Patient Eligibility Specialist Manager

Overview

At
Vista Community Clinic (VCC), we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most.

As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

✨Benefits include:

• ✅ Competitive compensation & benefits
• ✅ Medical, dental, vision
• ✅ Company-paid life insurance
• ✅ Flexible spending accounts
• ✅ 403(b) retirement plan

• 🏅 Winner of
  2025 HRSA Gold Medal
  for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.
• Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.
• A robust training & development culture to help you grow and advance your career.
• A workplace built on respect, collaboration and passion for care.

• Primary duty consists of hiring, firing, promoting, training, evaluating and/or directing the work of designated staff
• Provide oversight of administration and implementation of project work plan and budgets
• Provide supervision for project staff as required
• Organize education activities to reach patients and their families about health insurance options and eligibility
• Supervise and enroll patients into health coverage plans by screening for eligibility, gathering required documentation, expediting approvals and assisting with post-enrollment customer service as needed
• Manage the Patient Benefit Counselor (PBC) appointment schedule
• Assist staff with any questions, concerns, necessary revisions to information, etc., for patients
• Maintain and report accurate daily/weekly/monthly/quarterly statistical records to track individual productivity as required by VCC
• Strictly adhere to state and federal regulations and policies regarding enrollment practices for insurance and managed care products
• Maintain adequate volume of education materials
• Work to create a positive working relationship with staff and patients
• Provide training and instruction to retain staff and continue growth of patient volume at the clinic
• Provide informational materials to potential enrollees/staff; answer questions related to programs and invite or direct enrollees/staff to other education opportunities (as applicable)
• Maintain and manage daily clinic/department needs and expectations
• Follow all clinic/department policies and procedures’ implementation on a consistent and varying basis dependent on clinic goals
• Provide other communication content such as letters and forms
• Responsible for budget tracking/fiscal accounting and assuring that program expenses are allowable within contract terms
• Responsible for recommending and generating budget revisions and justifications
• Responsible for internal and external program reporting, such as progress and final reports. Oversees completion of program objectives and recommends changes in scope as needed or appropriate
• Assure completion of evaluation process
• Attend and facilitate meetings, as required
• Serve as liaison and assist with collaborative support activities with community agencies, local government representatives, neighborhood residents and other Vista Community Clinic project staff
• Perform direct services, as required
• Work with community members to provide offsite enrollment assistance
• Record and report any unusual occurrences or incidents; utilize the “variance report” correctlyli>
• Responsible for meeting program quotas and goals
• Enhance professional growth and development through participation in educational programs, current literature review, in-service meetings and…