DIRECTOR OF PATIENT ACCESS

Valley Community Healthcare; Los Angeles (CA); Vor Ort; USD 120.000 - 160.000; Vollzeit

Zusammenfassung

Valley Community Healthcare is seeking a Director of Patient Access to lead enrollment and eligibility operations, patient engagement, and coordination across multiple departments. You will supervise a team responsible for eligibility, enrollment, call center, referrals, and medical records, driving strategies to increase membership and reduce coverage lapses.

You will work closely with leadership to optimize workflows, leverage NextGen and UniteUs platforms, and implement KPIs for continuous

Qualifikationen

• Bachelor's degree required; master's preferred.
• Experience leading enrollment & eligibility teams (Medi-Cal/Medicaid context a plus).
• Knowledge of health insurance programs, enrollment rules, and community outreach.

Aufgaben

• Lead and supervise: Patient Access, Member Services, Call Center, Referrals, and Medical Records teams.
• Develop and execute outreach strategies to inform community about coverage programs and changes.
• Improve workflows and optimize EHR/PM systems to enhance efficiency and accuracy.
• Establish KPIs to measure department performance and drive improvements.
• Build relationships with health plans, CBOs, and external funders.

Kenntnisse

Leadership

Enrollment & eligibility

Patient access management

Stakeholder relations

Data analysis

Communication

Project management

Process improvement

KPI development

Ausbildung

Bachelor's degree

Master's degree preferred

Tools

NextGen

UniteUs

Practice management system

Jobbeschreibung

Valley Community Healthcare (VCH) is seeking a highly motivated and experienced individual to be our next Director of Patient Access! As the Director of Patient Access, you will play a critical role in managing various initiatives and strategies related to healthcare access, eligibility & enrollment, and patient engagement. You will be responsible for overseeing specific operations departments and implementing innovative and forward thinking programs which ensure VCH patients continuously have access to high quality healthcare. VCH is embarking on an exciting journey to transform and improve healthcare access for San Fernando Valley’s most vulnerable community members and we’d like you to be at the forefront of this change as a part of our leadership team!CORE JOB RESPONSIBILITIES (Essential Duties):Under the Direction of the Chief Operating Officer, the Director of Patient Access will:Inspire, train, and lead staff in providing patients with an exceptional consumer experience, focusing on patient engagement, retention, and growth.Direct supervision including:Manager of Patient Access – empanelment, provider attendance and time off, template/schedule creation and monitoring. Supervises:- Member Services staff who are responsible for patient eligibility and enrollment, coverage resources, linkages to Medicare and Covered CaliforniaCall Center Supervisor – supervises Call Center staff and patient access via phone and text message servicesReferrals Manager – oversight of the Referrals department. Supervises:- Medical Records Coordinator – responsible for timely distribution of medical records to medical, legal and other entities, also supervises- Data Center staff – oversight and troubleshooting of patient prescription referrals, provider questionsDevelop and implement strategies to drive membership growth, retention, and reduce avoidable month-to-month lapses in health coverageHave extensive knowledge and remain up to date on all policies and program rules for all public health insurance, coverage and benefit programsDemonstrate current and ongoing knowledge of external funding and policy changes that impact on patient health, access, and experience.Ability to identify issues that affect community members, patients and program management. Participate in coalitions, workgroups or other identified venues to highlight and work proactively on eliminating or supporting identified issues that directly impact on community health, patient access, coverage, or overall patient experience..Responsible for creating and managing outreach strategies to inform the community about health insurance and coverage programs including significant changes to requirements, eligibility and other important updates.Implement and communicate program guidelines and program change health coverage programs to patients, staff and stakeholders.Ensure that communication to patients, staff, and stakeholders is culturally appropriate, timely, and informativeIn partnership with VCH leadership, lead the management and optimization of various workflows and technological platforms as it relates to areas of responsibility , such as our practice management system and electronic health record (EHR) and other systems.that may drive social determinants of healthDevelop reporting mechanisms and key performance indicators (KPIs) to evaluate the effectiveness of the department(s) and ensure continuous improvement. Implement appropriate interventions when KPIs are below benchmarks and goalsBuild and maintain strong relationships with external stakeholders, including health plans, community-based organizations (CBOs), and other funders.Enhance and automate workflows; oversee the transition from manual paper processes to electronic workflows within the EHR for improved efficiency and accuracy.Manage the UniteUs system for external community based referrals, ensuring seamless coordination and collaboration with external partners.Work with Community Programs in supporting social determinants of health (SDOH) activities to address the underlying factors affecting patient health outcomes and access.Serve as a human-centered leader, fostering a positive and patient-centric environment.Other duties as assignedBachelor's degree is required; master's degree is preferred.Minimum of 3 years of experience in enrollment and eligibility, specifically within the context of Medi-Cal/MedicaidPrevious experience working within a Community Health Center/Federally Qualified Health Center, Managed Care Health Plan or IPA is highly desired.Demonstrated experience as a Manager or Director, leading an eligibility and enrollment department, call center or a related healthcare team.Strong knowledge and understanding of healthcare operations, managed care, membership growth, and retention strategies.Proven ability to build and maintain relationships with external stakeholders and partnersExcellent organizational and project management skills, with the ability to prioritize and manage multiple initiatives simultaneously.Experience in developing and implementing outreach strategies to engage and retain patients.Familiarity with electronic health record systems, preferably NextGen.Innovative mindset with the desire to embrace technology and utilize data to make meaningful decisionsProficiency in analyzing and interpreting data, with the ability to develop meaningful KPIs.Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse teams and engage with patients and community members.