Supervisor, Medicare/Medicaid Eligibility

WelbeHealth•Los Angeles, CA

20h•$90,281 - $119,171•Hybrid

About The Position

At WelbeHealth, we serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The Supervisor, Eligibility & Coverage is accountable for oversight of eligibility process operations. This role will guide day-to-day priorities to lead a highly proactive Eligibility team. The Supervisor, Eligibility & Coverage leads with a data-driven approach to ensure continuous eligibility for our participants. This role is different because Supervisor, Eligibility & Coverage at WelbeHealth: Plays a mission-driven leadership role, guiding seniors and their families through the enrollment journey and ensuring them access to compassionate, community-based care that helps them age with dignity and independence. Lead the coordination of participant benefits within the uniquely integrated PACE care model, working closely with interdisciplinary teams to ensure coverage supports holistic care, creating a rewarding opportunity to impact how seniors experience healthcare every day.

Requirements

Associate’s degree in relevant field; additional relevant professional experience may be substituted
Minimum of three (3) years of experience in Medicaid/Medicare eligibility or social services
Minimum of one (1) year of experience working with governmental agencies
Two (2) years of supervisory experience with demonstrated ability to mentor and develop team members
Must have strong KPI Management
Experience leading in a data-driven organization, leveraging reports and data to prioritize and manage people and projects
Candidates must be residing in the State of CA due to occasional travel that would be required to WelbeHealth PACE Centers.

Nice To Haves

Experience leading eligibility teams for PACE organizations.

Responsibilities

Manage the Eligibility Advocate team, ensuring effective participant eligibility maintenance, reinstatements, and enrollment processing across Medicaid (DHCS) and Medicare (CMS)
Set priorities, caseloads, and workflow assignments for Eligibility Advocates and Coordinators
Develop outreach strategies to proactively prevent coverage lapses
Oversee enrollment and disenrollment processing with DHCS and CMS
Manage direct reports including hiring, training, supervising, and mentoring
Partner with Operations, Quality, and Enrollment team leaders to refine workflows, SOPs, and job aids
Support implementation of new eligibility policies or regulatory changes, ensuring timely training and adoption
Maintain and improve tracking tools (e.g., hold trackers, renewal logs, escalation dashboards)