Medicaid Enrollment Specialist

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

The Medicaid Enrollment Specialist focuses on successfully enrolling prospective participants in Medicaid. The Medicaid 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 Medicaid enrollments for prospective participants.
• Visit seniors 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 Medicaid 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 Medicaid rules processes practices and options to enroll including but not limited to share of cost spousal impoverishment protections and appeals processes

Job Requirements:

• Bachelors degree in relevant field preferred an additional five (5) years of relevant Medicaid 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 Medicaid enrollment case management

Benefits of Working at WelbeHealth: Apply your coding 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 personal time off (PTO) 12 holidays observed annually and sick time
• 401K savings match
• Advancement opportunities - weve got a track record of hiring and promoting from within meaning you can create your own path!
• 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.

Compensation Offering

$28.23 - $37.27 USD

COVID-19 Vaccination Policy

At WelbeHealth our mission is to unlock the full potential of our vulnerable 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 were committed to building a culture of inclusion and belonging. Were 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 @ email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Required Experience:

IC