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.

Internal Title: Supervisor, Eligibility & Coverage

At WelbeHealth, we serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what.

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!