POSITION SUMMARY:

Provides information and education on Medicare and Medi-Cal managed care programs to qualified beneficiaries, community-based organizations, and the general public by cultivating and sustaining positive working relationships with community organizations serving Medi-Cal beneficiaries.

Compliance Regulations:

Works closely with all departments necessary to ensure that the processes, programs, and services are accomplished in a timely and efficient manner by CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D, DHCS, and DHMC.

Responsibilities:

• Provides information about CHG by conducting presentations and outreach to staff and clients of community organizations, and medical, dental, and optometry offices.
• Enroll eligible individuals into the Community Health Groups Medicare and or Medi-Cal plans.
• Promotes CHG's mission by organizing and participating in community health fairs and other events.
• Supports team effort by performing other duties as assigned or requested; participating in meetings and on committees; attending workshops, training, and seminars; continuing professional development; networking; following corporate, division, personnel, and safety policies and procedures.
• Maintains product and company reputation and contributes to the team effort by conveying a professional image and accomplishing related tasks; participating on committees and in meetings; performing other duties as assigned or requested.
• Conducts provider surveys, and community outreach, and assists other departments within the organization as needed.