Full-Time

Patient Eligibility Specialist Manager

Posted on 11/7/2025

Deadline 11/21/27
Vista Community Clinic

Vista Community Clinic

201-500 employees

Provides primary care and health services.

Compensation Overview

$78k - $82k/yr

Oceanside, CA, USA

In Person

Category
Operations & Logistics (1)
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets
Requirements
  • Associate’s degree in a related field
  • Certified Enrollment Counselor must be obtained within 60 days of hire and annually thereafter
  • Minimum of five years’ related experience
  • Bilingual English/Spanish
  • Valid California driver's license and vehicle insurance; reliable transportation; minimum two years’ driving experience; no more than 2 violations or a single ticket/accident value at more than 1 point on driving record
  • Ability and willingness to work flexible hours, including evenings and weekends, as required
  • Ability to track and manage time and budgets effectively
  • Ability to plan and facilitate internal and community meetings
  • Strong verbal and written skills necessary for communication with patients/clients, clinicians and other staff
  • Ability to interface with all levels of personnel in a professional manner, including people of all social, cultural and ethnic backgrounds and within the constraints of government funded programs
  • Ability and willingness to meet the organization’s attendance and dress code policies
  • Ability to handle confidential materials and information in a professional manner
  • Excellent customer service skills and commitment to providing the highest level of customer satisfaction
  • Experience/familiarity with computers, business e-mail, communication systems and internet search capabilities; proficient in Microsoft Office products, specifically Word and Excel
Responsibilities
  • Assist patient in completing eligibility and application packets for healthcare insurance enrollment or renewal.
  • Primary duty consists of hiring, promoting, training, evaluation, termination and/or directing the work of designated staff
  • Provide oversight of administration and implementation of project work plan and budgets
  • Provide supervision for project staff as required
  • Organize education activities to reach patients and their families about health insurance options and eligibility
  • Supervise and enroll patients into health coverage plans by screening for eligibility, gathering required documentation, expediting approvals and assisting with post-enrollment customer service as needed
  • Manage the Patient Benefit Counselor (PBC) appointment schedule
  • Assist staff with any questions, concerns, necessary revisions to information, etc., for patients
  • Maintain and report accurate daily/weekly/monthly/quarterly statistical records to track individual productivity as required by VCC
  • Strictly adhere to state and federal regulations and policies regarding enrollment practices for insurance and managed care products
  • Maintain adequate volume of education materials
  • Work to create a positive working relationship with staff and patients
  • Provide training and instruction to retain staff and continue growth of patient volume at the clinic
  • Provide informational materials to potential enrollees/staff; answer questions related to programs and invite or direct enrollees/staff to other education opportunities (as applicable)
  • Maintain and manage daily clinic/department needs and expectations
  • Follow all clinic/department policies and procedures’ implementation on a consistent and varying basis dependent on clinic goals
  • Provide other communication content such as letters and forms
  • Responsible for budget tracking/fiscal accounting and assuring that program expenses are allowable within contract terms
  • Responsible for recommending and generating budget revisions and justifications
  • Responsible for internal and external program reporting, such as progress and final reports. Oversees completion of program objectives and recommends changes in scope as needed or appropriate
  • Assure completion of evaluation process
  • Attend and facilitate meetings, as required
Desired Qualifications
  • Bachelor’s degree with one year of related experience
Vista Community Clinic

Vista Community Clinic

View

Vista Community Clinic provides affordable, high-quality health care to more than 55,000 residents in North San Diego County and Lake Elsinore, Riverside County. It offers primary care, pediatrics, prenatal and women’s health, optometry, dental care, chiropractic services, behavioral health, health education programs, and free health insurance enrollment services. The clinic operates as a NCQA Level 3 Patient-Centered Medical Home, coordinating care across specialties to keep services accessible and continuous. Its goal is to improve community health by expanding access to comprehensive, affordable care and enrollment assistance.

Company Size

201-500

Company Stage

Grant

Total Funding

$3.1M

Headquarters

null

Founded

1972

Simplify Jobs

Simplify's Take

What believers are saying

  • New Oceanside pediatric dentistry site at 815 College Blvd expands access for underserved families.
  • $700,000 grant funds mental healthcare integration directly into local schools.
  • Fresh Start Surgical Gifts partnership delivers free reconstructive surgeries for children.

What critics are saying

  • vistacommunityclinicsucks.org complaint site erodes reputation, driving patients to Santa Rosa Health in 6-12 months.
  • Santa Rosa Vista Campus captures low-income base with evening hours until 8 PM.
  • $3.5M Dad's Club grant ends in 2030, causing revenue collapse and program shutdowns.

What makes Vista Community Clinic unique

  • VCC operates 12 clinics serving 70,000 patients across North San Diego, Orange, and Riverside counties.
  • NCQA Level 3 Patient-Centered Medical Home certification validates VCC's highest-quality care standards.
  • Dad's Club program uniquely supports fathers with $3.5M federal grant through 2030.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Health Savings Account/Flexible Spending Account

401(k) Retirement Plan

Company News

Live Well San Diego
Apr 2nd, 2026
On a roll: how the City of Vista is prioritizing E-Bike Safety.

