Medi-Cal Specialist

myPlace Health•Los Angeles, CA

2d•$22 - $28•Hybrid

About The Position

If youâre 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, youâll help bring PACE (Program of All-Inclusive Care for the Elderly) to frail seniorsâguiding them through new and renewal Medi-Cal/Medicare processes so they can remain safely at home, for as long as they wish. Youâll 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

Know the system: Knowledge of the California Medi-Cal system and the Social Security process.
Bring real experience: 2â4 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 driverâs license, personal transportation, good driving record, and auto insurance as required by state law.

Nice To Haves

Speak their language: Bilingual skills preferred (Spanish, Cantonese, Mandarin, or Vietnamese).

Responsibilities

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 participantsâ 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.