Under the supervision of the Marketing & Enrollment Manager, the Eligibility Supervisor is responsible for assisting with the implementation, supervision and coordination of PACE health insurance enrollment and retention activities. Key responsibilities include direct supervision of PACE Eligibility Specialists, CMS (Centers for Medicare and Medicaid Services) and DHCS (Department of Healthcare Services) compliance with enrollment activities, ongoing education for staff, data management and reporting.
Essential Functions of the Job:
Additional Duties and Responsibilities:
Education: High School Diploma or GED equivalent required.
Preferred: Bachelor Degree in a health or human service field.
Certifications/Licenses: CA driver’s license with appropriate automobile insurance required. Must pass the Covered California criminal background check and PACE Marketing certification within 3 months of hiring.
Experience Required: A minimum of 2 years in the health and human services field performing public benefit assistance (e.g. Medi-Cal, Medi-Care) administrative, case management, community research, and/or customer service experience for a public health or social service organization. Related education may substitute for experience.
Preferred: 1 year of supervisor experience.
Verbal and Written Skills to Perform the Job: Must have excellent oral and written communication skills; organization and project management skills, Experience facilitating staff trainings and meetings.
Technical Knowledge and Skills to Perform the Job: Good knowledge of Microsoft Word applications including Excel. Computer data entry, analysis and reporting experience is required. Knowledge of electronic health data systems including NextGen, Truchart, Turbotar, and CalWin. Knowledge of Health care systems such as the Centers for Medicare and Medicaid Services and Department of Health Care Services portals.
Competencies: Demonstrated ability to be culturally sensitive and respect diversity, work effectively with individuals of different cultures and socio-economic status; passion for service; self-starter and highly organized; ability to prioritize, and complete a large volume of work within strict time deadlines; provide prompt, efficient and responsive customer service.
Equipment Used: Computers, iPads/tablets, phones, personal vehicle, copy machines, fax machines, and other general office equipment.
Working Conditions and Physical Requirements: Prolonged periods of sitting while working at computer. Driving within the city. May be required to work outside normal working hours such as after hours and weekends.