Eligibility & Financial Determination Supervisor

InnovAge•Richmond, VA

2d•$60,000 - $75,000•Onsite

About The Position

The Eligibility and Financial Determination Supervisor works to ensure standardization, best practices and compliance with State Medicaid guidelines. This person is responsible for the implementation and enforcement of the policies and procedures used by the Eligibility and Financial Determination Specialists staff for the direct purpose of obtaining and maintaining Medicaid eligibility for InnovAge clients. Adjusting and revising these procedures and policies as needed.

Requirements

Associates Degree from an accredited college/university
A minimum of one (1) year hand-on experience with the Colorado Benefit Management System (CBMS)
Minimum of (3) years of experience determining Medicaid LTC eligibility and/or assisting clients in applying for LTC Medicaid benefits and seeing it thru to approvals
A minimum of three years’ experience in working with the frail and/or elderly population
Strong management skills and at least two years of experience in supervising staff
Vast and current knowledge of long term care Medicaid regulations and guidelines
Skilled at identifying problems, auditing systems and following up with corrections and policy changes
Skilled in project management and facilitation of work groups, quality improvement and team meetings
Effective working relationships with County and field staff
Experience with generating and ensuring accurate data and presenting results orally, in writing and in graphs for technical review

Nice To Haves

Bachelor’s Degree

Responsibilities

Provides leadership and works closely with the Eligibility and Financial Determination Specialists, conducting case reviews, answering questions, troubleshooting cases, filling in for those out on PTO or any vacant positions.
Distributing to all Centers and other InnovAge Staff the monthly enrollment numbers as we near the end of each month.
Tracking each month’s new enrollments along with the Eligibility and Financial Determination Specialist for their current status and with follow through up to the point of approvals and obtaining State ID’s.
Tracking any 10 day and denial notices on new enrollments and working those to a conclusion to an approval or to a necessary disenrollment.
Will assist the Eligibility and Financial Determination Controller with the working relationships that InnovAge has with Medical Assistance (MA) Sites.
Will be part of the team that distributes faxes that come in to our InnovAge fax line, making sure that these are distributed timely.
Provides leadership with assessing procedures, policies and systems; developing/implementing plans of action for quality improvement and promote standardizations, best practices and compliance.
Keeps current updates of Federal and State rules and regulations pertaining to Medicaid eligibility and informs staff of these changes and how it affects their jobs.
Effectively supervises and manages direct reports and provides, by example and leadership, motivation and direction to employees of the organization.
Carries out supervisory responsibilities in accordance with the organization’s policies and applicable state and federal employment laws
Helps set the tone of the department to ensure morale, team work, and that the positive employment culture of the organization is maintained.
Insures annual employee performance reviews are conducted in a timely and effective manner.
Regularly schedules leadership/management, department and staff 1:1 meetings to provide leadership, development and a forum for communication to ensure coordination and collaboration in meeting organization and individual goals.
Responsibilities include interviewing, hiring, and training employees, planning, assigning and directing work. Appraising performance, recognizing and rewarding employees; corrective disciplinary procedures and practices (under direction of supervisor and in partnership with Human Resources) addressing complaints and resolving problems.