Teams 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.