Medicaid Eligibility Navigator – Elder Care

myPlace Health; United States; Remote; USD 70,000 - 80,000; Full time

Benefits offered by this job

Medical, Dental, Vision coverage

Generous PTO

11 paid holidays + 1 floating holiday

401(k) with employer match

Employee recognition program

Wellness program

Annual bonus program

Job summary

myPlace Health is seeking a Medicaid Specialist to help bring the PACE program to underserved frail seniors in Los Angeles County. You will initiate Medi-Cal applications, assist families, and ensure accurate documentation to support ongoing eligibility and Medicaid payments.

The role emphasizes serving the underserved, adhering to DHCS/CMS policies, and collaborating with the Finance and Outreach teams in a front‑line community setting.

Qualifications

• Knowledge of California Medi-Cal System and Social Security process
• 2-4 years of relevant exp
• Experience working with State/County eligibilities workers
• Experience working with Frail Elderly

Responsibilities

• Initiate and manage Medi-Cal applications for prospective participants.
• Conduct home visits to assist with Medi-Cal paperwork.
• Maintain documentation and enrollments in CRM with accuracy.
• Adhere to DHCS and CMS marketing regulations for the PACE program.
• Collaborate with Finance to prepare reports and validate Medicaid payments.
• Monitor and renew participant Medicaid eligibility.
• Provide community resources to participants and families.
• Coordinate with county/state officials to submit required docs.
• Explore AI tools to improve operations and outcomes.
• Support Enrollment and Outreach Specialist as needed.

Skills

Spanish

Cantonese

Mandarin

Vietnamese

CRM software

Tools

CRM software

Job description

myPlace Health is seeking a Medicaid Specialist to help bring the PACE program to underserved frail seniors in Los Angeles County. You will initiate Medi-Cal applications, assist families, and ensure accurate documentation to support ongoing eligibility and Medicaid payments.

The role emphasizes serving the underserved, adhering to DHCS/CMS policies, and collaborating with the Finance and Outreach teams in a front‑line community setting.