RemoteLeaf Logo
Log in Sign up

Medi-Cal Enrollment Advocate

10 hours, 40 minutes ago
United States
Full-time
Junior
Operations Specialist
Operations
Apply Now
WelbeHealth

WelbeHealth

WelbeHealth is a full-service healthcare company that offers personalized support to help seniors age well at home and in their community. Their Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive services at no cost, including ...

Family Services
251-1K
Founded 2015
$31M raised
View All Jobs 28

Description

  • Proactively identify participants approaching Medi-Cal redetermination.
  • Educate participants and assist with completing required eligibility forms and obtaining signatures.
  • Conduct home visits to complete forms when necessary.
  • Collect supporting documentation needed for eligibility determination and redetermination.
  • Complete and file applications, maintaining follow-up with participants, center staff, and government agencies to ensure timely processing.
  • Support timely resolution of eligibility issues for the Eligibility & Reconciliation team with minimal direction.
  • Prioritize daily work requests, inquiries, turnaround times, and items requiring escalation.
  • Maintain a strong working relationship with the Department of Public and Social Services (DPSS).
  • Ensure compliance with DHCS and CMS policies and procedures.

Requirements

  • High school diploma or equivalent.
  • 3+ years of relevant Medi-Cal/Medicaid enrollment experience.
  • Experience with share of cost, spousal impoverishment protections, and appeals processes.
  • Direct experience working with county DPSS to submit, manage, and appeal Medi-Cal enrollments.
  • Demonstrated experience with complex Medi-Cal enrollment case management.
  • Knowledge of Medi-Cal rules, processes, and practices.
  • Bilingual Spanish/English strongly preferred.
  • Strong interpersonal skills and the ability to speak to seniors in a caring manner.
  • Experience level and relevant qualifications will be considered for compensation.
  • Proof of COVID-19 vaccination or a vaccine declination form is required prior to employment.

Benefits

  • Base salary plus bonus.
  • Compensation range of $25.61 to $33.80 USD per hour.
  • 401(k) with employer match.
  • Medical, dental, and vision insurance coverage.
  • 17 days of personal time off (PTO).
  • 12 paid holidays annually.
  • 6 sick days.
  • Competitive total rewards package with additional benefits.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Apex Companies

Water / Wastewater Operator (Treatment Plant & Field Services)

Apex Companies 251-1K Construction & Engineering

Apex Companies is hiring a remote Water/Wastewater Operator in the Somerset, PA area to support field services, treatment plant operations, and compliance-focused maintenance across client sites.

United States Full-time Junior Operations Specialist
10 hours, 25 minutes ago
The Quality Group

Working Student (gn) - Application Management

The Quality Group Health Care Providers & Services

The Quality Group is hiring a part-time working student in Germany, remote, to support application management and IT service management for its digital application landscape.

Germany Part-time Entry Level Operations Specialist
10 hours, 40 minutes ago
Iovance Biotherapeutics

Cell Therapy Case Manager (Pacific Northwest)

Iovance Biotherapeutics 251-1K Pharmaceuticals

Iovance Biotherapeutics is hiring a Manager, TIL Therapy Case Management to coordinate complex patient journeys for TIL therapy, including Amtagvi, from referral through infusion and post-treatment follow-up.

United States Full-time Senior Operations Specialist
$145k-$160k
10 hours, 55 minutes ago
Workato

Learning Management System Administrator

Workato 251-1K IT Services

Workato is hiring an LMS Administrator for its Workato Academy team to manage and improve its Docebo learning platform for customers, partners, and internal teams.

India Contract Senior Operations Specialist Training Manager
CSS Google Analytics HTML
10 hours, 55 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers