P

Patient Funding Alternatives

Guides Medicaid to premium-assisted insurance enrollment

Patient Advocate Specialist Supervisor

Full-Time
$80k/yr
Senior
Bachelor's
Woburn, MA, USA
HybridHospital-based in Florida, South Carolina, or Georgia, with occasional regional travel.
Medical, Clinical & VeterinaryClinical Support & Patient Administration

About the job

Requirements
  • At least 5 years of experience in patient advocacy, healthcare revenue cycle, or related healthcare operations, including at least 2 years in a formal supervisory or people-management role overseeing remote or field-based staff.
  • Ability to supervise staff across multiple hospital sites or a defined multi-site region.
  • Ability to handle confidential employee and business matters with sound judgment and discretion.
  • Ability to sit, stand, and walk for extended periods within a hospital environment and travel by car or air as required.
  • Ability to comply with site-specific health, safety, and credentialing requirements.
Responsibilities
  • Lead and develop a team of Patient Advocate Specialists working in hospital settings to identify, educate, and enroll eligible patients in the Health Insurance Premium Payment Program and related financial assistance initiatives.
  • Oversee team inventory so cases are prioritized, assigned, monitored, and advanced according to departmental goals and service expectations.
  • Monitor workload, productivity, documentation quality, and operational barriers across assigned hospital sites.
  • Support new hospital installations, new-site readiness, and operational implementation by coordinating team resources and reinforcing standard processes.
  • Partner with the VPSS to establish performance benchmarks, review departmental metrics, and analyze enrollment volume, case progression, resolution time, documentation accuracy, and team effectiveness.
  • Lead inventory and performance reviews to identify risks, remove barriers, address gaps, and keep the team on track to meet departmental objectives.
  • Provide documented recognition, coaching, and constructive feedback, and manage performance concerns through coaching plans, corrective action, and escalations with Human Resources and leadership.
  • Mentor, coach, and train new and existing teammates on processes, tools, and best practices, and assist with new-hire training and onboarding.
  • Collaborate with teammates and hospital staff to resolve operational challenges and maintain relationships with hospital administration, state agency personnel, and community partners.
  • Foster collaboration and accountability across teams and departments, participate in or lead national committees, and suggest strategies supporting organizational growth and transformation.
  • Participate in hiring and onboarding, assign and prioritize work, oversee team performance, conduct and document performance evaluations, administer corrective action with Human Resources, and resolve day-to-day employee-relations issues.
  • Perform other duties as assigned by leadership.
Desired Qualifications
  • Prior experience with the Health Insurance Premium Payment Program, Medicaid or Medicare eligibility, or employer-sponsored benefits coordination programs.
  • Full bilingual proficiency in Spanish.
  • Formal supervisory, leadership, or Human Resources-adjacent training or certification, such as a front-line leadership certificate, SHRM-CP, or PHR.

About the company

P

Patient Funding Alternatives

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PFA helps hospitals enroll eligible Medicaid patients into Health Insurance Premium Payment programs to gain access to employer-sponsored or COBRA commercial insurance, with Medicaid as a secondary payer. It uses a national web-based platform with algorithms to identify eligible patients and Patient Advocate Specialists to guide enrollment and provide ongoing support. They differentiate themselves by partnering with hospitals nationwide (including academic medical centers and children's hospitals) and delivering incremental revenue to partners by converting Medicaid patients to higher-reimbursement commercial plans, backed by private equity. Their goal is to expand access to broader insurance networks and care management for patients while improving hospital payer mix and health equity.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Woburn, Massachusetts

Founded

2012

Get referred to Patient Funding Alternatives

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Simplify Jobs

Simplify's Take

What believers are saying

  • PFA still advertises growing health-system partnerships and national hiring in August 2026.
  • ACA subsidy expiration in 2026 pushes more working Medicaid patients toward employer coverage conversion.
  • Hospital margin pressure remains severe; PFA's premium-assistance model directly monetizes reimbursement gaps.

What critics are saying

  • Georgia Medicaid upgraded HIPP online renewals in 2026, shrinking PFA's process advantage.
  • Hospitals face growing pushback against profit-driven patient steering, threatening contract renewals by 2027.
  • Any state HIPP rule tightening would immediately cut PFA conversions and hospital revenue.

What makes Patient Funding Alternatives unique

  • PFA uniquely specializes in hospital-embedded HIPP enrollment across 39 states, per 2026 site.
  • Its Patient Advocate Specialists handle administration, leaving hospitals minimal operational burden, per August 2026 site.
  • PFA claims $279 million incremental hospital revenue over eight years, anchoring ROI-driven differentiation.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

401(k) Company Match

Health Savings Account/Flexible Spending Account

Wellness Program

Mental Health Support

Remote Work Options