Eligibility Specialist

The Eligibility Specialist supports the accurate determination, verification, and maintenance of participant eligibility and enrollment in the Program of All-Inclusive Care for the Elderly (PACE). This role focuses on monitoring Medicare and Medi-Cal eligibility, managing annual redeterminations, coordinating benefits, and resolving eligibility-related accounts receivable issues. The specialist ensures compliance with state and federal regulations while contributing to the financial and operational goals of the Finance department.