Top 261 Member experience specialist Jobs in Stockton, Ca

Quality Assurance Specialist
Pacific Health Group —Stockton, CA
- $56,160 - $68,640 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Analysis skills
- AD&D insurance
- Paid holidays
Quick Apply
ECM Lead Care Manager- BHS
Turning Point Community Programs —Stockton, CA
- $24.00 - $25.98 an hour
- On call
- Skilled nursing facility
- Mid-level
- High school diploma or GED
Quick Apply
11d
Member Specialist, Stockton Center
Digital NEST —Stockton, CA
- $22 an hour
- Weekends as needed
- Background check
- Google Workspace
- Inventory management
- Paid holidays
- Health insurance
Quick Apply
Student Programs Specialist
San Joaquin Delta College —Stockton, CA
- $5,627 - $6,917 a month
- Full-time
- Customer service
- Writing skills
- Research
- Disability insurance
- Health insurance
2d
Student Program Specialist - Outreach
San Joaquin Delta College —Mountain House, CA
- $5,627 - $6,917 a month
- Full-time
- Customer service
- Writing skills
- Research
- Disability insurance
- Health insurance
4d
Member Engagement Specialist
Pacific Health Group —Stockton, CA
- $46,000 - $52,000 a year
- Full-time
- Hybrid work
- Spanish
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Educational Therapist / Adult Learning Specialist (Part-Time)
National Care Advisors —Stockton, CA
- $100 an hour
- Part-time
- Mid-level
- Visual & Performing Arts
- Communication skills
Quick Apply
Stockton Branch - Member Service Specialist II (Full-Time)
Golden 1 Credit Union —Stockton, CA
- $22 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
Quick Apply
Assets Protection Specialist
Target —Lathrop, CA
- $24.25 - $41.25 an hour
- Part-time
- 18 years or older
- High school diploma or GED
- Fair chance
- Paid holidays
- Disability insurance
17h
Specialist Footwear
DICK'S Sporting Goods —Stockton, CA
- $19.50 - $28.50 an hour
- Full-time
- Background check
- High school diploma or GED
- 1 year
Delivery Specialist
O'Reilly Automotive Stores —Stockton, CA
- $16.90 - $24.90 an hour
- Full-time
- Sales
- Merchandising
- Driver's License
- Employee stock purchase plan
- Health insurance
Quick Apply
prep food
GO FALAFEL GREEK FOOD —Stockton, CA
- $17 - $22 an hour
- Fast casual restaurant
- 1 year
- Entry level
Quick Apply
12d
Accounting Clerk/Data Entry Specialist
Edward J. Schneider, Jr. - CPA —Stockton, CA
- $17 - $22 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
Quick Apply
10d
Merchandising Specialist
O'Reilly Automotive Stores —Stockton, CA
- $16.90 - $24.90 an hour
- Sales
- Computer literacy
- Merchandising
- Employee stock purchase plan
- Health insurance
Quick Apply
College Advising Mentor Specialist
IMPROVE YOUR TOMORROW —Stockton, CA
- $26.00 - $35.57 an hour
- Weekends as needed
- Spanish
- Google Workspace
- Computer literacy
- 403(b) matching
- AD&D insurance
Warehouse Specialist -1st shift
Olgoonik Corporation —Tracy, CA
- $27.18 an hour
- Temporary
- Background check
- Microsoft Excel
- Microsoft Outlook
OFFICE TECHNICIAN (TYPING)
California Correctional Health Care Services —San Joaquin County, CA
- $3,829 - $4,794 a month
- Full-time
- Hybrid work
- Office
- Travel
- SharePoint
11d
Photo Specialist
Walgreens —Stockton, CA
- $16.90 - $19.00 an hour
- Weekends as needed
- English
- Fair chance
- Entry level
10d
Sheriffs Central Services Assistant
San Joaquin County —French Camp, CA
- $3,551.46 - $4,316.82 a month
- Overtime
- Basic math
- Driver's License
- Data entry
- Paid holidays
- Health insurance
5d
Behavioral Health Specialist I
Turning Point Community Programs —French Camp, CA
- $24 an hour
- On call
- Skilled nursing facility
- High school diploma or GED
- Driver's License
Quick Apply
8d

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Quality Assurance Specialist

Pacific Health Group -
Stockton, CA

Quick Apply

Job Details

Full-time
$56,160 - $68,640 a year

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Flexible spending account
Paid time off
Employee assistance program
401(k) matching
Employee discount
Bereavement leave
Paid sick time

Qualifications

HIPAA
Driver's License
Bachelor's degree
Clinical information systems
Health information regulatory compliance
CRM system proficiency
Clinical confidentiality policies

