Jobs at Pacific Health Group

Support prospective members through Medi-Cal application, renewal, appeals, and Managed Care Plan enrollment. Track case status, collect documentation, follow up with counties/plans, maintain HIPAA-compliant records, and hand off ready members to care teams. Provide telephone-based member navigation, documentation, and status reporting to resolve eligibility barriers and enroll members into PHG programs.

Oversee administrative assistants, contracting, grants, RFPs, and data administration. The role supervises staff, establishes workflows and SOPs, tracks deadlines and documentation, supports reporting and data quality, coordinates across departments, improves administrative processes, and escalates unresolved risks. Success requires strong organization, accountability, communication, independent judgment, and follow-through in a hybrid healthcare organization.

Provide advanced HR support including employee relations and investigations, performance management, leaves and accommodations, policy interpretation, onboarding/offboarding, HR project leadership, compliance with California employment law, HR reporting, and serve as a senior resource and trainer to the HR team.

Develop and maintain secure full-stack web applications, APIs, integrations, databases, and production infrastructure. Rapidly prototype with AI-assisted development tools, then audit, refactor, test, secure, deploy, and monitor the resulting software. Integrate healthcare, CRM, billing, communications, and enterprise systems while protecting PHI and supporting HIPAA safeguards. Collaborate with executives, analysts, vendors, and operational teams to translate business needs into maintainable technical solutions, troubleshoot incidents, and continuously improve reliability and delivery speed.

The Digital Marketer will enhance online marketing strategies to boost engagement and program participation through campaigns, content, and analytics. Responsibilities include managing digital and traditional marketing, social media, SEO, and content creation.

The Executive Assistant will support the President & CEO in managing operations, coordinating schedules, and handling confidential information, while also managing projects and organizing meetings.

Lead and own the organization's IT and information security program, ensuring HIPAA/HITECH compliance. Manage infrastructure, cloud security, identity, endpoint protection, incident response, vendor risk, audits, disaster recovery, and staff. Develop policies, perform risk assessments, and advise executives to maintain secure, resilient systems and regulatory compliance.

The Data Administrator maintains data integrity and compliance, oversees health plan submissions, conducts eligibility checks, and provides reporting and insights for organizational operations.

Own end-to-end revenue cycle for Clubhouse Services: prepare and submit county/bundled-rate MediCal claims, verify eligibility, work denials and reconciliations, maintain compliance and audit readiness, train staff, and coordinate with County BHS.

Audit member records and outreach workflows to ensure compliance with CalAIM/Medi‑Cal and HIPAA standards. Conduct minimum 40% community outreach, analyze workflows, identify gaps, develop corrective actions, track QA metrics, report findings, and provide training to improve documentation accuracy and operational performance.