Medi-Cal Specialist

About This Role If you’re passionate about serving underserved communities in Los Angeles County, this role is a chance to make a direct, lasting impact. As the Medi-Cal Specialist, you’ll help bring PACE (Program of All-Inclusive Care for the Elderly) to frail seniors—guiding them through new and renewal Medi-Cal/Medicare processes so they can remain safely at home, for as long as they wish. You’ll be the go‑to expert who turns a complex system into a clear path: completing applications (often through home visits), keeping documentation spotless in our CRM, coordinating with county/state partners, and collaborating closely with Finance, Enrollment, and Outreach. The ideal candidate brings hands‑on knowledge of Medi‑Cal/Medicare eligibility and recertification, a resourceful approach to connecting families with community support, and a heart for working with older adults. What Does Success Look Like In This Role? Own the application journey: Initiates, assists, and manages Medi‑Cal applications for prospective participants, ensuring timely and accurate completion. Meet people where they are: Conducts home visits to complete the Medi‑Cal application process. Make every record count: Maintains all documentation and records all enrollment activities in CRM software; ensures accuracy and compliance. Lead with integrity: Strictly adheres to DHCS and CMS regulations and policies regarding PACE marketing practices. Turn data into clarity: Collaborates with the Finance department to prepare reports for data analysis. Keep coverage on track: Monitors and maintains participants’ Medicaid eligibility, including Medi‑Cal recertifications. Double-check the dollars: Supports the Finance department in validating Medicaid payments. Be the extra set of hands: Supports Enrollment and Outreach Specialists as needed. Connect families to help: Provides community resources to prospective participants and families/caregivers. Guide the paperwork process: Assists participants and families/caregivers with all paperwork needed for Medicaid re‑determination or new applications. Coordinate with the county/state: Collaborates with or contacts county/state government specialists to ensure submission of required documentation and to obtain additional information. Jump in where needed: Performs other duties as assigned. What Does An Ideal Candidate Look Like? Know the system: Knowledge of the California Medi‑Cal system and the Social Security process. Bring real experience: 2–4 years of relevant experience. Navigate government partners: Experience working with state/county eligibility workers. Be a resource guru: Extensive knowledge of community resources. Champion older adults: Experience working with frail elderly populations. Education matters: High school diploma. Ready to drive: Valid CA driver’s license, personal transportation, good driving record, and auto insurance as required by state law. Speak their language: Bilingual skills preferred (Spanish, Cantonese, Mandarin, or Vietnamese). The Fine Print Set your rhythm: Monday–Friday, 8:00 a.m.–5:00 p.m., with flexibility for occasional weekend support. Work where it matters: Hybrid schedule—split your time between the office and the community. Bring the care to them: Regular local travel to meet participants where they are. Regional Support : This role will support both our Greater Los Angeles and South Los Angeles center. The Physical Requirements and Work Environments Where you’ll work: Hybrid across home/remote, clinic, and community settings. Expect a mix of desk time, in‑person meetings, home visits, and occasional office‑based collaboration. On the move: Frequent local travel to participant homes, community sites, and county/partner offices; driving your personal vehicle as needed. Time on task: Long periods of sitting for documentation and calls, with intermittent standing, walking, and stair navigation in varied home and facility environments. People-forward: Frequent speaking and active listening with participants, families, caregivers, and county/state partners—both in person and via phone/video. Tools of the trade: Independent use of computers, smartphones, CRM/EMR systems, and virtual meeting platforms; accurate typing/data entry and document management. Hands‑on basics: Ability to lift/carry up to 25 lbs. occasionally (e.g., a laptop bag, forms, portable printer/scan kit) and to set up basic field equipment. Environment changes: Exposure to typical clinic conditions and variable home settings (temperature, pets, stairs, noise); occasional outdoor walking between locations. Safety & professionalism: Adheres to site safety protocols; uses PPE as required; practices situational awareness in community settings. Visual & auditory needs: Sufficient vision/hearing to review documents, verify IDs, read forms, and conduct phone/video conversations clearly. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. $22.12 - $27.93 an hour What’s In It for You? At myPlace Health, we believe that when we take exceptional care of our people, they can take exceptional care of our participants. That’s why we’ve built a comprehensive, people‑first rewards package designed to support your well‑being—professionally, financially, and personally. Here’s a snapshot of what you can look forward to: Competitive Pay & Total Rewards: We offer a strong base salary along with a total rewards package that reflects your experience, education, certifications, and the location of your role. For onsite roles, we adjust pay based on local markets; remote roles are aligned to national pay benchmarks. Performance‑Based Incentives: Our industry‑leading incentive plan recognizes your contributions and rewards success based on the performance of both your team and the organization. Ongoing Growth & Feedback: You’ll receive two performance reviews per year (when applicable), giving you the chance to grow, reflect, and celebrate your achievements. Plan for Your Future: Take advantage of our 401(k) plan with an employer match—because your future matters. Health Coverage that Fits Your Life: Choose from six medical plans, with up to 80% of premiums covered for employees and 75% for dependents. More Than Just Medical: We’ve got you covered with dental and vision insurance, FSA/HSA options, short‑ and long‑term disability, basic life insurance, and additional benefits like accident, critical illness, and hospital indemnity coverage. Generous Time Off: Recharge with 20 days of PTO to start, 12 paid holidays, and 2 floating holidays each year. Support for Your Learning: We prioritize your professional development with a generous CME/CEU budget, dedicated time off for learning, and ongoing growth opportunities. Family Comes First: Our family‑friendly culture includes paid parental leave and a child care stipend to help support you at home. Unlock Care, One Application at a Time If you’re energized by helping underserved seniors access the care they deserve—and you know your way around Medi‑Cal/Medicare—this is your moment. Join us to turn a complex process into a clear path home for our participants. Ready to make an impact? Apply today and let’s do this together. #J-18808-Ljbffr Myplacehealth