Job summary
Job post source
This job is directly from CalOptima Health
Job overview
The Customer Service Representative at CalOptima Health serves as the first point of contact for members and providers, assisting with Medi-Cal program inquiries and supporting member eligibility, enrollment, and benefits information.
Responsibilities and impact
The role involves handling member and provider inquiries, maintaining quality service standards, documenting interactions accurately, supporting team goals, and completing assigned projects to ensure effective customer service delivery.
Compensation and benefits
The position offers a salary range of $47,840 to $64,584 annually, includes participation in CalPERS retirement system, low-cost medical/vision/dental insurance, paid time off, flexible scheduling, telework options for some roles, a wellness program, and additional retirement savings plans.
Experience and skills
Candidates must have a high school diploma or equivalent with at least 6 months call center experience, typing speed of 35 WPM, and preferably 6 months of Medi-Cal/Medicaid or health services experience; strong communication, judgment, and computer skills are required.
Work environment and culture
CalOptima Health promotes a mission-driven, inclusive culture valuing diversity, dignity, and respect, with a focus on employee well-being and community health.
Company information
CalOptima Health is Orange County's largest health plan, serving one in four residents, recognized as a top workplace, and committed to diversity and community health improvement.
Job location and travel
The job is full office-based at CalOptima's facilities with some roles allowing telework; work environments vary from office to clinical and community settings with moderate noise levels and occasional travel.
Application process
Applications are accepted continuously with a first review deadline of July 15, 2025; the process may include skills assessment, phone screening, interview, background check, and medical exam; applicants should apply online via CalOptima's job portal.
Unique job features
The role offers a mission-driven environment focused on high-quality member service within a public agency, with flexible scheduling and wellness programs enhancing work-life balance.
Company overview
CalOptima is a public agency in Orange County, California, providing health insurance programs for low-income residents, including Medi-Cal, OneCare, and PACE. Established in 1993, it serves over 800,000 members by partnering with local healthcare providers to offer comprehensive medical, dental, and mental health services. CalOptima generates revenue through government funding and reimbursements for managing these health programs. The organization is known for its commitment to improving healthcare access and quality for vulnerable populations in the region.
How to land this job
Position your resume to highlight your experience in customer service, especially your ability to handle inquiries and complaints efficiently, reflecting the CalOptima mission of high-quality, member-focused service.
Emphasize skills in communication, problem-solving, multitasking, and familiarity with eligibility, enrollment, and benefits information, as these are key responsibilities for the role.
Apply through multiple channels such as the CalOptima corporate careers site, LinkedIn, and other job boards to maximize your application visibility.
Connect with current CalOptima Customer Service team members or HR representatives on LinkedIn; use ice breakers like commenting on CalOptima’s commitment to community health or asking about their experience working with Medi-Cal programs.
Optimize your resume for ATS by incorporating keywords from the job description such as 'customer service,' 'Medi-Cal,' 'enrollment,' 'benefits,' 'problem-solving,' and 'communication skills' to ensure it passes initial screenings.
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