Benefits Systems Manager - Healthcare jobs in Orange, CA

Brief Company Intro

United Health System is a well-known provider of healthcare services within the United States.
United Health System has always strived to be Customer-oriented, Compassionate, Candid, and Compliant. We are committed to your success. You can count on us!

We believe in working as a team with persistent stress on excelled deliverance. Our underlined principle is that an honest and sincere disposition pays off. In a continuous quest to be the best for both our clients and our employees, we work with simple strategies that produce the best results.

Position: Enrollment Specialist

Shift: 8:00 AM to 5:00 PM

Position Summary

Conducts San Diego PACE program eligibility screening, intake, education and enrollment assistance activities to initially determine participant needs and eligibility for enrollment. Coordinates with potential participants and/or their families to conduct initial screenings and assessments in the homes of the potential participants. Completes appropriate documentation related to participant assessments as required. Coordinates communications of eligibility decisions, approvals or disapprovals with the participant or their family members. Participates in the interdisciplinary team (IDT), management team, and other related meetings and activities as needed. Participates in outreach and marketing activities in conjunction with the PACE Marketing Manager. Collects and data enter the daily referral, intake, enrollment, marketing, and outreach activities notes with submission of weekly and monthly reports to the PACE Marketing Manager. Provide tours of PACE center(s) to interested family members, potential participants, community partners, and providers. Facilitates referral from SYHC and community resources for assistance with other needs and complex issues. Provides responsive, high-quality service to patients, SYHC employees, representatives of County and outside agencies, and members of the public by providing accurate, complete, and up-to-date information in a courteous, efficient and timely manner. Provides input and feedback on PACE's internal and external outreach, education, and enrollment plan for engaging, assisting, enrolling, and retaining new and current patients. Conducts public outreach and education activities, individually and in groups, to ADHC, SYHC patients, and community members at clinic locations and other community locations about PACE and other related health coverage options.

Job Requirements:

Education required: High school diploma or GED equivalent.

Education Preferred: Bachelor's Degree in a health or human service field.

Experience Preferred: A minimum of one year working in community health, senior health, marketing, or enrollment for a public health, social service organization, or health plan. One year of MediCal, Medicare, managed health care eligibility, or senior-related sales. Working with the frail or elderly population is a plus.

Certifications/Licenses: CA driver's license with appropriate automobile insurance is required. Must take and pass the State of California DHCS PACE and Medi-Cal Marketing Certification exam within 60 days of hire.

Verbal and Written Skills to Perform the Job: Must be able to communicate effectively and comfortably in public forums. Prepare concise and clear reports on marketing and outreach. Bilingual (English/Spanish) is preferred.

Technical Knowledge and Skills to Perform the Job: Good knowledge of Microsoft Word applications including Excel, Access, and PowerPoint. Computer data entry, analysis, and reporting experience are required. Knowledge of electronic health data systems including NextGen is preferred.

Competencies: Demonstrated ability to be culturally sensitive and respect diversity, work effectively with individuals of different cultures and socio-economic status; passion for service; self-starter and highly organized; ability to prioritize, and complete a large volume of work within strict time deadlines; provide prompt, efficient and responsive customer service.

Equipment Used: Computers, phones, personal vehicles, copy machines, fax machines, and other general office equipment.

Working Conditions and Physical Requirements: Busy Adult Day Health Center (ADHC) and clinic environment serving the frail elderly with medium to loud noise levels and controlled office temperatures. May be required to lift up to 30 lbs., stand and walk frequently indoors and outdoors; set up/take down outreach equipment. Will be required to travel to other sites or other locations within San Diego county. Will be required to work some evenings and/or weekends.

Divya Singh Tanwar
Healthcare Recruiter Lead
D: 408-580-9335
E: divya@uhcstaffing.com