Staff Advocate
Madison, OH - USA
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 WisconsinMadison. 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 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.
- 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
Center for Patient Partnerships
- 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*
- 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
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
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.
Its 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.
- Criminal background check may be required.
- 12-month evaluation period may be required
Work Schedule:
Sonia Parker CALS HR Generalist
Diversity is a source of strength creativity and innovation for UW-Madison. We value the contributions of each person and respect the profound ways their identity culture background experience status abilities and opinion enrich the university community. We commit ourselves to the pursuit of excellence in teaching research outreach and diversity as inextricably linked goals.
The University of Wisconsin-Madison fulfills its public mission by creating a welcoming and inclusive community for people from every background - people who as students faculty and staff serve Wisconsin and the world.
The University of Wisconsin-Madison is an Equal OpportunityEmployer.
Qualified applicants will receive consideration for employment without regard to including but not limited to race color religion sex sexual orientation national origin age pregnancy disability or status as a protected veteran and other bases as defined by federal regulations and UW System policies. We promote excellence by acknowledging skills and expertise from all backgroundsand encourage all qualified individuals to apply. For more information regarding applicant and employee rights and to view federal and state required postings visit the Human Resources Workplace Poster website.
To request a disability or pregnancy-related accommodationfor any step in the hiring process (e.g. application interview pre-employment testing etc.) please contact the Divisional Disability Representative (DDR)in the division you are applying make your request as soon as possible to help the university respond most effectively to you.
Employment may require a criminal background check. It may also require your references to answer questions regarding misconduct including sexual violence and sexual harassment.
The University of Wisconsin System will not reveal the identities of applicants who request confidentiality in writing except that the identity of the successful candidate will be released. See Wis. Stat. sec. 19.36(7).
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Required Experience:
Staff IC
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