Program Specialist

Elevate Health•Tacoma, WA

7d•$25 - $27•Hybrid

About The Position

The Program Specialist supports Elevate Health’s programs team by processing referrals and case assignments through established care coordination workflows. During periods of high referral volume, the role may provide short-term resource navigation and resource brokering to community members and clients. As needed, the specialist helps individuals and families understand, access, and enroll in public health and income support programs, including Medicaid, Medicare, Apple Health, and other state and federal public benefit programs. In community settings, the specialist provides culturally responsive, person-centered assistance with eligibility screening, applications, renewals, and program education. The role builds relationships with community members and partner organizations to reduce barriers to healthcare access and support long-term benefit retention. The position also supports Community Care Hub operations, including referral assignment, service documentation, billing requirements, partner communication, and quality assurance and continuous quality improvement. The specialist works across Elevate Health and with community stakeholders to improve processes and the experience of clients and service providers. Additional duties may include community outreach, maintaining records, tracking program activity, preparing reports, staying current on policies and eligibility requirements, participating in training, and assisting Medicaid enrollees with redetermination and reenrollment.

Requirements

Associate degree in public health, social work, human services, healthcare administration, or a related field, or an equivalent combination of education and relevant experience.
Experience working with diverse populations and individuals experiencing barriers to healthcare or public benefits.
One to two years of experience processing referrals within program requirements using a client management system or similar technology.
An applicable combination of education, professional experience, volunteer experience, and lived experience that provides the knowledge, skills, and abilities to perform the role.
Strong communication, interviewing, and problem-solving skills.
Proficiency with Microsoft Office and web-based applications.

Nice To Haves

At least three years of experience working in communities addressing social and healthcare disparities.
Experience providing social or clinical coordination services in Pierce County.
Experience providing direct case management, community outreach, or enrollment assistance.

Responsibilities

Ensure referrals, service delivery, documentation, and billing requirements are met and appropriately processed.
Assign referred clients to Community Care Hub partner organizations as appropriate.
Manage correspondence with clients, Community Care Hub partners, referral sources, and other service providers.
Support quality assurance and continuous quality improvement work, ensuring providers follow standardized, evidence-based guidelines.
Collaborate with Elevate Health departments, diverse sectors, community members, and other stakeholders to improve processes and service provider and client experiences.
Improve Community Care Hub processes, communication, and client care related to health-related social needs.
Support department and Elevate Health operations as necessary.
Provide short-term resource navigation and resource brokering during periods of high referral volume.
Help individuals and families understand, access, and enroll in public health and income support programs, including Medicaid, Medicare, Apple Health, and other state and federal programs.
Provide culturally responsive, person-centered eligibility screening, application, renewal, and program education assistance in community settings.
Participate in community events, health fairs, and outreach campaigns.
Distribute educational materials and communicate program updates in culturally and linguistically appropriate ways.
Maintain accurate records in required databases and case management systems.
Track outreach activities, enrollments, and performance metrics.
Prepare reports as requested.
Stay current on program policies, eligibility criteria, and regulatory changes.
Participate in required training and professional development.
Provide Medicaid redetermination and reenrollment assistance.