Eligibility & Financial Screening Manager

Central Health•Austin, TX

About The Position

The Eligibility & Financial Screening Manager is responsible for the day-to-day operational management and strategic direction of eligibility determination, financial screening, application assistance, and enrollment services for local, state, and federally funded healthcare programs. Depending on the unit, the manager supervises and supports staff at Central Health and CommUnityCare clinic sites, the Central Health Navigation Center, and community-based settings, ensuring consistent, high-quality client services across locations. The role fosters a team-based approach, promotes a positive and supportive work culture, oversees onsite scheduling and backend workflows, and ensures alignment with service performance standards. The manager leads a diverse team of Eligibility and Financial Screening Supervisors, Specialists, and Associates. Responsibilities include recruitment, onboarding, performance management, budget planning, staffing assessments, and long-term capacity planning. The position requires leadership, strategic thinking, operational management, and communication skills in a dynamic, client-centered healthcare environment.

Requirements

High school diploma or equivalent; a higher degree is accepted.
At least 3 years of experience working in health care, government, nonprofit, or a customer service industry.
At least 2 years of experience in a leadership or supervisory role.
Experience and knowledge of financial eligibility processes and standards, government health insurance eligibility criteria, and application processes.
Obtain ACA Certification within 6 months of hire.
Obtain Community Partner Program Certification within 6 months of hire.
Obtain Data Security Certification within 6 months of hire.
Ability to plan, organize, and manage time effectively, prioritize multiple tasks, meet deadlines, and maintain accuracy in a high-volume environment.
Skill in coaching, training, and motivating team members to achieve performance benchmarks and operational goals.
Ability to analyze operational and administrative data to identify improvement opportunities and implement process enhancements.
Experience delivering exceptional customer service and engaging professionally and compassionately with the public.
Strong knowledge of financial eligibility procedures and regulatory compliance requirements for programs and specialty grants such as Ryan White, Title V, PHC, and Family Planning.
Knowledge of local, state, and federal healthcare coverage programs, including Medicaid, CHIP, and other publicly funded health plans.
Proficiency with eligibility and healthcare systems, Microsoft Office Suite, Excel, and Adobe Pro.

Nice To Haves

Bilingual proficiency in English and Spanish is highly preferred.
Experience with the VeritySource eligibility software platform is preferred.

Responsibilities

Oversee daily eligibility and financial screening operations and ensure consistent, high-quality, client-centered services across all service locations.
Manage team schedules to maintain appropriate onsite coverage and monitor backend workflows for timely application processing and performance-standard alignment.
Coordinate staff recruitment, hiring, and onboarding; oversee timesheets, 90-day evaluations, and annual performance reviews for assigned team members.
Identify, implement, and evaluate process and procedure changes to improve efficiency, compliance, and service quality.
Monitor regulatory guideline and requirement changes and integrate them into operations, including updates to automated tools and standard operating procedures.
Manage file reviews and performance reports to support compliance with internal policies and external regulatory standards.
Collaborate with other Eligibility and Financial Screening units and internal departments, including Central Health and CommUnityCare clinics and the Navigation Center, to meet program goals and support staff.
Maintain strict confidentiality of protected health information (PHI) and uphold organizational policies, procedures, and service standards.
Attend community events and represent the organization as needed, including evenings and weekends.
Demonstrate professionalism in actions, job performance, personal conduct, and communications in keeping with organizational values.
Perform other related duties as assigned.