Purpose
The Medicaid Enrollment and Eligibility Manager leads Neighborcare Health’s eligibility and enrollment operations to support uninsured patients in accessing Medicaid, Washington Healthplanfinder coverage, and other available assistance programs. This role oversees enrollment workflows, maximizes patient enrollment into programs for which Neighborcare Health is a provider, and manages the Sliding Fee Discount Program in alignment with organizational policy and regulatory requirements. The Medicaid Enrollment and Eligibility Manager supervises the eligibility team and is responsible for hiring, onboarding, training, performance management, and completion of annual performance reviews. The role ensures eligibility services are delivered accurately, consistently, and in a patient-centered manner. This position collaborates with internal departments and external partners to support enrollment activities and community awareness of Neighborcare Health’s eligibility services. The Medicaid Enrollment and Eligibility Manager may plan and lead meetings such as the First Friday Forum and represent Neighborcare Health in community, regional, or national settings related to eligibility and access to care.
Health, Wellness & Retirement Benefits:
Compensation:
In this position you will:
Manage eligibility staff, including recruitment, hiring, onboarding, training, retention, performance management, annual reviews, and discipline. Provide coaching and mentorship focused on problem-solving, process improvement, effective communication, and ensuring appropriate daily staffing and schedule coverage.
Serve as a strategic and analytical leader with strong judgment, people skills, and a patient centered focus.
Partner with site leadership to plan for long-term patient eligibility needs and resources, and to maximize enrollment into insurance plans in which Neighborcare Health participates.
Collaborate in the development of outreach and enrollment materials to support Medicaid eligible patients in understanding the benefits of public insurance coverage. Stay informed of changes in eligibility regulations and enrollment processes; develop, update, and implement eligibility protocols to ensure efficient patient access to services.
In collaboration with internal and external partners, coordinate the design, ordering, distribution, and monitoring on enrollment materials, including partnerships such as CHPW’s Partners in Promotion program.
Work in partnership with the Washington State Health Care Authority and other agencies to uphold best practices and sustain effective enrollment programs.
Required Skills:
Strong planning, organizational, coordination, and project management skills.
Excellent written and verbal communication skills, including the ability to present information clearly in public and group settings.
Customer service experience working effectively with individuals and groups from diverse backgrounds.
Ability to interpret, explain, and summarize complex eligibility regulations and program requirements (e.g., Medicaid enrollment processes, Essential Health Benefits) in clear, understandable terms.
Working knowledge of organizational policies, procedures, electronic health record systems, and standard computer applications (e.g., MS Office, Epic, PowerPoint, web-based tools).
Demonstrated skill in leadership and supervision, including hiring, coaching, performance management, and administering discipline and annual evaluations.
Strong judgment, initiative, problem-solving, and data-informed decision-making skills.
Preferred Skills:
Education/Experience Requirements:
Preferred Requirements:
About Neighborcare Health:
Since 1968, Neighborcare Health has been removing barriers to health care for our neighbors. We believe everyone deserves a place to call their health care home, where a team of medical, dental and mental health professionals work in collaboration with each patient to develop a personal health improvement plan.
We are one of the largest providers of primary medical, dental and behavioral health care services in the Seattle area serving low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and people experiencing homelessness. Each year we care for nearly 60,000 patients at our nearly 30 non-profit medical, dental and school-based clinics. We ask everyone to pay what they can, but no one is turned away due to inability to pay.
Our clinics are located in neighborhoods where health disparities are the greatest, and our care teams, who speak over 55 languages and dialects, are as diverse as our patients. No matter who you are, or where you come from, regardless of your insurance, income or immigration status, you are welcome at Neighborcare Health.
Learn more about us here
The full job description is available upon request.
At Neighborcare Health, we believe everyone deserves quality health care, where a team of medical, dental and mental health professionals work in collaboration with each patient so they can live their healthiest lives and meet their personal goals.
We are the largest provider of primary medical, dental and behavioral health care services in the Seattle area serving low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and people experiencing homelessness. Each year we care for about 60,000 patients at our nearly 30 non-profit medical, dental and school-based clinics. We ask everyone to pay what they can, but no one is turned away due to inability to pay.
Our clinics are located in neighborhoods where there are high barriers to care, and our care teams, who speak over 55 languages and dialects, are as diverse as our patients.
No matter who you are, or where you come from, you are welcome at Neighborcare Health.
