Eligibility Coordinator

myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All-Inclusive Care for the Elderly) organization backed by SCAN Group, myPlace Health brings together customized medical care, social activities, and daily support for participants and their families – all under one roof. Our centers are vibrant community hubs where participants are known by name, valued, and supported as whole people. Behind that experience is a dedicated, interdisciplinary team working collaboratively to coordinate care, remove barriers, and improve quality of life for some of the most medically and socially complex populations. For employees, myPlace Health offers the opportunity to do deeply meaningful work in a highly collaborative setting where team members are encouraged to contribute innovative ideas and grow alongside a mission that prioritizes compassion, respect, and impact.

About This Role

This is a great opportunity for an individual passionate about serving the underserved community in Los Angeles County. This role helps bring the PACE (Program of All-Inclusive Care for the Elderly) program to frail seniors, assisting them with Medicaid or Medicare applications to enable them to live at home as long as they wish. The ideal candidate brings direct experience with the Medicaid and Medicare new/renewal process.

Responsibilities

• Initiate, assist, and manage Medi-Cal applications for prospective participants, ensuring timely and accurate completion.
• Conduct home visits to complete the Medi-Cal application process.
• Assist participants, families, and caregivers in completing all necessary paperwork for Medicaid re-determination or new applications.
• Maintain documentation and record all enrollments in CRM software, ensuring accuracy and compliance.
• Strictly adhere to DHCS and CMS regulations and policies regarding marketing practices for the PACE Program.
• Collaborate with the Finance Department to prepare reports for data analysis and validate Medicaid payments.
• Monitor and maintain participants’ Medicaid eligibility (recertification of Medi-Cal).
• Support the Enrollment and Outreach Specialist as needed and provide community resources to prospective participants or families/caregivers.
• Collaborate with or contact county/state government specialists to ensure submission of required documentation or obtain additional information.
• Contribute to initiatives exploring AI and its potential to transform operations and member services.
• Perform all other duties as assigned.

Qualifications & Experience

• Knowledge of the California Medi-Cal System and Social Security process.
• 2-4 years of relevant experience.
• Experience working with State/County eligibility workers.
• Experience working with frail elderly populations.
• Bilingual skills in Spanish, Cantonese, Mandarin, or Vietnamese preferred.

To ensure the health and safety of our members, this position requires proof of Tuberculosis screening upon hire or documentation of a negative screening within the last year. Reasonable accommodations will be evaluated for disabilities or sincerely held religious beliefs that prevent compliance.

Benefits

• Base salary range: $70,000 to $80,000 per year.
• Annual employee bonus program.
• Medical, dental, and vision coverage.
• Generous paid-time-off (PTO) and 11 paid holidays per year, plus 1 additional floating holiday.
• Excellent 401(k) Retirement Savings Plan with employer match.
• Robust employee recognition and wellness programs.

Schedule

Onsite