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.
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.
Essential Job Duties:
- Gather all necessary documentation to create, submit, doggedly pursue, and appeal Medi-Cal enrollments for prospective participants.
- Visit senior’s homes as needed to gather necessary documentation to submit complete applications
- Maintain 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)
- Create and conduct Medi-Cal enrollment events to attract prospective participants:
- Every week in each of the WelbeHealth centers in territory
- Monthly at senior housing, hospitals, senior centers, churches
- Monthly virtual enrollment sessions
- Demonstrate 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
Job Requirements:
- Bachelor’s degree in relevant field preferred, an additional five (5) years of relevant Medi-Cal enrollment experience may be substituted
- Bilingual (Spanish/English) strongly preferred
- Minimum of three (3) years of experience working directly with the county DPSS submitting, managing, and appealing Medi-Cal enrollments
- Demonstrated knowledge and experience with complex Medi-Cal enrollment case management
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.
- Medical Insurance Coverage (Medical, Dental & Vision)
- Work/Life Balance – we mean it! 17 days of Person Time Off (PTO,) 12 paid holidays observed annually, and 6 sick days
- 401k Savings + match
- And additional benefits
Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.
COVID-19 Vaccination Policy
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.
Our Commitment to Diversity, Equity and Inclusion
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.
Beware of Scams
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 [email protected]
Skills Required
- Bachelor's degree in relevant field preferred
- Five years of relevant Medi-Cal enrollment experience may be substituted
- Minimum of three years of experience working directly with the county DPSS
- Demonstrated knowledge and experience with complex Medi-Cal enrollment case management
- Bilingual (Spanish/English)
What We Do
WelbeHealth provides full-service care to help seniors age well at home and in their community, often at no cost. Services include medical, coordination, home care, dental, transport, physical therapy, prescriptions, social activities and meals. Founded by a seasoned group of physician entrepreneurs, our leadership team hails from leading payer and provider organizations such as GoHealth Urgent Care, BAYADA Home Health, AirStrip Technologies, Evolent Health, and On Lok. With funding from leading venture investors, we're looking for team members who are inspired to help us deliver on our mission of unlocking the full potential of the most vulnerable seniors. Our colleagues are energized by working in diverse groups toward our shared purpose, are eager to drive groundbreaking innovations, and have the courage to care for our participants with empathy and love.
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