Wellness Equity Alliance

• Conduct high-volume outbound telephone outreach to prospective CalAIM members identified through health plan referrals, community referrals, and internal lead lists. • Explain WEA services, Enhanced Care Management (ECM), and Community Supports programs to eligible individuals. • Build rapport and engage individuals who may be hesitant or difficult to reach. • Screen potential participants for program eligibility and interest. • Schedule enrollment appointments and coordinate warm handoffs to Care Managers and other clinical team members. • Document all outreach activities, patient interactions, and enrollment outcomes accurately in designated systems. • Maintain productivity standards related to outreach volume, contact rates, and enrollment goals. • Follow established workflows, scripts, and compliance requirements regarding patient communication. • Collaborate with supervisors and program staff to improve outreach effectiveness and patient engagement. • Maintain confidentiality and comply with HIPAA and all applicable privacy regulations.

• Manage full-cycle recruitment for assigned positions, including clinical, medical, and non-clinical roles • Partner with hiring managers to understand staffing needs, role requirements, and timelines • Source candidates through job boards, referrals, networking, and targeted outreach • Review resumes, conduct initial phone screens, and assess candidate qualifications • Coordinate and schedule interviews with candidates and hiring managers • Maintain accurate and up-to-date candidate records in the Applicant Tracking System (ATS)- Paylocity • Ensure compliance with healthcare hiring requirements, including background checks, license verification, and credentialing (as applicable) • Support onboarding processes by coordinating pre-employment requirements • Provide a positive candidate experience throughout the recruitment process • Track recruitment metrics and provide updates to HR leadership • Assist with recruitment events, job fairs, and community outreach efforts as needed

• Analyze billing, claims, and payment data to identify trends, risks, and opportunities for revenue optimization. • Develop and maintain reports and dashboards to track key revenue cycle performance indicators (e.g., denial rates, days in A/R, clean claim rates). • Provide actionable insights and recommendations to revenue cycle leadership and cross-functional teams. • Review, audit, and analyze denied or rejected insurance claims to identify root causes. • Partner with billing teams to correct errors, resubmit claims, and prevent recurring issues. • Track denial trends and support strategies to reduce future denials. • Identify workflow inefficiencies or bottlenecks across front-end and back-end revenue cycle processes. • Support the development and implementation of process improvements to enhance efficiency, accuracy, and reimbursement timelines. • Ensure adherence to HIPAA, CMS, payer-specific requirements, and other applicable regulations. • Collaborate with front-end teams (registration, eligibility, authorization) and back-end teams (billing, coding, collections).