Enrollment and Retention Specialist - Medi-Cal (Non-Sales), Intermediate (Bilingual)

Blue Shield of CA; Long Beach (CA); Híbrido; USD 30.000 - 39.000; Tempo integral

Resumo da vaga

Blue Shield of California Promise Health Plan is seeking an Enrollment and Retention Specialist to educate and assist callers with Medi-Cal enrollment, eligibility, and plan enrollment to achieve new enrollments and member retention goals.

The role also supports the annual Medi-Cal redetermination, advocates for callers with internal departments and County/State agencies, and ensures compliance in documentation and processes within a hybrid work model.

Qualificações

• Requires a High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma.
• Requires at least 3 years of prior relevant experience.
• Requires strong knowledge of the Medi-Cal program and Managed Care products/services.
• Requires being Bilingual in Spanish.
• Requires maintaining active compliance certifications.

Responsabilidades

• Educate and assist callers with Medi-Cal enrollment process.
• Assist with the annual Medi-Cal redetermination process.
• Advocate for callers with internal departments and County/State agencies.
• Support other growth projects and adherence to compliance requirements.

Conhecimentos

Medi-Cal knowledge

Bilingual Spanish

Compliance awareness

Formação

High School Diploma or GED

Descrição da vaga

Your Role

The Blue Shield of California Promise Health Plan Growth & Retention team is looking for an Enrollment and Retention Specialist who will educate and assist callers with the Medi-Cal enrollment process as it pertains Medi-Cal eligibility and plan enrollment to achieve new enrollment and member retention goals. In this role you will also assist members with the annual Medi-Cal redetermination process, advocate for callers with internal departments as well as County and State agencies and supports other growth projects. Adherence to all compliance requirements and maintaining appropriate documentation is essential to this role. The Blue Shield Promise Growth & Retention team reports to the Growth & Retention Supervisor.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma
• Requires at least 3 years of prior relevant experience
• Requires strong knowledge of the Medi-Cal program and Managed Care products/services
• Requires being Bilingual in Spanish
• Requires maintaining active compliance certifications

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.