Medicaid Program Integrity Jobs in Appleton, WI (NOW HIRING)

Make a real difference in patients' lives—join Elevate Patient Financial Solutions as an Eligibility Supervisor and help guide individuals through their healthcare financial journey. This full-time position is hybrid with possibility for some remote days but primarily onsite at a hospital in Neenah, WI, with a Monday-Friday schedule from 8:00 AM to 4:30 PM with occasional projects or travel on evenings or weekends. Travel will be required to visit other health system sites that are staffed in the area such as Appleton and Shawano in addition to overseeing the Neenah site. Driving is required must have a valid Drivers License. Bring your passion for helping others and grow with a company that values your impact. In 2024, our Eligibility division helped over 823,000 patients secure the Medicaid coverage they needed. Elevate's mission is to make a difference. Are you ready to be the difference?

As an Eligibility Supervisor, you play a vital role in supporting a team that guides uninsured hospital patients through the complex landscape of medical and disability assistance. While your team provides compassionate, face-to-face support to patients during some of life's most vulnerable moments, you help ensure the day-to-day operations that support this mission are handled with care and consistency. In this onsite, hospital-based role, you are responsible for overseeing timecard accuracy, conducting internal audits to maintain compliance, and leading new hire training to ensure advocates are well-prepared and aligned with program standards. You also serve as a resource for complex or escalated cases—offering guidance, troubleshooting challenges, and ensuring patients receive the highest level of advocacy and support. Additionally, you act as a critical bridge between patient-facing staff and upper-level management—communicating needs, sharing feedback, and helping align team efforts with broader organizational goals. Your attention to detail and problem-solving skills help uphold the integrity of the patient financial advocacy process—ensuring every Advocate is equipped to make a meaningful impact.

• Supervise and orient employees; assign work, develop work schedules, instruct in proper procedures; assist with development and revision of department processes/procedures
• Manage employee performance and provide feedback
• Ensures staff is obtaining adequate information; provides opportunity for associated training for staff.
• Responsible for running reports and maintaining data integrity
• Monitor billing procedures and documentation, and provides updates with regulatory compliance; conducts periodic audits, and maintains files.
• Develop relationships with clients and county, state and government agencies.
• Manage employee time and attendance
• Other duties as assigned.

• High School Diploma or GED
• Minimum of 2 years of experience managing or supervising employees preferred
• Familiarization for the following programs is required: Medicaid and Out of State Medicaid.
• Strong oral and written communication
• Excellent people skills
• Strong Computer knowledge especially Excel.
• Familiarity with Epic preferred
• Remote and Hybrid positions require a home internet connection that meets the company's upload and download speed criteria.

• Medical, Dental & Vision Insurance
• 401K (100% match for the first 3% & 50% match for the next 2%)
• 15 days of PTO
• 7 paid Holidays
• 2 Floating holidays
• 1 Elevate Day (floating holiday)
• Pet Insurance
• Employee referral bonus program
• Teamwork: We believe in teamwork and having fun together
• Career Growth: Gain great experience to promote to higher roles