PACE Medicare & Medicaid Program Specialist

Cherry Blossom PACE provides integrated medical and social services to our most vulnerable seniors, helping to unlock their full potential. We are looking for team members who are energized by working in diverse teams toward our shared purpose. Those eager to drive groundbreaking innovation, and who will interact with those we serve and those who serve them in a spirit of understanding and compassion.

WHAT WE OFFER

• Competitive pay, retention and referral bonuses
• Outstanding Medical, dental, and vision insurance
• 9.5 Paid Holidays and paid day off for your birthday
• 401K Company match on day one
• Company paid life insurance
• Generous PTO
• Career development opportunities
• Employee Recognition

#PACE

Job Summary:

The Medicare and Medicaid Program Specialist at Cherry Blossom PACE plays a critical role in ensuring smooth participant onboarding, accurate benefit coverage, and long-term financial compliance. This position supports enrollment, recertification, and retention efforts, working collaboratively with the enrollment team, social work, and finance. The ideal candidate will have a strong understanding of Medicare and Medicaid programs, experience managing complex processes, and the ability to engage both internal teams and external agencies to support participants throughout their care journey.

Education, Licenses, Certifications and Experience:

• Education: Bachelor’s degree in Healthcare Administration, Finance, Social Work, or related field preferred.
• Experience:
  • Minimum 3 years working in Medicare/Medicaid program management, PACE operations, or similar role.
  • Proven experience with financial documentation and eligibility processes.
  • Familiarity with CMS and state systems for application tracking and reporting.
• Skills:
  • Strong problem-solving, communication, and organizational skills.
  • Detail-oriented with ability to manage multiple timelines.
  • Skilled at de-escalating concerns and retaining at-risk participants.
  • Proficient with relevant software (EHRs, financial systems, Microsoft Office Suite).