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Calaim Jobs in Santa Rosa, CA (NOW HIRING)

Wellpath

Mental Health Professional

Santa Rosa, CA

$60.51 - $69.56/hr

The position completes clinical documentation, supports pre-release planning for CalAIM-eligible individuals, and provides training, consultation, and information to facility staff as required. Key ...

Wellpath

Mental Health Professional

Santa Rosa, CA

$60.51 - $69.56/hr

The position completes clinical documentation, supports pre-release planning for CalAIM-eligible individuals, and provides training, consultation, and information to facility staff as required. Key ...

Wellpath

Mental Health Professional

Santa Rosa, CA

$55K - $72K/yr

The position completes clinical documentation, supports pre-release planning for CalAIM-eligible individuals, and provides training, consultation, and information to facility staff as required. Key ...

Wellpath

Mental Health Professional

Santa Rosa, CA · On-site

$55K - $72K/yr

The position completes clinical documentation, supports pre-release planning for CalAIM-eligible individuals, and provides training, consultation, and information to facility staff as required.

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All JobsCalaim JobsCalaim Jobs in Santa Rosa, CA

Calaim information

What are the key skills and qualifications needed to thrive as a California Advancing and Innovating Medi-Cal (CalAIM) Program Manager, and why are they important?

To thrive as a CalAIM Program Manager, you need expertise in Medi-Cal policy, program implementation, and healthcare administration, often supported by a degree in public health, healthcare management, or a related field. Familiarity with state healthcare systems, data analytics tools, project management software, and regulatory compliance is typically required. Outstanding organizational, leadership, and stakeholder communication skills help drive collaboration and effective program delivery. These skills are crucial for successfully managing complex healthcare initiatives that aim to improve care coordination and outcomes for Medi-Cal beneficiaries.

What is CalAIM and how does it work?

CalAIM (California Advancing and Innovating Medi-Cal) is a statewide initiative to improve Medi-Cal health care delivery by integrating services, expanding access, and promoting whole-person care. It involves new policies, care coordination, and data sharing to better serve Medi-Cal beneficiaries and reduce disparities.

What jobs pay 4000 a week without a degree?

Jobs that can pay $4,000 a week without a degree often include roles such as sales managers, real estate brokers, or skilled trades like electricians and plumbers, especially with experience and licensing. High-paying freelance or entrepreneurial work, such as consulting or online business, can also reach this income level, but typically require significant skills, effort, and client base development.

Who pays for CalAIM?

CalAIM is a statewide initiative funded by the California Department of Health Care Services, which allocates resources to improve health outcomes for Medi-Cal beneficiaries. Employment roles related to CalAIM may be funded through government budgets or grants, depending on the organization and project scope.

What are some common challenges faced by professionals working in CalAIM implementation roles, and how can they be addressed?

Professionals working in CalAIM (California Advancing and Innovating Medi-Cal) implementation often encounter challenges such as coordinating care across multiple providers, navigating evolving state guidelines, and managing complex member needs. Success in these roles requires strong communication and collaboration skills, as well as adaptability to policy changes and new workflows. Building effective relationships with community-based organizations and regularly participating in training or knowledge-sharing sessions can help address these challenges and ensure smooth program execution.

What is CalAIM?

CalAIM stands for California Advancing and Innovating Medi-Cal. It is a multi-year initiative by the California Department of Health Care Services (DHCS) to improve and transform the Medi-Cal program. CalAIM aims to streamline services, better coordinate care for individuals with complex needs, and address social determinants of health such as housing and behavioral health. The initiative focuses on whole-person care and integrating healthcare delivery across physical, behavioral, and social services.

What jobs make $3,000 a day?

High-earning jobs such as specialized surgeons, anesthesiologists, and certain corporate executives can earn $3,000 or more per day, often due to high skill levels, certifications, and demanding schedules. Freelance consultants, top-tier lawyers, and successful entrepreneurs may also reach this level of daily income depending on their industry and client base.

What is the difference between Calaim vs Claims Adjuster?

AspectCalaimClaims Adjuster
Required CredentialsCertification in insurance claims processing, relevant licensesInsurance license, certification in claims adjusting often preferred
Work EnvironmentInsurance companies, third-party claims firmsInsurance companies, independent adjusting firms
Industry UsageUsed mainly in insurance claim processing rolesCommonly used in insurance claim assessment and settlement

Both Calaim and Claims Adjuster roles involve evaluating insurance claims, but Calaim typically refers to a specialized certification or platform, whereas Claims Adjuster is a broader job title for professionals assessing and settling claims. Understanding these differences helps job seekers target the right roles and certifications in the insurance industry.

