Candidates must be residing in the State of CA due to occasional travel that would be required to WelbeHealth PACE Centers.Internal Title: Supervisor, Eligibility & Coverage
The Supervisor, Eligibility & Coverage is accountable for oversight of eligibility process operations. This role will guide day-to-day priorities to lead a highly proactive Eligibility team. The Supervisor, Eligibility & Coverage leads with a data-driven approach to ensure continuous eligibility for our participants.
This role is different because Supervisor, Eligibility & Coverage at WelbeHealth:- 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
We care about our team members. That's why we offer:- Medical insurance coverage (Medical, Dental, Vision)
- Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
- 401K savings + match
- Comprehensive compensation package including base pay and bonus
- And additional benefits!
On the day-to-day, you will: - 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)
Job requirements include:- 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!
Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.
Compensation Offering
$90,281.44-$119,171.49 USD