Full Job Description

Employment Type: Full-Time
Compensation: $27 – $33 per hour
Schedule: Full-Time
Work Environment: Hybrid / Minimum 40% Outreach
Location: Hybrid within hiring county

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
The Quality Assurance Specialist ensures quality, compliance, workflow accuracy, and performance excellence across Enhanced Care Management (ECM), Community Supports (CS), Behavioral Health (BH), and Community Health Worker (CHW) operations. The QA Specialist serves as the internal auditor, workflow analyst, and process-improvement lead for all member-facing activities, including assessments, referrals, documentation, disenrollment workflows, re-engagement processes, outreach, verification, and communication functions.
This position strengthens operational integrity, ensures regulatory compliance, and builds a culture of accountability and continuous improvement within the Quality Assurance unit. This role directly impacts documentation accuracy, regulatory compliance, workflow efficiency, and member experience quality across the organization.
Outreach (Minimum 40%)
Conduct community-based outreach across multiple counties through in-person engagement and digital channels (phone, SMS, email, social media) to identify, engage, and enroll eligible members into ECM, CS, BH, and CHW programs. Build and maintain partnerships to expand access to services in high-need communities. A minimum of 40% of this role is dedicated to direct community outreach.

Key Responsibilities
Quality Assurance & Compliance Oversight

Audit member records, assessments, and documentation to ensure compliance with ECM, CS, BH, CHW, CalAIM, and Medi-Cal standards.
Monitor outreach, referral, and disenrollment workflows to ensure adherence to required timelines and regulatory guidelines.
Ensure HIPAA compliance and data integrity across all member-facing processes.

Workflow Analysis & Process Improvement

Evaluate ECM, CS, BH, and CHW workflows for accuracy, efficiency, and risk exposure.
Identify trends, documentation gaps, and systemic errors.
Develop corrective action plans and process improvements to enhance operational performance.

Performance Monitoring & Reporting

Track QA metrics across documentation accuracy, outreach compliance, and verification standards.
Generate reports outlining findings, trends, risk areas, and performance improvements.
Collaborate with leadership to ensure ECM, CS, BH, and CHW QA metric thresholds are consistently achieved.

Cross-Functional Collaboration

Partner with BH, CHW, CS, and ECM teams, Outreach, and leadership to reinforce quality standards.
Provide feedback, coaching, and training based on audit findings.
Support implementation of new workflows and regulatory updates.

Success Measures

95%+ documentation accuracy across all workflows.
100% compliance with required outreach standards (minimum 40% field-based).
Accurate verification across all member profiles.
Complete and timely disenrollment cycle documentation.
Consistent achievement of ECM, CS, BH, and CHW QA metric thresholds.

Skills That Set You Apart
Required Qualifications

Bachelor’s degree in Healthcare Administration, Public Health, Social Work, or related field.
2+ years of experience in quality assurance, care coordination, compliance, or healthcare program auditing.
Familiarity with ECM, CS, BH, CHW, CalAIM, Medi-Cal, HIPAA, and care coordination workflows.
Strong analytical and problem-solving skills.
Excellent documentation, communication, and interpersonal skills.
Proficiency in CRM/EMR systems and Excel.
Driver's License and Reliable transportation required for 40% outreach

Benefits

Time Off & Leave: 160 hours of Paid Time Off (PTO) and Paid Sick Time; 11 paid holidays per year (including birthday); 4 paid volunteer hours per month; Bereavement leave (including fur babies).
Health & Wellness: 90% employer-paid employee-only medical benefits; Flexible Spending Account (FSA); Short-term & long-term disability, AD&D, and Employee Assistance Program (EAP).
Financial & Professional: 401(k) with company match; Professional development and growth opportunities.
Culture & Perks: Employee discount programs and quarterly in-person events.

Quick Apply

Refine Your Search

member experience specialist jobs in stockton, ca

Quality Assurance Specialist

ECM Lead Care Manager- BHS

Member Specialist, Stockton Center

Student Programs Specialist

Student Program Specialist - Outreach

Member Engagement Specialist

Educational Therapist / Adult Learning Specialist (Part-Time)

Stockton Branch - Member Service Specialist II (Full-Time)

Assets Protection Specialist

Specialist Footwear

Delivery Specialist

prep food

Accounting Clerk/Data Entry Specialist

Merchandising Specialist

College Advising Mentor Specialist

Warehouse Specialist -1st shift

OFFICE TECHNICIAN (TYPING)

Photo Specialist

Sheriffs Central Services Assistant

Behavioral Health Specialist I

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