What are popular job titles related to Calaim jobs in Santa Rosa, CA? For Calaim jobs in Santa Rosa, CA, the most frequently searched job titles are:
What job categories do people searching Calaim jobs in Santa Rosa, CA look for? The top searched job categories for Calaim jobs in Santa Rosa, CA are:
What cities near Santa Rosa, CA are hiring for Calaim jobs? Cities near Santa Rosa, CA with the most Calaim job openings:
Calaim jobs near you
Infographic showing various Calaim job openings in Santa Rosa, CA as of July 2026, with employment types broken down into 1% As Needed, 91% Full Time, 7% Part Time, and 1% Temporary. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.
Billing Coordinator

Billing Coordinator

North Marin Community Services

Novato, CA • On-site

$30.27 - $33.79/hr

Full-time

Medical, Dental, Vision, PTO

Posted 2 days ago

Job description

North Marin Community Services (NMCS) is the anchor human service non-profit serving Novato/North Marin for the past 50+ years. Our mission is to empower youth, adults, and families in our diverse community to achieve well-being, growth, and success; we envision a strong community with opportunities for all. A trusted community resource, our quality programs are grounded in stability, expertise, and commitment to effectively address the changing needs of our community. Recognized for our leadership and program excellence, we provide vital resources, educational opportunities, and economic support to individuals and families in our community. Whether in the form of short-term assistance or long-term intensive partnership, our interconnected services work together to encourage success at home, at school, and in life to over 10,000 people annually. Join an organization dedicated to providing a supportive and professional working environment. Located in beautiful Novato/Marin County/CA, our workplace culture is driven by our five values: teamwork and collaboration, equity, excellence, integrity, and learning and continuous improvement.
The full interview process consists of one Zoom screen, two interviews, and a skills assessment.
Hourly, non-exempt; 40 hours/week (Monday - Friday)

Pay Rate:

English only: $30.27 - $32.27/hour
Bilingual in English/Spanish (verified via language assessment): $31.79 - $33.79/hour
Sign-on bonus of $1,000. Generous benefits package including medical, dental, and vision benefits, paid vacation and sick time, 15 paid holidays/year, employee assistance program, up to 2% retirement employer match, and childcare discount.
Summary
The Billing Coordinator is responsible for supporting the management of billing, data, and reporting processes for CalAIM and behavioral health initiatives. This role ensures accurate coding, claims tracking, billing, and reporting of the services rendered with a focus on compliance and program integrity. The ideal candidate will have a strong background in healthcare billing, including coding and claims submission, an understanding of Medi-Cal regulations, and the ability to analyze and validate billing data. This role is expected to coordinate with any third-party billing vendor; coordinating day-to-day billing execution, reconciliation and revenue cycle management (RCM). The Billing Coordinator must have sufficient knowledge of billing and RCM workflows to support oversight, validate vendor outputs, resolve discrepancies, and ensure alignment with CalAIM and Medi-Cal requirements. This position is essential for ensuring that services are billed correctly, claims are processed and reviewed efficiently, and data is leveraged for strategic decision-making.

