Medi-cal Eligibility Specialist

Habitat Health

South Los Angeles, CA, US
On-site
Deep understanding of medi-cal eligibility rules
Experience with dpss submission and appeals
Ability to track application pipelines
The role supports prospective and existing participants in navigating Medi-Cal eligibility and redeterminations for the PACE program

Job Summary

  • The role supports prospective and existing participants in navigating Medi-Cal eligibility and redeterminations for the PACE program.
  • Candidates must partner with center staff and health plans to triage Medi-Cal status issues affecting PACE eligibility.
  • The position requires gathering documentation, submitting applications, and maintaining compliance with DHCS and CMS guidelines.

Matching Summary

The role supports prospective and existing participants in navigating Medi-Cal eligibility and redeterminations for the PACE program.

Skills & Requirements

Must-have

  • Deep understanding of Medi-Cal eligibility rules
  • Experience with DPSS submission and appeals
  • Ability to track application pipelines
  • Proficiency in managing multiple applications
  • Strong customer service skills for seniors

Nice-to-have

  • Excellent attention to detail
  • Ability to visit senior homes as needed
  • Experience conducting eligibility events
  • Strong relationship building with agencies

Key Requirements

  • Minimum 3 years experience with county DPSS
  • Direct experience submitting Medi-Cal applications
  • Experience managing Medi-Cal redeterminations
  • Experience appealing Medi-Cal eligibility decisions

Work Rights

Not specified

Tailored Resume

Cover Letter