Member Enrollment- Program Assistant

Work schedule: Monday–Friday, 8:00 a.m.–5:00 p.m.

Pay rate: $24.00/hr - $33.50 per hour DOEKey ResponsibilitiesYou'll support day-to-day program operations and help keep enrollment processes accurate, compliant, and member-focused, including: Coordinating specialized enrollment processes (e.g., eligibility analysis, provider assignments, age restrictions, complex condition monitoring, and floor audits for the Medi-Cal program) Assisting with member requests such as health network changes, PCP change requests, and data correction formsInterpreting policies/regulations and responding to questionsPreparing letters/surveys and coordinating data files (including mail merges) Documenting workflows, desktop procedures, and policies to support complianceCreating reports and tools; performing reconciliations using Excel and Access (sorts/merges, filters, compiling reports, database procedures) Supporting quality audits related to PHI/AOR and acceptance letter updatesConducting outreach to members, and to health insurance carriers to verify potential other health coverage (OHC) Sorting and tracking returned mail and maintaining accurate logsMust-Have QualificationsHigh school diploma or equivalent 1+ year of eligibility and/or reconciliation experience (or equivalent combination of education/experience) Nice-to-HaveMedi-Cal and/or health insurance experienceExperience in HMO/managed care settingsCustomer service experienceExperience with DHCS/DMHC interactions and Medi-Cal practicesBilingual in English and one threshold language (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese)JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800, #LI-EP1