Remote Public Programs Coordinator – Access to Care

Centene Corp.; California (MO); Hybrid; USD 32,000 - 55,000; Full time

Job summary

Health Net seeks a Public Programs Specialist to triage member access to care issues and coordinate services with California-based public programs. The role is remote for California residents, with standard 8–hour PST workdays.

Preferred candidates have 3+ years of pediatric clinical experience and current California Medical Assistant Certification, LVN, or Pharmacy Technician Certification. Collaboration across departments is essential to improve access to care.

Qualifications

• Minimum three years of combined clinical and healthcare experience.
• Current, valid and unrestricted California Medical Assistant Certification, or LVN license or Pharmacy Technician Certification preferred.

Responsibilities

• Triages and resolves member access to care issues.
• Coordinates services with programs carved out of the health plan contract.
• Collaborates with internal departments to resolve member issues.
• Serves as liaison to public agency programs and assists with referrals to HEL P program.
• Researches and resolves coordination of care referrals from Customer Services.
• Performs escalation and monitors cases through resolution.
• Supports Regional Centers, School Health Integration and California Children’s Services.
• Prepares and submits reports to compliance.

Skills

Coordination of care

Referral management

Escalation handling

Documentation

Communication

Education

Associate’s degree

Vocational Nursing

Medical Assisting

Pharmacy Technician Program

Job description

Health Net seeks a Public Programs Specialist to triage member access to care issues and coordinate services with California-based public programs. The role is remote for California residents, with standard 8–hour PST workdays.

Preferred candidates have 3+ years of pediatric clinical experience and current California Medical Assistant Certification, LVN, or Pharmacy Technician Certification. Collaboration across departments is essential to improve access to care.