Senior Manager of Financial Assistance

Cook County•Chicago, IL

2d•Onsite

About The Position

The Senior Manager of Financial Assistance is responsible for the administration and management of all patient’s financial assistance programs, including CareLink, in an efficient, appropriate manner for the patients of Cook County Health (CCH). Facilitates the administration of the program in accordance with managed care best practices while working with CCH departments that support program components such as eligibility screening, outreach for potential care coordination enrollment or primary care physician linkages. Provides operational expertise and interfaces effectively with community-based organizations and county commissions.

Requirements

High School Diploma or GED equivalent with seven (7) years’ of experience with Medicare, Medicaid, and/or Commercial insurance products OR Associates degree from an accredited college or university with five (5) of experience with Medicare, Medicaid, and/or Commercial insurance products OR Bachelor’s degree from an accredited college or university with three (3) years of experience with Medicare, Medicaid, and/or Commercial insurance products is required. (Must provide official transcripts at time of interview)
Two (2) years of work experience interfacing with diverse stakeholders, i.e., community advocates, physicians, and community members is required.
One (1) year work experience in analyzing financial and administrative data is required.
Intermediate knowledge of Microsoft (Word, Excel, Access, PowerPoint, Outlook) is required.

Nice To Haves

Bachelor’s degree in business, Healthcare Administration, or Public Health from an accredited college or university is preferred.
Bilingual is preferred.
Experience and advanced knowledge of contractual, administrative, health insurance and operational issues related to managed care organizations, physician groups, hospitals, and health insurance benefit plan designs is preferred.
Previous experience with databases and contract modeling is preferred.

Responsibilities

Manages the day-to-day activity of the patient financial assistance programs which includes responding to inquiries, educating staff, collaborating with stakeholders, preparing reports, and attending meetings
Develops workflows and job aids, i.e. resource list, telephone list, process criteria, policy related information
Collaborates and communications with other departments on related projects and inter-departmental operations issues
Documents workflows and policy and procedures
Reviews public health data analyzing state-wide trends and health information from public and private sources to arrive at a description of the population from the perspective of size; age and sex; disease burden; utilization patterns, preventive service use and medication experience
Completes operational and financial analysis for review
Collaborates with all stakeholders to identify opportunities to improve quality and control cost. Creates a plan and measures the impact of the agreed upon interventions
Provides training and job aids for staff who are supporting the patient financial assistances programs
Develops processes and protocols to develop core competencies of an effective organization managing care utilized by financial assistance program members such as understanding and mitigating risk, member outreach, care coordination, financial and utilization review, and network management
Leverages CCH technology and to best serve patients, i.e. portal access, e-Consult, etc.
Prepares and submits management and regulatory reports including dashboard for senior leadership, as required
Performs other duties as needed
Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
Participate in collective bargaining negotiations, caucus discussions and working meetings
Document, recommend and effectuate discipline at all levels
Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements
Direct and effectuate CCH management policies and practices
Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Contribute to the management of CCH staff and CCH’ systemic development and success
Discuss and develop CCH system policies and procedures
Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
Work with Labor Relations to discern past practice when necessary