Member Engagement Specialist

Member Engagement Specialist – Full Circle Health Network

California · Hybrid/Statewide · Full-time

Employment Type: Full-time, Non-exempt, 40 hours/week

Hourly Salary Range (DOE): $30.00 – $33.65 per hour

Company Overview

Full Circle Health Network is an integrated network of nonprofit, nationally accredited providers delivering coordinated, community-based services to vulnerable children, individuals, and families across California.

Full Circle exists to ensure more Californians can access culturally congruent and trauma-informed care from a high-quality network of community-based organizations that address whole-person and whole-family needs.

We accomplish this primarily through the following core activities:

• Serve as a single contracting vehicle for community-based providers to enroll in Medi-Cal managed care plan networks.
• Reduce administrative burden for providers so they can focus on serving clients.
• Drive improved coordination between providers across multiple systems through technology infrastructure, training, and administrative practice support.

The Full Circle Health Network embraces the population health vision of CalAIM. Healing trauma, stabilizing home environments, and reuniting families promotes wellness throughout a child’s lifetime—reaping future individual and societal benefit.

Full Circle Health Network is closely affiliated with the CA Alliance of Child and Family Services under the governance of the California Alliance Board of Directors. The Network has an advisory board made up of subject matter experts and participants of the network.

Position Overview

The Member Engagement Specialist (MES) supports Full Circle’s member engagement initiatives by collaborating with contracted providers, local agencies, and directly with members to increase education, awareness, and enrollment in Enhanced Care Management (ECM), Community Supports (CS), and

Community Health Worker (CHW) services under CalAIM.

This role requires the ability to exercise discretion and sound professional judgment in managing member engagement pathways, referral coordination, documentation integrity, and compliance with applicable program requirements, organizational policies, and confidentiality standards.

Key Responsibilities

• Analyze and understand the needs of communities served by Full Circle Health Network to inform engagement strategies.
• Develop and manage community-based referral pipelines for ECM, CS, and CHW services.
• Use internal and external data sources to identify member engagement opportunities and connect members to providers within Full Circle’s network.
• Partner with providers to assess and improve internal referral processes to support engagement outcomes.
• Conduct research using provider portals and Health Information Exchanges (HIEs) to support outreach and connection to services.
• Build and maintain professional relationships with healthcare providers, community-based organizations, and local agencies serving youth and families.
• Manage the handoff and completion of Community Pathway Referrals, ensuring alignment with policy and engagement goals.
• Monitor member assignments and engagement timelines in accordance with Full Circle policies, procedures, and applicable health plan requirements.
• Serve as the primary point of contact for members expressing interest in ECM, CS, or CHW services, providing navigation support and enrollment guidance.
• Apply judgment in resolving engagement barriers and escalate systemic issues to the Engagement Supervisor with recommended solutions.
• Track and manage closed-loop referrals, ensuring documentation integrity and compliance with quality standards.
• Ensure accurate and timely reporting of services in health plan portals and internal systems as required.
• Represent Full Circle at provider and health plan meetings as assigned.
• Participate in continuous quality improvement initiatives and support policy development related to engagement practices.
• Maintain compliance with HIPAA, confidentiality requirements, and Full Circle’s Code of Conduct.
• Perform other duties as assigned consistent with organizational needs and program requirements.

Required Qualifications

• Bachelor’s degree in Social Work, Psychology, Public Health, Human Services, or a related behavioral science field required.
• Minimum of 3 years of experience in member engagement, care coordination, or case management within health or social service settings.
• Demonstrated ability to exercise discretion, critical thinking, and professional judgment in client-facing roles.
• Strong working knowledge of Medi-Cal, CalAIM, and community-based care models.
• Proficiency in systems such as HIEs, provider portals, and EHR platforms.
• Excellent written and verbal communication skills.
• Ability to work autonomously in a remote environment and engage professionally with internal and external stakeholders.
• Reliable transportation for regional travel as needed.

Preferred Qualifications

• CHW certification, Peer Support Specialist training, or equivalent credential.
• Master’s degree in a related field (MSW, MPH, MA Psychology, or similar).
• Experience engaging ECM/CS/CHW populations or high-utilizer members.
• Multilingual or multicultural experience strongly preferred.

Core Competencies

Communication Skills · Analytical Thinking · Organizational Skills · Problem-Solving · Adaptability · Project Management · Team Collaboration · Technical Proficiency · Resource Management · Compliance & Quality Assurance

Physical Requirements

• Ability to lift and move equipment up to 50 pounds.
• Occasional travel to local events, provider sites, and community meetings.

Compensation & Benefits

• Competitive hourly rate: $30.00 – $33.65 per hour (DOE)
• Comprehensive benefits package including medical, dental, vision, and retirement contributions
• Flexible hybrid work model with statewide impact

To Apply

Submit your resume and brief cover letter to HR@fullcirclehn.org

. Applications will be reviewed on a rolling basis until the position is filled.

Additional Employment Information

Equal Employment Opportunity

Full Circle Health Network is an equal opportunity employer and is committed to building a diverse and inclusive workforce. We do not discriminate on the basis of any status protected by applicable federal, state, or local law.

Reasonable Accommodation

Full Circle Health Network provides reasonable accommodations for qualified individuals with disabilities and for sincerely held religious beliefs, in accordance with applicable law. Applicants requiring accommodation during the application or interview process may contact HR.

At-Will Employment

Employment with Full Circle Health Network is at-will. Nothing in this job posting or the application process creates an express or implied contract of employment for any specific duration.

Background and Reference Checks

Employment offers may be contingent upon successful completion of reference checks and any background screening required by law, contract, or funding partners.