Job summary
Job post source
This job is directly from CalOptima
Job overview
The Customer Service Coordinator (Medi-Cal Customer Service) at CalOptima provides quality service to members by coordinating health care needs and assisting with call center activities to ensure member satisfaction and case resolution.
Responsibilities and impact
The role involves managing member cases, providing benefit education, coordinating with health networks and providers, handling escalated calls, maintaining documentation, and supporting department goals and projects.
Compensation and benefits
The salary range is $51,744 to $72,441 annually with partial telework options in California; benefits include participation in CalPERS retirement system, low-cost medical/vision/dental insurance, paid time off, flexible scheduling, telework options, wellness programs, and additional retirement savings plans.
Experience and skills
Requires a high school diploma or equivalent with 2 years of call center or customer service experience in health care; bilingual in English and a threshold language is mandatory; preferred qualifications include an associate's degree in health care administration and experience in HMO, Medi-Cal/Medicaid, or health services.
Work environment and culture
CalOptima promotes a mission-driven, inclusive, and diverse culture valuing dignity, respect, and collaboration, recognized as one of Orange County's best places to work with flexible and supportive work arrangements.
Company information
CalOptima Health is the largest health plan in Orange County, serving one in four residents, focused on community health with a commitment to diversity, inclusion, and employee well-being.
Job location and travel
The position offers partial telework within California and may require work at various CalOptima locations with typical indoor office or clinical settings and occasional travel.
Application process
Applications are accepted continuously with a first review deadline of July 23, 2025, 9:00 PM PST; the process may include skills assessment, phone screen, interview, background check, and medical exam; applicants should apply early via the CalOptima jobs website.
Unique job features
The job features partial telework eligibility, bilingual service requirements, and involvement in a mission-driven public health agency with a focus on member-centered care and community collaboration.
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
Tailor your resume to highlight your experience in customer service within healthcare, especially your ability to manage member cases, coordinate care, and resolve issues efficiently, reflecting the core responsibilities at CalOptima.
Emphasize bilingual skills in English and any of CalOptima's threshold languages such as Spanish, Chinese, or Vietnamese, as this is a required qualification for the role.
Apply through multiple channels including the CalOptima official careers page and LinkedIn to maximize your application visibility and increase chances of being noticed.
Connect with current CalOptima employees in the Medi-Cal Call Center or Customer Service divisions on LinkedIn; start conversations by referencing recent CalOptima community initiatives or asking about the team culture and what qualities they value most in a Customer Service Coordinator.
Optimize your resume for ATS by incorporating keywords from the job description such as 'member-focused service,' 'case coordination,' 'healthcare benefits,' 'Medi-Cal,' 'call center,' and 'bilingual customer service' to ensure it passes automated screenings.
Use Jennie Johnson's Power Apply feature to automate and optimize your applications across multiple platforms, tailor your resume for ATS, and identify valuable LinkedIn connections, allowing you to focus more on preparing for interviews and networking effectively.
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