Health Benefits Analyst II - Portuguese Speaking Required (Open & Promotional)

Note: This recruitment schedule was amended on December 8, 2025 to extend the Final Filing Date. This recruitment has been changed to "Continuous."

San Mateo County Health is seeking a well-qualified, Health Benefits Analyst II – Portuguese Speaking Required (HBA II), for the Health Coverage Unit, to perform a variety of tasks involved in determining eligibility and enrollment in healthcare financial assistance programs for families and individuals including screening and assisting with the application process for County, State and Federal health coverage programs; determine initial and continuing eligibility for one or more programs in accordance with established procedures; and coordinating and conducting outreach, enrollment, retention and utilization activities. Incumbents may be assigned to the San Mateo County Health, Health Plan of San Mateo, or San Mateo Medical Center, which includes outlying clinics in various locations throughout the County.
  
Currently, there is one, Regular, Full-Time position. The successful hires will work primarily at San Mateo Medical Center but may travel to various locations throughout the county and will provide public health coverage enrollment assistance to San Mateo County residents.
 
Health Benefits Analyst II is the journey level in the Health Benefits Analyst series. Under general supervision, incumbents are responsible for interviewing clients, assessing client financial status and determining eligibility for healthcare financial assistance programs. They are expected to have full knowledge of regulations and procedures, work with independence of action and use judgment in making decisions.
 
The ideal candidate will be able to work with clients to ensure eligibility for and enrollment in healthcare programs; work independently with minimal supervision using initiative and sound independent judgment; communicate effectively verbally and in writing; use Portuguese speaking skills in providing services; and establish and maintain effective working relationships with those contacted in the course of work. The ideal candidate should also have knowledge and experience in the eligibility and enrollment processes for various public health coverage programs including, providing eligibility and enrollment assistance with public health coverage programs such as Medi-Cal, Covered California and the Access and Care for Everyone (ACE) program; working experience with public health coverage application systems, client appointment and case management systems, tele-consult video appointment systems; as well as experience with automated systems related to health coverage enrollment and eligibility including the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) and Benefits Cal application system.

Key responsibilities include:

• Interview clients to obtain pertinent information regarding eligibility for healthcare financial programs.
• Assist the public with enrollment in programs to assist with medical coverage such as Medi-Cal, Covered California, Access and Care for Everyone (ACE), Discounted HealthCare (DHC), Charity Care and the Kaiser Community Health Care Program
• Provide a variety of routine to difficult patient services office support within County Health and San Mateo Medical Center.
• Serve as the initial contact for many low-income clients seeking free or low-cost insurance and will help guide them through the enrollment process.
• Provide final determination for County healthcare financial assistance programs such as the ACE, Discounted HealthCare and Charity Care programs.
• Work closely with out-stationed Human Services Agency Benefits Analysts and clinic staff in order to finalize eligibility determinations for Federal, State and County funded programs.
• Participate in policy training for all programs and all relevant refresher courses.
• Interact with staff from the community-based organizations, San Mateo Medical Center, the Health Plan of San Mateo, the Human Services Agency, and other state and local stakeholders.
• Attend assigned staff meetings.
• Participate in community outreach events.
• Administer outreach, navigation, utilization and retention activities in regard to healthcare programs to ensure families understand program benefits and that covered services are being accessed.
• Other duties as assigned.