Medi-Cal Specialist
myPlace Health·Los Angeles, California
myPlace Health·Los Angeles, California
The specialist will own the application journey for Medi-Cal by initiating, assisting, and managing applications, often conducting home visits, while strictly adhering to DHCS and CMS regulations. Key duties include maintaining spotless documentation in the CRM, monitoring Medicaid eligibility and recertifications, and collaborating with Finance, Enrollment, and Outreach teams.
If you’re passionate about serving underserved communities in Los Angeles County, this role is a chance to make a direct, lasting impact. As the Medi-Cal Specialist, you’ll help bring PACE (Program of All-Inclusive Care for the Elderly) to frail seniors—guiding them through new and renewal Medi-Cal/Medicare processes so they can remain safely at home, for as long as they wish.
completing applications (often through home visits), keeping documentation spotless in our CRM, coordinating with county/state partners, and collaborating closely with Finance, Enrollment, and Outreach. The ideal candidate brings hands-on knowledge of Medi-Cal/Medicare eligibility and recertification, a resourceful approach to connecting families with community support, and a heart for working with older adults.
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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.
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).
Monday–Friday, 8:00 a.m.–5:00 p.m., with flexibility for occasional weekend support.
Work where it matters: Hybrid schedule—split your time between the office and the community.
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
At myPlace Health, we believe that when we take exceptional care of our people, they can take exceptional care of our participants.
That’s why we’ve built a comprehensive, people-first rewards package designed to support your well-being—professionally, financially, and personally.
Here’s a snapshot of what you can look forward to: Competitive Pay & Total Rewards We offer a strong base salary along with a total rewards package that reflects your experience, education, certifications, and the location of your role.
For onsite roles, we adjust pay based on local markets; remote roles are aligned to national pay benchmarks.
Performance-Based Incentives Our industry-leading incentive plan recognizes your contributions and rewards success based on the performance of both your team and the organization.
Ongoing Growth & Feedback You’ll receive two performance reviews per year (when applicable), giving you the chance to grow, reflect, and celebrate your achievements.
Plan for Your Future Take advantage of our 401(k) plan with an employer match—because your future matters.
Health Coverage that Fits Your Life Choose from six medical plans, with up to 80% of premiums covered for employees and 75% for dependents.
More Than Just Medical We’ve got you covered with dental and vision insurance, FSA/HSA options, short- and long-term disability, basic life insurance, and additional benefits like accident, critical illness, and hospital indemnity coverage.
Generous Time Off Recharge with 20 days of PTO to start, 12 paid holidays, and 2 floating holidays each year.
Support for Your Learning We prioritize your professional development with a generous CME/CEU budget, dedicated time off for learning, and ongoing growth opportunities.
Family Comes First Our family-friendly culture includes paid parental leave and a child care stipend to help support you at home. \n
Unlock Care, One Application at a Time
If you’re energized by helping underserved seniors access the care they deserve—and you know your way around Medi-Cal/Medicare—this is your moment. Join us to turn a complex process into a clear path home for our participants. Ready to make an impact? Apply today and let’s do this together.
Market context
In California, Medi-Cal Specialist roles are often tied to ongoing eligibility, recertification, and coordination with state or county workers, so demand tends to follow organizations that serve high-need populations. These jobs are competitive because employers usually want 2–4 years of experience, working knowledge of Medi-Cal and Medicare eligibility, and practical readiness to travel with a valid CA driver’s license and personal transportation. Before applying, review how your recertification and county-worker experience matches the posting; the requirements and benefits here are AI-summarized from the original job description, which can save research time.