Public Programs Specialist - Remote

Overview

The Public Programs Specialist plays a crucial role in coordinating access to care for members, ensuring they receive the necessary services through collaboration with various departments and external agencies.

In Short

• Remote position requiring work in Pacific Standard Time.
• Responsible for triaging member access to care issues.
• Coordinates services with programs carved out of health plan contracts.
• Promotes access to Health Net's Empower Living Program.
• Collaborates with multiple Health Net Departments.
• Serves as a liaison to public agency programs.
• Conducts escalated service coordination on complex cases.
• Prepares conflict resolution documentation for appeals.
• Submits monthly and quarterly reports to compliance.
• Complies with all policies and standards.

Requirements

• Associate’s degree or completion of relevant vocational programs.
• Minimum three years of combined clinical and healthcare experience.
• Current California Medical Assistant Certification or equivalent preferred.
• Strong front and back office experience required.
• Excellent communication and collaboration skills.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.