Essential Functions
Billing & Claims Management
  • Prepare and review information necessary for CalAIM and behavioral health service billing, ensuring compliance with Medi-Cal billing requirements and program guidelines.
  • Ensure claims are submitted accurately and within required payer filing deadlines.
  • Verify service dates, billing codes, modifiers, units, provider information, and supporting documentation prior to claim submission.
  • Review and validate completion of all required billing documentation (i.e. care plans, Treatment Authorization Request (TAR) submissions and approvals, client eligibility verification, authorization approvals) ensuring completeness, accuracy, and compliance with payer requirements prior to claim preparation and submission. Contribute to the identification, research, and resolution of billing discrepancies and denials, working closely with the billing vendor and finance department to ensure timely and accurate payments.
  • Advise and consult with management on how to reduce the days in accounts receivable regarding Medicare, Medi-Cal, or other insurance
  • Works with the billers and management to identify areas where reimbursement delays may be decreased
Data Coordination and Reporting
  • Maintain comprehensive records of billable services, tracking utilization, service delivery, and outcomes. This process is currently managed by a third-party vendor, and the function will be transitioned to an internal process.
  • Extract, validate, and analyze claims data from multiple sources to generate detailed reports for internal and external stakeholders
  • Assist in developing monthly, quarterly, and annual reports as required by program guidelines and for program performance and compliance reviews.
Compliance and Program Integrity
  • Ensure billing practices adhere to all applicable state and federal regulations, including Medi-Cal, CalAIM, CYBHI and other program requirements.
  • Participate in audits and compliance reviews, preparing necessary documentation and responding to inquiries from auditors. Work progressively with the appropriate departments to identify and resolve regulatory conflicts
  • Maintain an up-to-date understanding of CalAIM and ECM/Community Supports and behavioral health requirements, including changes in reimbursement policies and procedures.
  • Ensure billing activities comply with HIPAA, DHCS requirements, managed care contracts, funding agreements, and organizational policies.
Collaboration and Communication
  • Act as a liaison between the billing, Case Management and Mental Health teams to ensure accurate data sharing and alignment.
  • Collaborate with internal teams to identify process improvements and implement best practices for data management and billing workflows.
  • Support the development of effective training for staff and conducts training on the specific areas of Managed Care/Medicaid/Medi-Cal/Medicare and/or Commercial Insurance
  • Serve as the point of contact for billing-related inquiries, providing support to program staff, providers, and external partners.
General Responsibilities
  • Participate in agency meetings and North Marin Community Services’ sponsored cultural events.
  • Support office management tasks and assist with general office operations as needed.
  • Perform clerical duties, including data entry, archiving, and organizing as needed.
  • Other administrative duties as assigned for program efficiency.
System Maintenance and Data Integrity
  • In coordination with the billing and case management/EHR vendors, contribute to the management and update of software as appropriate to ensure accurate setup of service codes and reimbursement rates for Medi-Cal services.
  • Monitor and maintain data integrity within the EHR system and other tracking tools.
  • Support system upgrades and testing, ensuring new features and configurations are aligned with billing requirements.
  • All other relevant duties as assigned.
Required Qualifications
  • Three years of professional healthcare billing experience including preparation of financial statements
  • Proficiency in Microsoft Excel (advanced functions, pivot tables, data validation).
  • Knowledge of
    • CalAIM and health plan-specific reimbursement guidelines and experience with state-funded healthcare programs.
    • Medi-Cal Provider Manual for Billing and Policy and Program and Eligibility.
    • Treatment Authorization Request (TAR) process.
    • Medical reimbursement programs and complexity of payment systems.
  • Current Procedural Terminology Codes (CPT) codes, International Classification for Diseases (ICD)-10 codes, Health Care Procedure Coding System (HCPCS) codes for payment processing of Medicare and/or Medi-Cal. Ability to work with billing vendors and platforms as required.
  • Familiarity with different case management systems.
  • Strong attention to detail and ability to work with billing data.
  • Excellent problem-solving skills, with the ability to troubleshoot billing and data issues independently.
  • Effective communication skills, both written and verbal.
  • Efficient time management skills and ability to manage own workflow.
  • Strong team player; ability to collaborate with diverse individuals and across departments within all levels of an organization.
Preferred Qualifications
  • Bilingual in English/Spanish
  • Medical billing experience within a nonprofit behavioral health organization
  • Bachelor’s Degree in Public Health, Healthcare Administration, Business, Accounting, or a related field.

Conditions of Hire:

  • Fully vaccinated against COVID-19 unless granted a medical or religious exemption.
  • Pre-employment health exam including proof of vaccinations and TB test clearance.
  • Criminal record clearance or exemption from California Department of Social Services. All convictions other than minor traffic violations require an exemption, including convictions that have been expunged.

North Marin Community Services welcomes and encourages all qualified candidates to apply – especially as we recognize that people bring experience and skills beyond just the technical requirements of a job. We also know that self-doubt can sometimes get in the way of stretching professionally, so if your experience is close to what you see listed here, please consider applying. We value our differences and respect everyone – regardless of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, citizenship status, marital status, genetics, AIDS/HIV, medical condition, political affiliation, disability, age, status as a victim of domestic violence/assault/stalking, or military/veteran status. If you have a disability and need assistance and/or accommodation with applying for a job, please contact hr@northmarincs.org or 415-892-1643 ext. 255.

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