Enrollment and Retention Specialist - Medi-Cal (Non-Sales), Intermediate (Bilingual)

Your Role

The Blue Shield of California Promise Health Plan Growth & Retention team is looking for an Enrollment and Retention Specialist who will educate and assist callers with the Medi-Cal enrollment process as it pertains Medi-Cal eligibility and plan enrollment to achieve new enrollment and member retention goals. In this role you will also assist members with the annual Medi-Cal redetermination process, advocate for callers with internal departments as well as County and State agencies and supports other growth projects. Adherence to all compliance requirements and maintaining appropriate documentation is essential to this role. The Blue Shield Promise Growth & Retention team reports to the Growth & Retention Supervisor.

Your Knowledge and Experience

• Requires a high school diploma or GED
• Requires basic job knowledge of systems and procedures obtained through prior work experience or education
• Requires at least 3 years of experience
• Requires strong knowledge of the Medi-Cal program and Managed Care products/services
• Requires being Bilingual in Spanish
• Requires maintaining active compliance certifications

#LI-AD3