Medi-Cal Specialist

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

Responsibilities:

• Own the application journey: Initiates, assists, and manages Medi-Cal applications for prospective participants, ensuring timely and accurate completion.
• Meet people where they are: Conducts home visits to complete the Medi-Cal application process.
• Make every record count: Maintains all documentation and records all enrollment activities in CRM software; ensures accuracy and compliance.
• Lead with integrity: Strictly adheres to DHCS and CMS regulations and policies regarding PACE marketing practices.
• Turn data into clarity: Collaborates with the Finance department to prepare reports for data analysis.
• Keep coverage on track: Monitors and maintains participants’ Medicaid eligibility, including Medi-Cal recertifications.
• Double-check the dollars: Supports the Finance department in validating Medicaid payments.
• Be the extra set of hands: Supports Enrollment and Outreach Specialists as needed.
• Connect families to help: Provides community resources to prospective participants and families/caregivers.
• Guide the paperwork process: Assists participants and families/caregivers with all paperwork needed for Medicaid re-determination or new applications.
• Coordinate with the county/state: Collaborates with or contacts county/state government specialists to ensure submission of required documentation and to obtain additional information.
• Jump in where needed: Performs other duties as assigned.

• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

• Actively support the achievement of myPlace Health's Vision and Goals.

• Other duties as assigned.

Qualifications and experience:

• Know the system: Knowledge of the California Medi-Cal system and the Social Security process.
• Bring real experience: 2–4 years of relevant experience.
• Navigate government partners: Experience working with state/county eligibility workers.
• Be a resource guru: Extensive knowledge of community resources.
• Champion older adults: Experience working with frail elderly populations.
• Education matters: High school diploma.
• Ready to drive: Valid CA driver’s license, personal transportation, good driving record, and auto insurance as required by state law.
• Speak their language: Bilingual skills preferred (Spanish, Cantonese, Mandarin, or Vietnamese).
• Set your rhythm: Monday–Friday, 8:00 a.m.–5:00 p.m., with flexibility for occasional weekend support.
• Bring the care to them: Regular local travel to meet participants where they are.
• Regional Support: This role will support both our Greater Los Angeles and South Los Angeles center.

Tuberculosis Screening Policy

To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.

What's in it for you:

• Base salary range: $20.14 to $29.16 per hour
• An annual employee bonus program
• Medical, Dental, Vision coverage
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match.
• Robust employee recognition program
• Robust Wellness Program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)