Healthcare- Asst. Operations Director (Remote)

Job Details

Description

Join Our Team as an Assistant Director – OOS Medicaid Eligibility!

Are you a natural leader who loves building strong teams and making a real impact? We’re looking for an energetic Assistant Director to help guide our Out-of-State Medicaid Eligibility department! In this role, you’ll coach an amazing team, streamline workflows, tackle complex cases, and help patients secure the coverage they need — all while keeping compliance sharp and operations smooth. If you thrive in a fast-paced environment, love people development, and know your way around Medicaid rules, we want to meet you!

Position Summary

The Assistant Director – Out-of-State (OOS) Medicaid Eligibility is responsible for the oversight and operational leadership of teams focused on determining and securing Medicaid eligibility for out-of-state patients. This role ensures compliance with various state regulations, optimizes eligibility outcomes, and supports patient access to coverage through effective screening, application assistance, and coordination with external Medicaid agencies.

Compensation

• $75,000 annual up to 15% annual bonus
  
  

Key Responsibilities

• Support the VP of Operations in leading a team of eligibility screeners across multiple sites or facilities.
• Oversee OOS Medicaid eligibility processes, ensuring compliance with diverse state regulations and program requirements.
• Develop and maintain standardized protocols and workflows that ensure consistent, accurate screenings.
• Train, coach, and mentor team members to ensure high-quality performance and excellent customer service.
• Track and report on productivity, quality assurance, and KPIs, identifying opportunities for improvement.
• Serve as a key point of contact for complex eligibility cases and interdepartmental coordination.
• Partner with internal teams (Patient Access, Case Management, Billing, etc.) to optimize the patient financial experience.
• Act as a liaison with Medicaid agencies in various states to resolve application issues and maintain policy awareness.
• Assist in audits, compliance checks, and continuous improvement initiatives.
• Step in as acting lead in the VP's absence.
  
  

Qualifications

• Bachelor’s degree in Healthcare Administration, Social Work, Public Policy, or a related field (Master’s preferred).
• 3–5 years of experience in eligibility screening, financial counseling, or patient access.
• At least 1–2 years of leadership experience in a healthcare or public assistance environment.
• Deep understanding of Out-of-State Medicaid programs and public assistance eligibility requirements.
• Strong leadership, organizational, and communication skills.
• Experience with hospital systems (e.g., Epic, Cerner) and eligibility portals.
• Ability to analyze data and lead process improvements.
• Skills:
• Proficiency in medical terminology and insurance protocols.
• Strong communication skills (oral and written).
• Familiarity with hospital or healthcare settings.
• Working knowledge of Medicaid portals and document requirements across multiple states.
• Knowledge of Protected Health Information (PHI) and HIPAA.
  

Benefits

• Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 90 days of full-time employment.
• Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
• 401(k) Plan: Eligible to participate in the company’s 401(k) plan after 6 months of continuous service.
• Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
• Flexible Benefits: Customize your benefits package to fit your personal and family needs.
  
  

Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions.

GetixHealth is an equal opportunity employer and participates in E-Verify.