Senior Manager of Financial Assistance

LOCATION: Stroger Hospital

DEPARTMENT: Revenue Cycle

SHIFT: 8:00AM-4:00PM

This position is exempt from Career Service under the CCH Personnel Rules.

Job Summary

The Senior Manager of Financial Assistance is responsible for the administration and management of all patient's financial assistance programs, including CareLink, in an efficient, appropriate manner for the patients of Cook County Health (CCH). Facilitates the administration of the program in accordance with managed care best practices while working with CCH departments that support program components such as eligibility screening, outreach for potential care coordination enrollment or primary care physician linkages. Provides operational expertise and interfaces effectively with community-based organizations and county commissions.

General Administrative Responsibilities

Collective Bargaining
* Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
* Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline
* Document, recommend and effectuate discipline at all levels
* Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
* Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision
* Direct and effectuate CCH management policies and practices
* Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management
* Contribute to the management of CCH staff and CCH' systemic development and success
* Discuss and develop CCH system policies and procedures
* Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
* Work with Labor Relations to discern past practice when necessary

Typical Duties

• Manages the day-to-day activity of the patient financial assistance programs which includes responding to inquiries, educating staff, collaborating with stakeholders, preparing reports, and attending meetings
• Develops workflows and job aids, i.e. resource list, telephone list, process criteria, policy related information
• Collaborates and communications with other departments on related projects and inter-departmental operations issues
• Documents workflows and policy and procedures
• Reviews public health data analyzing state-wide trends and health information from public and private sources to arrive at a description of the population from the perspective of size; age and sex; disease burden; utilization patterns, preventive service use and medication experience
• Completes operational and financial analysis for review
• Collaborates with all stakeholders to identify opportunities to improve quality and control cost. Creates a plan and measures the impact of the agreed upon interventions
• Provides training and job aids for staff who are supporting the patient financial assistances programs
• Develops processes and protocols to develop core competencies of an effective organization managing care utilized by financial assistance program members such as understanding and mitigating risk, member outreach, care coordination, financial and utilization review, and network management
• Leverages CCH technology and to best serve patients, i.e. portal access, e-Consult, etc.
• Prepares and submits management and regulatory reports including dashboard for senior leadership, as required
• Performs other duties as needed

MINIMUM QUALIFICATION

• High School Diploma or GED equivalent with seven (7) years' of experience with Medicare, Medicaid, and/or Commercial insurance products OR Associates degree from an accredited college or university with five (5) of experience with Medicare, Medicaid, and/or Commercial insurance products OR Bachelor's degree from an accredited college or university with three (3) years of experience with Medicare, Medicaid, and/or Commercial insurance products is required. (Must provide official transcripts at time of interview)
• Two (2) years of work experience interfacing with diverse stakeholders, i.e., community advocates, physicians, and community members is required.
• One (1) year work experience in analyzing financial and administrative data is required.
• Intermediate knowledge of Microsoft (Word, Excel, Access, PowerPoint, Outlook) is required.

PREFERRED QUALIFICATION

• Bachelor's degree in business, Healthcare Administration, or Public Health from an accredited college or university is preferred.
• Bilingual is preferred.
• Experience and advanced knowledge of contractual, administrative, health insurance and operational issues related to managed care organizations, physician groups, hospitals, and health insurance benefit plan designs is preferred.
• Previous experience with databases and contract modeling is preferred.

BENEFITS PACKAGE

• Medical, Dental, and Vision Coverage
• Basic Term Life Insurance
• Pension Plan
• Deferred Compensation Program
• Paid Holidays, Vacation, and Sick Time
• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/

Knowledge, Skills, Abilities and Other Characteristics

• Knowledge of patient registration and access requirements
• Knowledge and familiarity with hospital and clinic-based systems
• Knowledge of the following software programs: Windows based software including Word, PowerPoint and Excel
• Knowledge of hospital and insurance coding and documentation practices
• Understanding of Federal, State, Local, and Agency healthcare laws, standards and financial regulations
• Strong project management skills
• Demonstrates attention to detail, accuracy and precision
• Demonstrates a high degree of confidentiality and discretion
• Demonstrates a desire and willingness to maintain professional skills and education
• Strong interpersonal skills and team skills, ability to communicate well with individuals, and in group settings, ability to communicate with diverse population and people from various backgrounds
• Written and verbal communication, ability to prepare reports and make presentations
• Demonstrates analytical and organizational, problem solving, critical thinking, and conflict management/resolution skills
• Ability to build relationships with executive, department and clinic leadership, providers, team members, and direct reports
• Ability to follow HIPAA standards and comply with patient confidentiality policies

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.

VETERAN PREFERENCE

PLEASE READ

When applying for employment with Cook County Health, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position.
• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR

• A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.