Director of Patient Access

Job Details: Job Location: No. Ho

• North Hollywood, CA, Position Type: Full Time, Education Level: 4 Year Degree, Salary Range: $140000.00 - $160000.00Salary/year, 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 California Call Center Supervisor – supervises Call Center staff and patient access via phone and text message services Referrals 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 questions Develop and implement strategies to drive membership growth, retention, and reduce avoidable month-to-month lapses in health coverage Have extensive knowledge and remain up to date on all policies and program rules for all public health insurance, coverage and benefit programs Demonstrate 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 informative In 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 health Develop 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 goals Build 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 Unite. Us 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 assigned Qualifications: Bachelor'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/Medicaid Previous 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 partners Excellent 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 Next. Gen. Innovative mindset with the desire to embrace technology and utilize data to make meaningful decisions Proficiency 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.