Staff Advocate

About the role

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.

Responsibilities

• 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
• 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

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

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.