Medi-Cal Enrollment Specialist

at Zócalo Health

Remote (Full Time) California

Compensation: $28 - $32 per hour

About Us

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente. Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life.

Our mission is to improve the lives of our communities—communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don’t speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they are, bringing care into their homes and neighborhoods through our team of community-based care providers and virtual care offerings.

We partner with community-based organizations, local healthcare providers, and health plans that recognize the value of culturally aligned care, which are not limited to brief interactions in an exam room. Together, we are building a new experience that revolves around the use of modern technology, culturally competent primary care, behavioral health, and social services to provide a radically better experience of care for every member, their family, and the communities we serve.

We are committed to expanding our reach to serve more members and their communities. We are looking for passionate individuals who share our belief that healthcare should be accessible, personalized, and rooted in the community. Join us in our mission to ensure that no one has to navigate the complexities of the healthcare system alone and that everyone receives the local, culturally competent care they deserve.

Role Description

The Medi-Cal Enrollment Specialist will join Zócalo Health at a critical time in the history of our company and of primary care. The opportunity for impact is large and growing, and Zócalo Health will lead the transition from fee-for-service to value-based care for the growing Latino community in the U.S.

An integral member of the Zócalo Health founding team, you will be responsible for facilitating Medi-Cal enrollment for community members, ensuring they receive the necessary support and guidance throughout the application process. You will collaborate closely with care coordinators and county agencies to resolve any enrollment issues, maintain accurate documentation, and educate residents about their Medi-Cal benefits. Your role will be crucial in promoting health equity and ensuring that underserved communities have access to essential healthcare services.

This position reports to the Head of Patient Outreach and Engagement Operations

The Medi-Cal Enrollment Specialist will contribute in the following ways:

• Serve as the primary point of contact for Medi-Cal enrollment inquiries and application tracking.
• Achieve maximum reimbursement for services provided by Zócalo Health.
• Assist community members in completing Medi-Cal applications, renewals, and eligibility verifications.
• Verify Medi-Cal and managed care plan status through online portals.
• Coordinate with county Medi-Cal offices to resolve application or coverage issues.
• Maintain accurate records and update internal tracking systems.
• Educate members about Medi-Cal benefits and managed care plans.
• Collaborate with various specialists to ensure seamless coverage transitions.
• Stay up-to-date on Medi-Cal policy changes and communicate updates to the team.
• Provide general administrative support related to Medi-Cal applications.

Qualifications

• Minimum of 1 year of Medi-Cal enrollment experience.
• Excellent communication and customer service skills.
• Experience with online portals (e.g., BenefitsCal, Medi-Cal Provider Portal).
• Ability to manage multiple tasks efficiently and maintain organized records.
• Proficiency in Google Workspace (Docs, Sheets, Google meet, Gmail).
• Familiarity with electronic health records (EHR).
• Ability to work independently and collaboratively in a fast-paced environment.
• Knowledge of Medi-Cal eligibility requirements and managed care plans.
• Strong organizational skills and attention to detail.

Preferred Qualifications

• 2 years of Medi-Cal enrollment experience.
• Experience in a medical or social services setting.
• Bilingual in Spanish or another commonly spoken language in the community.
• Knowledgeable in Harm Reduction, De-escalation, Motivational Interviewing, and Trauma-Informed Care.

What you can expect from Zócalo Health

• Competitive hourly pay range: $28-$32 (depending on experience).
• Equity compensation package
• Comprehensive benefits including medical, dental, and vision
• 401k
• Generous PTO policy (up to 15 days per year for FT employees)
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.