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Job Category:
Academic Staff

Employment Type:
Regular

Job Profile:
Outreach Program Manager

Job Summary:

The Center for Patient Partnerships (CPP) seeks a staff advocate for the new health insurance program to reach rural health care consumers. The advocate will provide primarily intensive legal and advocacy services to qualifying clients to support access to health care. The services will assist rural Wisconsin consumers with prior authorization processes and appeals, claim denial appeals, and other complex insurance protocols that consumers must navigate to get coverage for their care. It will also include filing of grievances and complaints to state and federal regulators. The position will also contribute to intake and triage services, brief advocacy help, assist with program quality assurance and reporting, contribute to program development, track trends, and collaborate on system-level advocacy.

The mission of this new program is to support patients in using health insurance and coverage to gain timely, effective, and accessible health care in rural Wisconsin communities.

The responsibilities of this role will include:

•  Managing caseload of advocacy clients and providing high-quality advocacy services regarding health insurance (private and public) and self-funded plans
• Researching and documenting changing laws, regulations, and practices related to health coverage to create operating policies and procedures and trainings for CPP staff and program collaborators
• Supporting helpline triage, intake and providing brief intervention  advocacy services
• Contributing to CPP broadly through participation in staff meetings, sharing of learnings, and office coverage and other duties as assigned

CPP is an interdisciplinary, cross-campus center located within the College of Agricultural and Life Sciences (CALS) at the University of Wisconsin–Madison. CPP operates as a medical-legal partnership and offers experiential learning opportunities for undergraduate and graduate students through coursework and community engagement. Services include health advocacy and community resource navigation. Our staff is mission-focused, creative, collaborative, and dedicated to making health care work for each and all. In addition to our service and teaching, we research patients' diverse lived experiences, needs, and challenges, and test and evaluate interventions. Our model prioritizes systems change that advances access to timely, effective health care, and promotes patients’ personal agency in navigating their own health experiences. Services will provide a combination of brief intervention and intensive advocacy support to clients, aiming toward problem resolution or appropriate referral for every case. The staff advocate position will have service volume expectations.

Key Job Responsibilities:

• Support helpline triage, intake and provide brief intervention  advocacy services

• May exercise supervisory authority, including hiring, transferring, suspending, promoting, managing conduct and performance, discharging, assigning, rewarding, disciplining, and/or approving hours worked of at least 2.0 FTE or equivalent employees

• Supervises the implementation of outreach-program-focused strategic planning initiatives and objectives

• Reviews recommendations for and provides input on the design and development of new outreach programs or services

• Develops and implements operating policies and procedures to promote the outreach program in alignment with the strategic plan

• Determines outreach program needs and the personnel resource allocation plan

• Contribute to CPP broadly through participation in staff meetings, sharing of learnings, and office coverage and other duties as assigned

Department:

Center for Patient Partnerships

Compensation:
The anticipated salary range for this position is $75,000 - $95,000. However, final salary will depend on experience and qualifications. Employees in this position can expect to receive benefits such as generous vacation, holidays, and paid time off; competitive insurances and savings accounts; retirement benefits. Additional benefits information can be found at: 

Required Qualifications:

• At least 3 years of experience in legal, regulatory, enforcement, or investigative analysis and representation, particularly as it relates to health care, public benefits, or social service programs
• 1 year of experience with supporting individual clients in appeal, grievance, or complaint processes in the areas of regulatory administrative or enforcement proceedings or related to claim disputes or consumer protection
• Demonstrated knowledge of federal and state (Wisconsin) health care and health insurance landscape and delivery systems

*Please note, your resume and cover letter will be used to evaluate your written communication skills. Materials will be evaluated for the following: spelling, punctuation, organization, clarity, and attention to detail*

Preferred Qualifications:

• Demonstrated project and time management skills, including the ability to independently manage competing deadlines and priorities
• Experience addressing barriers while advocating with or providing services for consumers or individual clients from rural communities or those with limited access to services
• Experience building a new client-facing program or contributing to client-facing program policy development or workflows

Education:

J.D. from accredited law school - Required

License or Certificate:

• J.D. is required from an accredited law school
• Must be admitted to the Wisconsin State Bar or admitted to the bar of another state and in the process of obtaining admission to the Wisconsin State Bar

How to Apply:

To apply for this position, please click on the "I am a current employee" button or "I am not a current employee" button under Apply Now. You will be prompted to upload the following documents.

• Cover Letter
• Resume

Please note, there is only one attachment field. You must upload all your documents into the one attachment field. All listed application materials must be received to be considered.

Finalists will be asked to provide contact information (phone and email) for three references, one of which must be a current or former supervisor. References will not be contacted without prior notice.

It’s important that your cover letter and resume reflect your experience for this position related to the Qualifications section. Your application materials will be used during our evaluation to determine your qualifications as they relate to the job.  The most qualified applicants will be invited to participate in the next step of the selection process.

Please note that successful applicants are responsible for ensuring their eligibility to work in the United States (i.e. a citizen or national of the United States, a lawful permanent resident, a foreign national authorized to work in the United States without need of employer sponsorship) on or before the effective date of the appointment. University sponsorship is not available for this position.

Additional Information:

• Criminal background check may be required.
• 12-month evaluation period may be required

Work Schedule:
Normal hours are between 8am-5pm, Monday through Friday, or as negotiated with supervisor. Very occasional nights or weekends are required for this position as deadlines require.


Contact Information:

Sonia Parker, CALS HR Generalist