Manager, Patient Eligibility (Hybrid)
$60k - $65kSavista, LLC
Job Title: Manager, Patient Eligibility Employment Type: Full-Time; Salaried – Exempt Pay Range: $60,000 – $65,000 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 Oversite:
- Honor Health Four Peaks Medical Center- 1301 S Crismon Rd Mesa AZ 85209
- Tempe Medical Center- 1500 S Mill Ave Tempe AZ 85281
- Florence Medical Center- 4545 N Hunt Highway Florence AZ 85132
- Mesa FSED- 5750 E Baseline Rd Mesa AZ 85206
- Deer Valley- 19829 N 27th Ave Phoenix AZ 85027
- John C Lincoln- 250 E Dunlap Ave Phoenix AZ 85020
- Sonoran Crossing Medical Center- 33400 N 32nd Ave Phoenix AZ 85085
- Scottsdale Osborn Medical Center- 7400 E Osborn RD Scottsdale AZ 85251
- Scottsdale Shea Medical Center- 9003 E Shea Blvd Scottsdale AZ 85260
- Scottsdale Thompson Peak Medical Center- 7400 E Thompson Peak Parkway
- Scottsdale AZ 85255HonorHealth Complete Care- Paradise Valley- 5316 E Shea Blvd Ste 150 Scottsdale AZ 85254
- HonorHealth Complete Care- Prasada- 16575 W Waddel Rd Surprise AZ 85388
- HonorHealth Complete Care- Lake Pleasant- 25654 N Lake Pleasant Pkwy Peoria AZ 85383
- Salem Regional Medical- 1995 E State St Salem OH 44460
- Bay Area- 1775 Thompson Rd Coos Bay OR 97420
- Bryan Health Bryan Health East Campus- 1600 S 48th St Lincoln NE 68506
- Bryan Health West Campus- 2300 S 16th St Lincoln NE 68502
- 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 elevate 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.
- 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.
- 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.
- 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 in people management of 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.
- 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 volunteer time each year through our Heart & Soul program
- Learning & career development: premium LinkedIn Learning access and our SOAR development program
- Wellness benefits: free Calm Premium subscription for meditation, stress relief, and sleep support as well as access to our Colleague Assistance Program (EAP) that provides access to licensed professional counselors and work/life resources
- Employee discounts: Perk Spot, discounted cell‑phone plans through Previ, and home/auto insurance discounts
- A collaborative, mission‑driven culture built on teamwork, empathy, and growth
$23 - $24 per hour
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