Manager of Patient Eligibility and Enrollment

Manager of Patient Eligibility and Enrollment About Us

Healthcare Chaos Management (HCM) is a 40-year-old, nationally scaled healthcare revenue cycle company that is transforming into a cutting-edge Healthcare Fin Tech organization. We serve hospitals and healthcare systems across the U.S., blending human-centric service with intelligent automation to improve patient financial experiences and optimize healthcare revenue operations.

The Manager of Patient Eligibility and Enrollment is responsible for overseeing day-to-day operations of HCM’s eligibility and enrollment services, ensuring compliance, accuracy, and timely processing of applications for financial and healthcare assistance programs. This role supports patient access initiatives by coordinating with internal teams, healthcare partners, and state agencies to optimize enrollment outcomes and ensure program integrity.

The Manager will lead a team of eligibility specialists, monitor performance, implement process improvements, and uphold compliance with federal and state regulations. This position plays a key role in achieving HCM’s mission to expand healthcare access and streamline the patient financial experience.

• Operational Efficiency – Timely and accurate completion of eligibility applications, with reduced error rates and improved turnaround times.
• Compliance and Quality – Adherence to HIPAA, CMS, and state licensing requirements with zero compliance deficiencies.
• Team Performance – Employee retention, engagement, and productivity within the eligibility and enrollment team.
• Patient Impact – Increased coverage conversion rates and positive patient feedback related to financial assistance and coverage access.

• Manage daily operations of eligibility and enrollment services, ensuring high standards of accuracy and customer service.
• Implement and monitor policies and procedures for Medicaid, Marketplace, CHIP, and financial assistance programs.
• Coordinate with healthcare providers and internal departments to ensure timely and efficient processing of patient applications.
• Identify and resolve operational challenges that impact service delivery and program effectiveness.

• Ensure all program activities comply with HIPAA, CMS, and state/federal regulatory requirements.
• Maintain records of state-required certifications such as Navigator Licenses and Certified Application Counselor credentials.
• Support preparation of compliance and quality assurance reports, responding to audits and corrective actions as needed.
• Supervise and coach eligibility and enrollment staff, providing regular feedback, performance evaluations, and development opportunities.
• Coordinate new hire and ongoing training programs to ensure staff stay informed of regulatory and procedural updates.
• Foster a culture of accountability, collaboration, and continuous improvement within the team.

• Serve as a point of contact for providers, community partners, and state agencies regarding eligibility and enrollment matters.
• Support outreach and community education efforts that promote awareness of available healthcare coverage and financial assistance programs.
• Represent HCM at relevant community events and stakeholder meetings to enhance visibility and trust.

• Monitor key performance metrics and generate regular operational reports for leadership review.
• Use data analytics to identify process inefficiencies, measure outcomes, and inform process improvements.
• Ensure data integrity within all enrollment systems and documentation workflows.

• 3– years of experience in healthcare eligibility, enrollment, patient advocacy, or related financial assistance programs.
• Prior supervisory or team lead experience strongly preferred.
• Working knowledge of Medicaid, Marketplace insurance, financial assistance programs, and healthcare compliance regulations.
• Strong organizational and analytical skills, with the ability to manage multiple priorities.
• Proficiency in data reporting and workflow management tools.
• Bachelor’s degree in Healthcare Administration, Business, or related field required; advanced degree preferred.
• Must hold or be eligible to obtain Indiana Navigator certification.
• Excellent communication and interpersonal skills, with the ability to build collaborative relationships across departments and with external partners.

Join Us If you are passionate about delivering compassionate customer service and want to contribute to a patient-focused healthcare revenue cycle, we invite you to apply for the Manager of Patient Eligibility and Enrollment position at HCM.