Community Resource Center Representative, Intermediate (Bilingual Spanish) - West L.A.

Community Resource Center Representative, Intermediate (Bilingual Spanish) - West L.A. Blue Shield of California Position Location: West L.A. Community Resource Center. The employee must work 5 days per week at the West L.A. Community Resource Center. Job Description The Community Resource Center (CRC) team manages the Blue Shield Promise Health Plan Information Resource Center (IRC) and collaborates with L.A. Care to operate CRCs throughout Los Angeles County. The CRC connects Blue Shield Promise and L.A. Care members with classes and personalized services that foster community connections, address social needs, and keep people active, healthy, and informed. The CRC Representative provides in‑person support to members and consumers who visit a CRC, including health plan member services, benefit explanation, enrollment assistance, referral to social services and care planning, and engagement in select quality events and CRC‑sponsored activities. Responsibilities Resolve issues and inquiries concerning member eligibility, benefits, provider information, clinical, pharmacy and other health or social service needs. Compose routine and non‑routine correspondence to answer benefits/provider inquiries in writing. Coordinate membership changes such as a member’s primary care physician. May participate in quality and efficiency workgroups to continuously improve member/customer satisfaction. Analyze available programs, determine program eligibility, and connect members to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists. Conduct outreach calls and activities to inform members about the Community Resource Centers, how to access health plan benefits, and assist with scheduling appointments. Verify the member is included in or targeted for any outreach or care gap programs and connect members to programs or services when appropriate. Assist with organization and hosting of unique quality events and participation in on‑site and off‑site Community Resource Center activities. Qualifications At least 3 years of professional experience. Broad knowledge of operational systems and practices typically gained through extensive experience and/or education. Bilingual in Spanish, demonstrated by successful completion of an oral language proficiency test. At least 6 months of experience with Medi‑Cal enrollment guidelines, specifically the Medi‑Cal renewal/redetermination process. Customer service background. Positive attitude, flexibility, professionalism, and dependability in all workplace activities. About the Team As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. About Blue Shield of California Blue Shield of California’s mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. We foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company and are one of the 50 most community‑minded companies in the United States by Points of Light. Our Values Honest – We hold ourselves to the highest ethical and integrity standards, building trust by doing what we say we’re going to do and by acknowledging and correcting where we fall short. Human – We strive to listen and communicate effectively, showing empathy by understanding others’ perspectives. Courageous – We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. Our focus remains on creating spaces where our people can connect with purpose – whether working in the office or on a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce. Two Ways of Working: Hybrid (Default): Work from a business unit‑approved office at least two (2) times per month (for roles below Director‑level) or once per week (for Director‑level roles and above). Exceptions: Member‑facing and approved out‑of‑state roles remain remote; Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits; For employees with medical conditions that may impact their ability to work in‑office, we are committed to engaging in an interactive process and providing reasonable accommodations. On‑Site: Work from a business unit‑approved office an average of four (4) or more days a week. Physical Requirements Office Environment – roles involving part‑to‑full time schedule in an office environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. Equal Employment Opportunity External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. #J-18808-Ljbffr Blue Shield of California