Medi-Cal Specialist

myPlace Health•Los Angeles, CA

16h•$22 - $28•Hybrid

About The Position

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.

Requirements

Knowledge of the California Medi-Cal system and the Social Security process.
2–4 years of relevant experience.
Experience working with state/county eligibility workers.
Extensive knowledge of community resources.
Experience working with frail elderly populations.
High school diploma.
Valid CA driver’s license, personal transportation, good driving record, and auto insurance as required by state law.

Nice To Haves

Bilingual skills preferred (Spanish, Cantonese, Mandarin, or Vietnamese).

Responsibilities

Initiates, assists, and manages Medi-Cal applications for prospective participants, ensuring timely and accurate completion.
Conducts home visits to complete the Medi-Cal application process.
Maintains all documentation and records all enrollment activities in CRM software; ensures accuracy and compliance.
Strictly adheres to DHCS and CMS regulations and policies regarding PACE marketing practices.
Collaborates with the Finance department to prepare reports for data analysis.
Monitors and maintains participants’ Medicaid eligibility, including Medi-Cal recertifications.
Supports the Finance department in validating Medicaid payments.
Supports Enrollment and Outreach Specialists as needed.
Provides community resources to prospective participants and families/caregivers.
Assists participants and families/caregivers with all paperwork needed for Medicaid re-determination or new applications.
Collaborates with or contacts county/state government specialists to ensure submission of required documentation and to obtain additional information.
Performs other duties as assigned.