Medicaid Enrollment Specialist

The role

The Medicaid Enrollment Specialist focuses on enrolling prospective participants in Medicaid. This role is a member of the Marketing, Outreach, and Enrollment team and provides support to Outreach and Enrollment functions.

What you will do

• Gather, submit, pursue, and appeal Medicaid enrollments for prospective participants.
• Visit senior's homes to gather documentation for applications.
• Maintain relationships with the Department of Public and Social Services.
• Ensure compliance with DHCS and CMS guidelines and policies.
• Create and conduct weekly enrollment events in WelbeHealth centers.
• Conduct monthly enrollment events at senior housing, hospitals, senior centers, and churches.
• Conduct monthly virtual enrollment sessions.
• Demonstrate knowledge of Medicaid rules, processes, and options.

Required qualifications

• Minimum of three years of experience working directly with the county DPSS submitting, managing, and appealing Medi-Cal enrollments
• Demonstrated knowledge and experience with complex Medicaid enrollment case management

Nice to have

• Bachelor's degree in relevant field
• Bilingual (Spanish/English)

Benefits

• Medical insurance coverage (Medical, Dental, Vision)
• 17 days of personal time off (PTO)
• 12 holidays observed annually
• Sick time
• 401K savings + match
• Advancement opportunities

Before you apply

• Proof of vaccination, or a vaccine declination form will be required prior to employment.

About the company

WelbeHealth's mission is to unlock the full potential of our vulnerable seniors. The Outreach and Enrollment Team is the first touchpoint prospective participants have with the company.