Medicaid SpecialistEmployment Type: Full-time

Relocation Assistance Available - No

Required Qualifications:

• Associate degree or higher
• 2+ years of experience in ALL of the following:
  • Medicaid Eligibility
  • Case Management
  • Clinical Documentation
• Valid CA driver’s license, reliable personal transportation, a good driving record, and auto insurance (Yes)
• This is an in-home visit position. Do you acknowledge you'll be traveling for this position? (Yes)

Preferred Qualifications:

• 1+ years of experience in ANY of the following:
  • In-Home Visits
  • Medi-Cal Process
  • PACE Model Experience
  • Working with Elderly

Overview: As a Medicaid Specialist, you will play a crucial role in helping underserved seniors access essential care and support through Medicaid and Medicare applications. Your dedication will contribute to enabling seniors to live independently and receive the assistance they need. Join Our Award Winning Client's mission-driven team and make a meaningful impact!

Key Responsibilities:

• Initiate, assist, and manage Medicaid applications for prospective participants
• Conduct home visits to assist participants with completing the Medi-Cal application process
• Maintain accurate documentation and record participant enrollment information
• Adhere strictly to DHCS and CMS regulations and policies
• Collaborate with the Finance Department for data analysis and reporting
• Monitor and maintain participants' Medicaid eligibility
• Provide community resources to prospective participants and families/caregivers
• Collaborate with government specialists for required documentation

Schedule and Shift Details:

• Full-time schedule, no on-call required. M-F, 8 a.m. - 5 p.m.

Travel:

• Home Visits in the LA area

Benefits:

• 401k with Employer match
• Your choice of 6 medical plans, with premium coverage of up to 80% for employees and 75% for all dependents
• Dental, vision, health savings account, flexible spending accounts, short- and long-term disability coverages
• PTO starting at 20 days per year, plus 12 paid holidays per year, and 2 floating holidays per year
• Generous CME/CEU budget and time off, and professional development opportunities
• One-time stipend towards setting up your home office (for remote or hybrid roles)
• Family-friendly policies, including paid new parent leave

Internal Notes:

• Any candidates that have worked or applied for Our Award Winning Client within the last 90 days will not pass the name-clear stage after review.
• Knowledge of Medicaid and clinical documentation is important in this role. Looking for candidates with process renewal, application/documentation info, and case management experience throughout the Medicaid/Medicare process.
• Working Location: Conducting home visits. Candidates must reside in LA or within 10-15 miles within LA.

Note: Resumes will be maintained in strict confidentiality until such time as we engage in a detailed discussion regarding a specific opportunity, and both parties mutually agree to proceed. We consistently receive new opportunities every day. Should your professional background closely align with the specific requirements of Our Award Winning Client, we will promptly reach out to you to initiate further exploration of potential opportunities.