Job Description

Location: Steward Health Care
Posted Date: 5/3/2022

The Supervisor of Community Health Enrollment, reporting to the Eligibility & Enrollment Manager, will set strategy and create accountability specific to Medicaid screening & enrollment, Charity Care screening & enrollment, and point of service collections.

KEY RESPONSIBILITIES:

Overall Responsibilities:

  • Set strategy for, create accountability, and actively supervise Community Health Enrollment Specialists (CHES) responsible for:
    • Medicaid Enrollment
    • Charity Care Enrollment
    • Point of service collections
  • Set metrics for performance across Revenue Operations categories:
    • Includes: POS cash, MCD screening, Charity Care screening, application submission, and daily productivity expectations
  • Partner with hospital Patient Access Directors and departmental leadership to identify performance issues, develop improvement plans, deploy teams and manage to results
  • Ensure hospitals meet financial and operational metrics

Team Responsibilities:

  • Medicaid Enrollment
    • Partner with Manager to ensure MCD enrollment metrics are being hit consistently, documentation is consistent and robust
    • Escalate issues to Medicaid State & County Program Partners
  • Charity Care Enrollment
    • For patients screened as not eligible for Medicaid, evaluate eligibility for Charity Care and coordinate completed application with qualifying patients
    • Partner with CBO leadership where their involvement is required to process completed Charity Care applications
  • Point of Service Collections
    • Set strategy for which areas team members will focus on for collections
    • Devise metrics and reporting to monitor performance
    • Partner with Patient Access & Clinical staff at hospitals to ensure maximum impact of team

Other Responsibilities:

  • Work with Compliance to ensure all appropriate regulations are being communicated to hospitals and followed appropriately
  • Develop new Revenue Operations procedures, where appropriate
  • Evaluate potential new vendors
  • Serve as business owner for new pilots and product implementations
  • Develop leadership materials and present to senior leadership
  • Denial Prevention and Revenue Enhancement Initiatives

REQUIRED KNOWLEDGE & SKILLS:

  • Hospital experience required
  • Experience with Microsoft Excel and statistical analysis
  • Understanding of drivers of financial performance for health care providers
  • Highly detailed and organized
  • Excellent communicator (both oral and written communication)
  • Ability to work successfully with a range of team members, from entry level to executive level employees
  • Bilingual; Spanish-speaking preferred.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

  1. Education: Associates Degree required; Advanced degree in hospital administration preferred.
  2. Experience (Type & Length): 3-5 years’ relevant work experience required. Experience within a healthcare consulting firm or large company preferred.
  3. Travel: Up to 80% travel within the division.
  4. Other: Bilingual; Spanish-speaking preferred.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online