5 дней назад
MassHealth Enrollment Specialist (AI)
30 - 40$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
MassHealth Enrollment Specialist (AI): Helping Massachusetts patients complete MassHealth applications and renewals while improving AI-powered enrollment workflows with an accent on eligibility support, case ownership, and healthcare access. Focus on resolving complex coverage issues, identifying process failures, and shaping scalable enrollment tools for community health centers.
Location: Remote, but candidates must be based in Massachusetts; occasional travel to partner community health centers in Massachusetts.
Salary: $30–$40 per hour.
Company
is an early-stage healthcare technology startup building AI-powered tools to help community health centers protect patient access to healthcare.
What you will do
- Work one-on-one with MassHealth members by phone and video to complete applications and renewals, gather documents, and resolve eligibility issues.
- Own patient cases from initial contact through completion, including responding to requests for information and contacting MassHealth when needed.
- Support renewal campaigns across community health center partners and keep health center staff informed.
- Explain MassHealth and Health Connector notices and escalate complex cases appropriately.
- Identify recurring enrollment barriers and share insights with product and operations teams.
- Review outreach scripts and workflows while helping build a scalable enrollment-support playbook.
Requirements
- 3+ years of hands-on MassHealth enrollment, eligibility, or benefits experience.
- Current or previous Massachusetts Certified Application Counselor status, with eligibility for redesignation through a partner health center.
- Strong knowledge of MassHealth eligibility rules, coverage types, renewals, requests for information, the Health Connector, and complex edge cases.
- Ability to support patients through stressful or complicated processes with clarity and empathy.
- Experience managing an independent caseload, identifying missing information, and following cases through to completion.
- Must be based in Massachusetts and able to travel occasionally to partner community health centers.
Nice to have
- Spanish, Haitian Creole, Portuguese, Cape Verdean Creole, or Vietnamese language skills.
- Experience at an FQHC, community health center, hospital financial assistance department, or similar safety-net organization.
- Experience with high-volume renewal campaigns or community enrollment events.
- Experience with Epic, eClinicalWorks, athenahealth, or other health center EHRs.
Culture & Benefits
- Part-time schedule of 20–35 hours per week, with potential to extend to full-time.
- Direct impact on helping families maintain access to healthcare.
- Significant ownership and direct collaboration with product and operations teams.
- Opportunity to experiment with AI, automation, and new enrollment-support tools.
- Work focused on redesigning repetitive administrative processes and improving patient experience.
Hiring process
- Submit a resume and a few sentences describing MassHealth enrollment or eligibility experience.
- Include relevant case experience, previous Certified Application Counselor status, and motivation for the work.
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