Manager, Patient Eligibility

Manager, Patient Eligibility

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Employment Type: Full-Time; Salaried – Exempt

Pay Range: $75,000 – $85,000 annual salary

Work Location(s): Routine travel will be expected to the following facilities to conduct onsite visits and meet with colleagues and client leadership. While remote work will be allowed from time to time, the role is expected to be onsite for the majority of its responsibilities to ensure operational alignment and team support, where a Drug Free Workplace Policy is enforced.

Facilities with Direct Oversight:

• St. Joseph Medical Center – 333 Madison St., Joliet, IL. 60435
• Mercy Medical Center – 1325 N Highland Ave., Aurora, IL. 60506
• St. Mary's Hospital – 500 W Court St., Kankakee, IL. 60901
• Garden City Hospital – 6245 Inkster Rd., Garden City, MI. 48135
• Lake Huron Medical Center – 2601 Electric Ave., Port Huron, MI. 48060

Facilities with Indirect Oversight (via Supervisor):

• St. Joseph Hospital – 77 N Airlite St., Elgin, IL. 60123
• St. Francis Hospital – 355 Ridge Ave., Evanston, IL. 60202
• Holy Family Medical Center – 100 N River Rd., Des Plains, IL. 60016
• Resurrection Medical Center – 7435 W. Talcott Ave., Chicago, IL. 60631
• St. Mary Hospital – 2233 W Division St., Chicago, IL. 60622

Why You'll Love This Role:

This is a high-impact leadership role for someone who thrives in dynamic environments and is energized by the opportunity to bring structure, clarity, and performance to complex operations. As Manager of Eligibility, you will play a critical role in stabilizing and elevating eligibility processes across multiple facilities within the Chicago and Michigan markets, bringing consistency, accountability, and operational discipline.

You will lead a team responsible for delivering accurate, timely eligibility services that are essential to revenue cycle performance. This role requires a balance of hands-on leadership and strategic problem-solving, as you assess current-state challenges, identify gaps, and independently drive solutions that improve workflow efficiency, team performance, and service delivery.

Partnering closely with senior leadership, you will have the autonomy to take initiative, navigate ambiguity, and implement changes that create measurable impact. You will serve as a key escalation point for complex issues, while coaching and developing your team to operate with greater consistency and accountability.

With regular onsite engagement across facilities, you will build strong relationships with hospital leadership and frontline teams, positioning yourself as a trusted partner and change leader. This role is ideal for a leader who is comfortable stepping into situations that require reset and transformation, and who is motivated by the opportunity to make a visible, lasting impact.

What You'll Do:

Client Leadership & Service Delivery

• Serve as the primary operational leader for a major client(s) within multiple regions, managing $3.0M+ in revenue.
• Own day-to-day client relationships, ensuring service level agreements (SLAs), quality standards, and performance expectations are met.
• Lead client meetings as appropriate; prepare, review, and present weekly, monthly and quarterly operational reports.
• Proactively identify service risks, performance gaps, or potential contractual concerns and escalate appropriately.
• Drive continuous improvement initiatives to enhance client satisfaction and operational outcomes.
• Act as an escalation point for complex cases, working with internal and external stakeholders to resolve issues promptly.
• Partner with hospital leadership, government agencies, and other departments to ensure seamless processes and patient care.
• Travel regularly to assigned facilities, ensuring timely and efficient support across multiple locations within the service area.
• Complete special projects, as assigned.

Operational Excellence:

• Manage workload distribution and inventory management across the team, aligning capacity with demand to drive efficiency, productivity, and service level performance.
• Oversee workflow execution, productivity, and quality assurance processes to ensure timely and accurate processing of eligibility accounts.
• Ensure adherence to QA standards; review audit results, implement remedial training and/or corrective actions, and monitor sustained improvement.
• Use multiple systems and databases to gather, track, and report on patient data.
• Develop, refine, and enforce policies and procedures to align with regulatory, compliance, and client requirements.
• Identify opportunities to improve processes, leverage technology, and enhance eligibility workflows
• Monitor compliance with HIPAA, Medicaid, Charity Care, Disability, and other regulatory guidelines.

Financial:

• Accountable for individual facility level and regional market financial performance, including revenue, expense management, and margin optimization.

Team Management:

• Lead, mentor, and develop an eligibility team with both direct and indirect reports, including a supervisor and individual contributors across multiple facilities, ensuring alignment with organizational goals, operational standards, and performance expectations.
• Monitor team and individual performance and quality metrics, providing regular feedback and implement corrective action and performance improvement plans as necessary.
• Oversee hiring, onboarding, performance management, coaching, corrective actions, and terminations in partnership with HR.
• Manage workforce planning, scheduling, overtime oversight, travel expenditures and resource allocation to ensure productivity and coverage standards are achieved.
• Ensure colleagues receive appropriate training, tools, and development opportunities to perform effectively.
• Partner with the Eligibility Specialist III and Revenue Cycle Training team to create and deliver training programs, ensuring colleagues are equipped with knowledge and skills needed to succeed in their roles.

What We're Looking For:

• Bachelor's Degree in healthcare administration, business, other related field or a combination of education and/or equivalent experience.
• At least 5 years of experience in healthcare eligibility, financial counseling, or case management roles.
• At least 5 years of people management experience, managing team sizes greater than 20 employees.
• Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.
• Proven ability to lead and motivate teams, fostering a culture of collaboration and accountability.
• Excellent problem-solving skills, with ability to de-escalate and/or resolve complex patient or operational issues.
• Strong organizational skills with the ability to handle multiple priorities and maintain accuracy and attention to detail.
• Excellent verbal and written communication skills, with the ability to explain complex information clearly and empathetically.
• Ability to identify solutions to financial challenges, leveraging program knowledge to benefit patients.
• Capability to work in a fast-paced environment with changing priorities and patient needs.
• Demonstrate genuine care for patients' needs and concerns, building trust and rapport.
• Work effectively with colleagues, client staff, and external agencies to achieve shared goals.
• Ensure all documentation is accurate, complete, and submitted on time.
• Reliable transportation, a valid driver's license, and ability to travel within assigned service area.
• Travel: Regular travel to facilities within assigned market region is required.

What We Offer:

• Comprehensive benefits: medical, dental, vision, HSA and FSA accounts, short-term and long-term disability insurance, accident insurance, hospital indemnity insurance, critical illness insurance, life insurance, supplemental insurance, spouse and dependent life insurance, pet insurance, and legal insurance
• Wealth benefits: 401(k) with company match, company HSA contributions, and access to certified financial planners
• Generous paid time off: 17 days PTO for full-time colleagues with increases based on tenure, 9 paid holidays and 40 hours of paid