On a roll: how the City of Vista is prioritizing E-Bike Safety. Post Date: 04/02/2026 4:11 PM The City of Vista's Climate Action Plan (CAP) Program is responsible for progressing the City's 2021 CAP goals of reducing greenhouse gas emissions and improving the quality of life for all residents. Since 2021, the City of Vista has launched multiple programs as an effort to increase community engagement in the Tree Giveaway Program, Vista Green Business Network, and the E-Bike Safety Training and Rebate Program. With the increasing popularity of e-bikes and active transportation, it is essential that riders have the necessary knowledge and skills to ride safely, especially in Vista's complex transit landscape. From 2022 to 2024, the City of Vista experienced an increase in the number of accidents involving pedestrians and cyclists. In response to safety concerns throughout the community, the City of Vista launched its E-Bike Safety Training and Rebate Program in 2024. The educational training component of the program is funded in part by a grant from the California Office of Traffic Safety (OTS). This initiative promotes safe and sustainable transportation options while enhancing rider safety and reducing environmental impact. In partnership with the San Diego County Bicycle Coalition, the City offers three-hour city cycling classes, which consists of a classroom-style lesson on e-bikes and the rules of the road, behind-the-handlebars training, and a community ride. Eight city cycling lessons were hosted by the City of Vista from May to October 2025, with over 170 residents participating and over 200 helmets given away. The City of Vista also approved over 40 rebates for residents to increase access to e-bike ownership. "My 14-year-old son and I took the Vista E-Bike Safety Training last year," said Kristina Geno, City of Vista resident and Vista Unified School District parent. "While he needed the course to earn his school bike permit, I found it incredibly informative from a driver's perspective as well. The instructors were personable and shared their extensive knowledge along with valuable firsthand experience. I truly believe everyone would benefit from taking this class." The City of Vista is committed to promoting Live Well San Diego's vision of a safer and healthier region by increasing education, street safety awareness, and opportunities to participate in active transportation. The E-Bike Safety Training and Rebate Program has returned in 2026 due to a grant awarded by OTS. The City of Vista is grateful to partner with the San Diego Bicycle Coalition again, along with Vista Unified School District and Vista Community Clinic, to provide residents with the skills and resources to ride safely.

North Coast Current
Dec 30th, 2025
Vista Community Clinic receives $3.5M grant for Dad's Club program

Vista Community Clinic receives $3.5M grant for Dad's Club program. Vista Community Clinic has received a $3.5 million federal grant that will significantly expand its Dad's Club program, an initiative focused on supporting fathers and strengthening family stability across North San Diego County, the organization announced in November. The grant comes as Vista Community Clinic announced its new pediatric and family dentistry location in Oceanside last month as well. Funding for the Dad's Club, awarded over five years at $700,000 annually, will allow the nonprofit to grow the program's reach while building on work that already supports men navigating parenting, relationships and economic challenges. According to the clinic, the Dad's Club program focuses on strengthening family relationships through communication skills, parenting education and support aimed at helping fathers play more active and positive roles at home. Participants also receive guidance on conflict resolution and building financial stability. The program has been operating locally for several years. "This award is a recognition of the measurable difference Dad's Club has already made in our community," clinic CEO Fernando Sanudo said in a news release. He added that the funding will allow the program to reach more families and expand its long-term impact. "We've seen fathers come into the program struggling with communication and leave with stronger relationships, healthier parenting skills, and a renewed sense of confidence," he said. "This grant ensures that more families will share in that success." U.S. Rep. Mike Levin (D-49th District) also commented on the grant, noting that the investment will help strengthen families throughout the region and support long-term community stability. "Organizations like the Vista Community Clinic are leading the way in community health and family stability," Levin said in the news release. "Thanks to this $3.5 million federal grant, the clinic can continue its meaningful and necessary work of supporting dads in our community through the Dad's Club Program." At the same time, Vista Community Clinic announced its new pediatric and family dentistry site in Oceanside, located at 815 College Blvd. "We are thrilled to expand our dental services to the Oceanside community," Sanudo said in a November announcement. "This new site will allow us to reach even more families in our community and ensure that every child and adult, regardless of income or insurance status, has access to compassionate dental care in a welcoming environment." The clinic aims to offer care for children, adults and seniors. Services will include preventive dental care, exams, cleanings and restorative treatments, with a focus on access for families who may otherwise face barriers to care. "Dental care plays a vital role in overall health and well-being," said Dr. Rebecca Cornille, Vista Community Clinic's chief dental officer at VCC, said in the announcement. "Investing in this new site allows us to continue strengthening the health of our community and ensuring every patient has the opportunity to smile with confidence. We look forward to opening our doors as we expand access to high-quality, affordable care for families across North County." The Oceanside location joins the clinic's broader network serving more than 70,000 patients across North San Diego, Orange and Riverside counties. The organization operates multiple health centers and provides services ranging from primary care to behavioral health and wellness education. More information is available at vistacommunityclinic.org. This report was partially written using artificial intelligence, then edited and fact-checked against source material. View our AI policy on the About Us page.

The Vista Press
Apr 15th, 2025
Fresh Start Surgical Gifts Returns to Vista Community Clinic to Provide Free Medical Screenings for Children in Need

Fresh Start Surgical Gifts, a nonprofit organization dedicated to transforming the lives of children with physical deformities, partners with VCC to ensure that families in underserved communities have access to life-changing reconstructive surgeries and medical care - at no cost to them.

North County Daily Star
Mar 5th, 2025
Vista Community Clinic Expands Online Resources to Highlight Mobile Services

VISTA, CA - Vista Community Clinic (VCC) is excited to unveil its new online resource dedicated to its Mobile Care Services.

Northwest Arkansas Newspapers
Apr 16th, 2024
Community Clinics buys Community Physicians Group

GENTRY - Community Clinic, one of Northwest Arkansas's largest primary care providers, announced its recent acquisition of Community Physicians Group of Siloam Springs, which includes Gentry Medical Center.

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