Supervisor, Medicare/Medicaid Eligibility

Candidates must be residing in the State of CA due to occasional travel that would be required to WelbeHealth PACE Centers.

• Plays a mission-driven leadership role, guiding seniors and their families through the enrollment journey and ensuring them access to compassionate, community-based care that helps them age with dignity and independence
• Lead the coordination of participant benefits within the uniquely integrated PACE care model, working closely with interdisciplinary teams to ensure coverage supports holistic care, creating a rewarding opportunity to impact how seniors experience healthcare every day

• Manage the Eligibility Advocate team, ensuring effective participant eligibility maintenance, reinstatements, and enrollment processing across Medicaid (DHCS) and Medicare (CMS)
• Set priorities, caseloads, and workflow assignments for Eligibility Advocates and Coordinators
• Develop outreach strategies to proactively prevent coverage lapses
• Oversee enrollment and disenrollment processing with DHCS and CMS
• Manage direct reports including hiring, training, supervising, and mentoring
• Partner with Operations, Quality, and Enrollment team leaders to refine workflows, SOPs, and job aids
• Support implementation of new eligibility policies or regulatory changes, ensuring timely training and adoption
• Maintain and improve tracking tools (e.g., hold trackers, renewal logs, escalation dashboards)

• Associate’s degree in relevant field; additional relevant professional experience may be substituted
• Minimum of three (3) years of experience in Medicaid/Medicare eligibility or social services
• Minimum of one (1) year of experience working with governmental agencies
• Two (2) years of supervisory experience with demonstrated ability to mentor and develop team members 
• Must have strong KPI Management 
• Experience leading in a data-driven organization, leveraging reports and data to prioritize and manage people and projects

We are seeking a Supervisor, Eligibility & Coverage that ideally has experience leading eligibility teams for PACE organizations. If you’re ready to join a holistic care team that values both its participants and providers, we’d love to hear from you!

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com