Clinical Director, Pre-Enrollment

Habitat Health was founded in 2023 to deliver fully integrated health and social care to older adults on Medicare or Medicaid who wish to remain living independently in their homes and communities. The company operates its model through the Program of All-Inclusive Care for the Elderly ("PACE") in collaboration with local community partners. For these older adults, Habitat Health has the opportunity to significantly improve clinical outcomes, extend lives and preserve families - whether of kin or of choice.

More than 2.2 million Americans could benefit from being enrolled in a PACE program, yet less than 5% of eligible Americans are enrolled today. Habitat Health has been designed to address challenges that have kept the PACE program subscale. The company will serve older adults in partnership with local care partners, beginning first in California with Kaiser Permanente, and then nationally.

The company is supported by Kaiser Permanente, Town Hall Ventures, and New Enterprise Associates. For more information, go to www.habitathealth.com.

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. To achieve this, we provide personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly ("PACE") in collaboration with our leading healthcare partners, including Kaiser Permanente.

Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations.

Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com.

Role Scope:

Our Enrollment team focuses on the end-to-end process of identifying, attracting, engaging with, and enrolling new participants into Habitat's PACE program.

We are looking for a Director, Pre-Enrollment Operations to define and execute the clinical blueprint for the Enrollment function. This role will report directly to Habitat's Vice President of Growth.

Responsibilities will include:

• Define workflow, process maps, and tools to support the clinical assessment process for prospective PACE participants, including operationalizing level of care (LOC) criteria and Health & Safety (H&S) criteria.
• Coordinate with Habitat Health's Marketing teams to ensure that marketing messaging is clinically informed and accurate.
• Define and operationalize Standard Operating Procedures (SOPs), Committees, and related workflows necessary to oversee prospective participant IDT / H&S denials.
• Define and operationalize medical record review workflow to inform the process of establishing whether a prospective participant meets eligibility for PACE.
• Establish key clinical pre-enrollment metrics.
• Support development, refinement, and implementation of pre-enrollment strategy and related clinical initiatives, including Central/Center pre-enrollment staffing models.
• Provide job aids, training materials, checklists and other related tools, as well as coaching as necessary, to Habitat Health Nursing staff involved in the pre-enrollment process.
• Respond to any internal or external audits of the Habitat Health eligibility process.

Qualifications:

• A bachelor's degree in nursing (BSN) is preferred; professional experience may be substituted.
• 7+ years of relevant experience, such as in health care delivery at a high-growth startup, patient growth, and community outreach. Prior experience at a PACE organization is strongly preferred.
• Demonstrated ability to be a self-starter, with the ability to excel in a fast-paced, unstructured work environment, comfort operating in ambiguity, and a bias to action.
• Excellent analytical and project management skills.
• Strong interpersonal and written/oral communication skills; high EQ.
• A strong passion for our mission, with a high degree of empathy for the populations we serve.

Compensation:

We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $150,000 - $175,000 and is bonus-eligible. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location.

COVID-19 Vaccination Policy

At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note we have a COVID-19 vaccination policy to keep both our team members and participants safe as an essential requirement of this role. Requests for reasonable accommodations due to an applicant's disability or sincerely held religious beliefs will be considered and may be granted based upon review. We adhere to all federal, state, and local regulations by obtaining necessary proof of vaccination prior to employment.

Our Commitment to Diversity, Equity, and Inclusion:

Habitat Health is an Equal Opportunity employer and committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.

Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [redacted].

E-Verify Participation Notice

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

Beware of Scams and Fraud

Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from [redacted] email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the 'Rip-offs and Imposter Scams' option: https://reportfraud.ftc.gov/#/