
Shift times will be Monday through Friday10AM to 630PM PST or 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.

Required 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 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 (Not Required)

  • 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.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

What Molina Healthcare employees say

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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