Pear-VC

MassHealth Enrollment Specialist & AI Operations

Boston, Remote. Posted 2 months ago

The role

You will work one-on-one with MassHealth members via phone and video to complete applications and renewals. You will also act as a MassHealth expert to help product and operations teams improve their technology and workflows.

What you will do

  • Work one-on-one with MassHealth members by phone and video to complete applications and renewals, gather documents, respond to requests for information, and resolve eligibility issues.
  • Own patient cases from start to finish.
  • Support renewal campaigns across several community health center partners.
  • Help patients understand confusing MassHealth and Health Connector notices and work with customer service on their behalf.
  • Keep health center teams in the loop and escalate complicated cases.
  • Spot patterns in where patients are getting stuck and bring insights to the product team.
  • Review patient outreach, scripts, and workflows.
  • Help build the playbook for how BridgeHealthAI delivers enrollment support.

Required qualifications

  • 3+ years of hands-on MassHealth enrollment, eligibility, or benefits experience.
  • Currently or previously a Massachusetts Certified Application Counselor and eligible to be designated again through a partner health center.
  • Knowledge of MassHealth eligibility rules, coverage types, renewals, requests for information, and the Health Connector.
  • Ability to make a complicated or stressful process feel understandable and manageable for patients.
  • Ability to manage own caseload and follow things through.
  • Tech-savvy and excited to try new tools.
  • Based in Massachusetts.

Nice to have

  • Speak Spanish, Haitian Creole, Portuguese, Cape Verdean Creole, or Vietnamese.
  • Worked at an FQHC, community health center, hospital financial assistance department, or similar safety-net organization.
  • Experience with high-volume renewal campaigns or community enrollment events.
  • Worked with Epic, eClinicalWorks, athenahealth, or other health center EHRs.

About the company

BridgeHealthAI is building technology for the healthcare safety net. The company was born out of Harvard and MIT and is backed by Pear VC, Flare Capital, and Glen Tullman.