Medi-Cal Enrollment Specialist at Cardea Health in Oakland, CA

About Cardea Health:

Cardea Health is a non-profit organization dedicated to providing compassionate health care to marginalized populations.

Mission Statement:

Our mission is to create and support programs that protect the health and autonomy of vulnerable individuals and promote equity and social justice to improve the well-being of our entire community. Compassionate care for vulnerable populations.

Workplace Culture:

Cardea is dedicated to creating a workplace that celebrates diversity and actively seeks to include underrepresented communities. We believe that diversity drives innovation and fosters a more dynamic, inclusive, and productive work environment. We value unique perspectives, experiences, and talents, and we are committed to providing equitable opportunities for growth and advancement. Join us in building a team that reflects the rich diversity of our society and let's make a positive impact together.

Our Cardea CARE(S) Values include:

• Compassion Big heart, steady presence

• Accountability We own it: the work, the follow-through, the impact.

• Respect We assume good intent and keep it real

• Engagement We lean in and figure it out together.

• Support We’ve got each other across roles, teams, and sites.

These values guide how we care for residents, collaborate with colleagues, and represent Cardea Health in the community.

Primary Work Location: Hybrid, 3 days a week

Job Summary:

We are seeking a detail-oriented and knowledgeable Medi-Cal Enrollment Specialist to support our healthcare team in assisting residents with Medi-Cal eligibility, enrollment, and benefits coordination. This role involves working closely with residents, care coordinators, and county agencies to ensure timely and accurate Medi-Cal enrollment and coverage verification.

Job Duties & Responsibilities:

• Serve as the primary point of contact for Medi-Cal enrollment inquiries and application tracking

• Achieve maximum reimbursement for services provided

• Assist residents in completing Medi-Cal applications, renewals, and eligibility verifications

• Verify Medi-Cal and managed care plan status through online portals such as BenefitsCal, Medi-Cal Provider Portal, and Alameda Alliance Provider Portal

• Coordinate with county Medi-Cal offices to resolve application or coverage issues.

• Maintain accurate records and update internal tracking systems

• Educate residents about Medi-Cal benefits and managed care plans

• Work closely with care coordinators, enrollment specialists, and billing specialists to ensure seamless coverage transitions

• Stay up to date on Medi-Cal policy changes and communicate relevant updates to the team

• Provide general administrative support related to Medi-Cal applications, including follow-ups and documentation submission

• Other duties as assigned

Minimum Required Skills & Qualifications:

• Medi-Cal enrollment experience: Minimum 1 year experience

• Excellent communication and customer service skills

• Experience with online portals such as BenefitsCal, Medi-Cal Provider Portal, and Alameda Alliance Provider Portal

• Ability to manage multiple tasks efficiently and maintain organized records

• Proficiency using Microsoft office: Word, Excel, Teams, Outlook

• Familiarity with electronic health records (EHR)

• Self-directed and able to work with minimal supervision

• Knowledge of Medi-Cal eligibility requirements, application processes, and managed care plans

• Strong organizational skills and attention to detail

• Strong critical thinking abilities

• Ability to work independently and collaboratively in a fast-paced environment

• Experience working with the homeless population

• Familiarity with Alameda County Medi-Cal processes and resources

Preferred Skills & Qualifications:

• Medi-Cal enrollment experience: 2 years preferred

• Experience working in a medical respite or social services setting

• Bilingual in Spanish, Cantonese, or another commonly spoken language in the community

• Knowledgeable in Harm reduction, De-escalation, Motivational interviewing, and Trauma informed care

Physical Requirements:

• Frequent walking, standing, and moving between different areas to assist residents and coordinate with staff

• Occasional lifting of up to 25 lbs., such as carrying files, supplies, or assisting with workstation setup

• May require bending, reaching, and kneeling to retrieve or organize documents and materials

• Ability to sit for extended periods while working on a computer or handling paperwork

• On-site work will require interacting with residents in a healthcare or community setting, which may involve exposure to varying environmental conditions

Work Environment:

• Remote work requires reliable internet and access to necessary systems

Benefits:

We offer access to competitive and comprehensive healthcare benefits such as: Medical, dental, vision, EAP, life insurance, long-term disability, HSA or FSA, Dependent Care FSA, voluntary benefits, paid sick leave, paid vacation time, birthday time off, and 401(k) with up to 3.5% employer match.

Benefit eligibility varies based on employment status, scheduled hours, and plan requirements. Full-time employees are generally eligible for employer-sponsored benefit contributions. Eligible part-time employees may participate in available benefit programs subject to plan terms. Per diem employees are generally not eligible for employer-sponsored benefits except as required by applicable federal, state, or local law or as otherwise provided under applicable benefit plans.

Employees may interact with individuals experiencing:

Cardea Health is committed to trauma-informed, person-centered, and harm-reduction-oriented service delivery. Employees are expected to interact with residents, visitors, community partners, and colleagues in a professional, respectful, and compassionate manner. Given the population we serve, employees may interact with or provide services to individuals who may have co-occurring medical, behavioral health or substance use conditions.

Screening Requirements:

Criminal background screening, national criminal records search, healthcare sanctions screening, employment verification, education verification, license verification, MVR (where applicable), and reference checks may be required during screening.

Fair Chance Hiring Statement:

Qualified applicants with arrest and conviction records will be considered for employment in accordance with applicable federal, state, and local laws. A background check may be required following a conditional offer of employment. Please do not let this requirement discourage you from applying. We encourage candidates from all backgrounds and experiences to apply and will evaluate applicants fairly and individually.

Encouragement to Apply:

We recognize that no candidate meets every qualification. If you are excited about this role, we encourage you to apply even if your experience does not perfectly match every requirement.

Cardea Health is an Equal Opportunity Employer:

Cardea Health is committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, genetic information, marital status, national origin, disability, citizenship or veteran status. We will consider qualified candidates with criminal histories in a manner consistent with the requirements of the state of California and San Francisco Fair Chance Ordinance.

This job description is not designed to contain a comprehensive list of activities, duties, or responsibilities for this role. Activities, duties, or responsibilities may change, or a new job description may be assigned at any time with or without notice.