Los Angeles, CA, USA
9 days ago
Medi-cal Enrollment Specialist

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At WelbeHealth, our Outreach and Enrollment Team is the first touchpoint prospective participants have with us. A vital part of WelbeHealth’s PACE enrollment process is aiding those who qualify with the Medi-Cal Enrollment process.

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The Medi-Cal Enrollment Specialist focuses on successfully enrolling prospective participants in Medi-Cal. The Medi-Cal Enrollment Specialist is a member of the Marketing, Outreach, and Enrollment (MOE) team and provides back-up and support to Outreach and Enrollment functions as assigned.

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Essential Job Duties

\n\nGather all necessary documentation to create, submit, doggedly pursue, and appeal Medi-Cal enrollments for prospective participants.\nVisit senior’s homes as needed to gather necessary documentation to submit complete applications\nMaintain a strong working relationship with the Department of Public and Social Services (DPSS) at the county to ensure seamless enrollment workflow, adhere to deadlines and ensure compliance with DHCS and CMS guidelines and policies (for example, marketing guidelines and denials policies)\nCreate and conduct Medi-Cal enrollment events to attract prospective participants:\n\nEvery week in each of the WelbeHealth centers in territory\nMonthly at senior housing, hospitals, senior centers, churches\nMonthly virtual enrollment sessions\n\n\nDemonstrate in-depth knowledge of Medi-Cal rules, processes, practices, and options to enroll including but not limited to share of cost, spousal impoverishment protections, and appeals processes\n\n

Job Requirements

\n\nBachelor’s Degree in relevant field preferred, an additional five (5) years of relevant Medi-Cal enrollment experience may be substituted\nBilingual (Spanish/English) strongly preferred\nMinimum of three (3) years of experience working directly with the county DPSS submitting, managing, and appealing Medi-Cal enrollments\nDemonstrated knowledge and experience with complex Medi-Cal enrollment case management\n\n

Benefits of Working at WelbeHealth Apply your Medi-Cal expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

\n\nMedical Insurance Coverage (Medical, Dental & Vision)\nWork/Life Balance – we mean it! 17 days of Person Time Off (PTO,) 12 paid holidays observed annually, and sick time.\n401k Savings + match\nAnd additional benefits\n\n

Salary/Wage base range for this role is $29.65 - $39.14 hourly + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications

Compensation $29.65—$39.14 USD

COVID-19 Vaccination Policy

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At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

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Our Commitment to Diversity, Equity and Inclusion

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At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

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Beware of Scams

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Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com

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