Medicaid Eligibility Coordinator for PACE (Onsite)

myPlace Health; Compton (CA); On-site; USD 70,000 - 80,000; Full time

Benefits offered by this job

Medical, Dental, Vision coverage

PTO

11 paid holidays + floating holiday

401(k) with employer match

Annual bonus program

Wellness program

Onsite work

Robust recognition program

Job summary

myPlace Health in Los Angeles County is seeking a Medicaid Specialist to initiate and manage Medi-Cal applications for frail seniors, including home visits and document handling. You will ensure timely processing, maintain CRM enrollment records, and comply with DHCS and CMS policies.

The ideal candidate has 2–4 years of relevant experience, knowledge of Medi-Cal and Social Security processes, and bilingual abilities. This onsite role offers income security and a comprehensive benefits package.

Qualifications

• Medi-Cal system knowledge and Social Security process familiarity.
• 2–4 years of relevant experience.
• Experience working with state/county eligibility workers.
• Experience with frail elderly population.

Responsibilities

• Initiates, assists, and manages Medi-Cal application for prospective participants, ensuring timely and accurate completion of the process.
• Conduct home visit to complete the Medi-Cal application process. Assist participants, families/caregivers in completing all necessary paperwork needed for Medicaid re-determination or new applications.
• Maintain all documentations and record all enrollment in CRM software and ensure accuracy and compliance
• Strictly adhering to DHCS and CMS regulations and policies regarding marketing practices for the PACE Program
• Collaborate with Finance Department to prepare variety of reports for data analysis purpose. Supports the Finance department to validate Medicaid payment.
• Monitor and maintain participant s Medicaid eligibility (recertification of Medi-Cal)
• Support the Enrollment and Outreach Specialist as needed. Provide community resources to prospective participants or families/caregivers
• Collaborate with or contact county/state government specialist to ensure the submission of required documentation or to obtain additional.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• All other duties as assigned.

Skills

Medi-Cal knowledge

CMS regulations

Bilingual

Job description

myPlace Health in Los Angeles County is seeking a Medicaid Specialist to initiate and manage Medi-Cal applications for frail seniors, including home visits and document handling. You will ensure timely processing, maintain CRM enrollment records, and comply with DHCS and CMS policies.

The ideal candidate has 2–4 years of relevant experience, knowledge of Medi-Cal and Social Security processes, and bilingual abilities. This onsite role offers income security and a comprehensive benefits package.