Insurance Coder Remote Jobs in Stockton, CA (NOW HIRING)

Job Snapshot

Location: Remote - California (San Diego or Southern California Preferred)
Employment Type: Full-Time; Exempt
Compensation: $78,000-$82,000 Annually
Work Environment: Remote

About Pacific Health Group

At Pacific Health Group, we care deeply about the people and communities we serve. We meet individuals with kindness, respect, and understanding-listening first, honoring each person's journey, and offering support without judgment.

Through compassionate, person-centered healthcare, behavioral health services, and social supports, we walk alongside people as they work toward healing, stability, and a healthier, more hopeful life.

Our Core Values

• Speak with integrity-clear, respectful, and honest in every interaction.
• Embrace innovation, trying new ideas, learning fast, and improving care. 
• Own our roles, staying accountable for outcomes and documenting accurately.
• Build genuine connections with members, families, and teammates through empathy and cultural sensitivity.
• Lead with trust by being consistent, transparent, and following through.
• Celebrate wins together, recognizing individual and team achievements.
• Collaborate with purpose, partnering across departments and with community providers to solve problems.
• Ask for support and offer support, because thriving together is how we serve our members best

Role Overview & Impact

Pacific Health Group is seeking a CHW Program Manager to lead, supervise, and support a team of CalAIM Community Health Workers (CHWs) delivering whole-person care to vulnerable Medi-Cal members across San Diego County, CA. The Program Manager ensures high-quality service delivery, operational efficiency, and strict adherence to CalAIM billing and documentation standards.

Key Responsibilities

• Team Leadership & Supervision: Oversee, mentor, and evaluate a team of CalAIM CHWs conducting outreach, health navigation, group facilitation, and advocacy for high-risk populations. 

• Program & Billing Compliance: Maintain full compliance with CalAIM guidelines, auditing CPT coding (98960, 98961, 98962, T1028), enforcing daily/period service unit limits, and ensuring clear boundaries regarding non-covered services.

• Quality & Documentation Assurance: Oversee dual-system documentation across the Partnership Health Portal and Pacific Health Group EHR, auditing member Plans of Care, six-month progress updates, and standardized assessments (SDOH 5-Q, PHQ-9/2, Hunger Vital Sign)

• Training & Workforce Development: Coordinate required onboarding and continuing education, including Motivational Interviewing, Mandated Reporting, and the Stanford University Advocacy Training for CHWs.

• Cross-Functional Collaboration: Partner with RNs, licensed clinical providers, and Humboldt County community organizations to streamline care coordination and interdisciplinary case management.

Skills That Set You Apart

Required Qualifications

• Education: Bachelor's degree in Public Health, Social Work, Healthcare Administration, or a related field preferred.
• Experience: Minimum 3-5 years of experience in community health, Medi-Cal services, or social work, with at least 2 years in a supervisory or team lead capacity.
• Knowledge Base: Strong expertise in CalAIM policies, social determinants of health, chronic disease management, and local San Diego County resources.
• Licensure & Compliance: Valid California Driver's License (Class C) with an operable vehicle, clean MVR, and active auto insurance. CHW certification preferred.
  

Benefits

Time Off & Leave

• Paid Time Off
• Holidays
• Volunteer time
• Bereavement

Health & Wellness

• Medical coverage
• FSAs or other wellness benefits
• Disability and EAP

Financial & Professional

• 401(k)
• Stipends
• Professional development

Culture & Perks

• Employee discounts
• Team events
• Growth opportunities

Equal Opportunity Employer

Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply.

Job Application & Offer Disclaimer

Pacific Health Group is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. Employment offers are contingent upon meeting role qualifications and successfully completing all required recruitment steps, which may include:

• Submission of an internal application
• Recruiter pre-screen 
• Skills assessment if applicable
• Final interview with hiring leadership
• Formal verbal offer from authorized hiring representatives

Important Notice: Any communication claiming to represent Pacific Health Group that bypasses this process is not authorized.

AI & Human Interaction in Recruitment

Pacific Health Group uses AI tools to assist with resume matching based on qualifications, skills, and location. All qualified applications are reviewed by our recruiting and HR team to ensure fair, equitable, and human-centered hiring decisions.