Hybrid Medi-Cal Enrollment & Retention Specialist

Blue Shield of CA; Long Beach (CA); Hybrid; USD 30.000 - 39.000; Vollzeit

Zusammenfassung

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.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Medi-Cal knowledge

Bilingual Spanish

Compliance awareness

Ausbildung

High School Diploma or GED

Jobbeschreibung

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.