Medi-Cal Specialist

JobsCloseBy Editorial Insights

myPlace Health is seeking a full-time Medi-Cal Specialist in East Compton, CA, onsite with a hybrid schedule, to bring PACE to seniors by guiding them through Medi-Cal and Medicare, including home visits, while maintaining accurate CRM records and coordinating with Finance, Enrollment and Outreach. Success means owning the application journey, meeting participants where they are, ensuring DHCS and CMS compliance, monitoring eligibility, supporting Medicaid payments, and connecting families to community resources. The ideal candidate has 2-4 years of Medi-Cal/Medicare experience, knowledge of the California system, and experience with state or county eligibility staff; a high school diploma, valid CA driver’s license, reliable transportation, and bilingual skills preferred. To apply, tailor your resume to show home visits, CRM data skills, collaboration with government partners, and a brief note on your passion for serving underserved seniors and PACE.

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About This RoleIf 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.
You’ll be the go-to expert who turns a complex system into a clear path: 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.

What Does Success Look Like In This Role?

• 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.

What Does An Ideal Candidate Look Like?

• 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).

The Fine Print

• Set your rhythm: 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

The Physical Requirements and Work Environments

• Where you’ll work: Hybrid across home/remote, clinic, and community settings. Expect a mix of desk time, in-person meetings, home visits, and occasional office-based collaboration.
• On the move: Frequent local travel to participant homes, community sites, and county/partner offices; driving your personal vehicle as needed.
• Time on task: Long periods of sitting for documentation and calls, with intermittent standing, walking, and stair navigation in varied home and facility environments.
• People-forward: Frequent speaking and active listening with participants, families, caregivers, and county/state partners—both in person and via phone/video.
• Tools of the trade: Independent use of computers, smartphones, CRM/EMR systems, and virtual meeting platforms; accurate typing/data entry and document management.
• Hands-on basics: Ability to lift/carry up to 25 lbs. occasionally (e.g., a laptop bag, forms, portable printer/scan kit) and to set up basic field equipment.
• Environment changes: Exposure to typical clinic conditions and variable home settings (temperature, pets, stairs, noise); occasional outdoor walking between locations.
• Safety & professionalism: Adheres to site safety protocols; uses PPE as required; practices situational awareness in community settings.
• Visual & auditory needs: Sufficient vision/hearing to review documents, verify IDs, read forms, and conduct phone/video conversations clearly.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Unlock Care, One Application at a TimeIf 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.