The Opportunity

The Medical Debt Advocate will advance HLA's critical mission by working with our attorneys to serve clients struggling with unaffordable medical bills. About one in twenty (1 in 20) Massachusetts residents have medical bills in collections, but that burden is not carried evenly. Communities of color have much higher rates of medical debt in collections (6.3%) compared to majority-white communities (3.9%). Medical debt causes people to delay needed care and can hurt families' financial health years after incurring the debt. HLA tackles medical debt through a multi-pronged approach:

• Individual advocacy for people with unaffordable medical bills,
• Engaging with community-based organizations (CBOs), particularly those primarily serving Black, Indigenous, and People of Color (BIPOC), to address medical debt among their community members and identify local drivers of medical debt and other trends, and
• Collaborating with other advocates to advance a community-informed policy agenda that aims to reduce the causes and consequences of medical debt, as well as ensure private and public enforcement of existing legal protections.

The ideal candidate will have strong verbal and written language skills in English and Spanish or English and Portuguese and have experience working with clients in vulnerable situations who face challenges to accessing public benefits or services. This position will report to a Supervising Attorney.

Responsibilities

Work with HLA attorneys to advocate for clients with medical debt (70%)

• Advocate on behalf of clients, under the supervision of HLA attorneys, with medical providers and collection agencies to reduce or eliminate unaffordable medical bills.
• Assist clients with obtaining/maintaining health insurance coverage, as well as submitting financial assistance applications with medical providers.
• Investigate client matters and determine advocacy strategy in collaboration with HLA attorneys.
• Update and manage case files.

Community engagement, outreach, and training (15%)

• Serve as point person for community partnerships, outreach, and training for the Medical Debt Initiative, especially with organizations that serve and represent BIPOC communities.
• Support medical debt referral and intake processes with partner organizations, possibly through staffing in-person clinics.
  • Engage with prospective medical debt clients during intake and case assignment processes.
  • Assist with managing case documentation and files.
• Collaborate with HLA attorneys to deliver medical debt trainings and outreach presentations for community organizations, consumers, providers, advocates, and others.

Goal setting, data tracking, and policy advocacy (8%)

• Collaborate with the Senior Supervising Attorney for the Medical Debt Initiative, Access to Care and Coverage Practice Director, Medical Debt Litigation Attorney, and other relevant staff to:
  • Set and review goals for HLA's Medical Debt Initiative;
  • Track and review medical debt data across cases, as well as work to improve systems for collecting and analyzing medical debt data;
  • Identify priorities for community outreach and engagement.
• Alongside HLA attorneys, participate in advocacy for policies that reduce medical debt.
  • Identify patterns of problems across cases and participate in strategy development with the HLA team and partner organizations.
  • Attend coalition and advocacy meetings with state agencies and provider organizations.
  • With HLA attorneys, develop comments or testimony on public policy reforms, especially those related to medical debt.

Administrative Support (5%)

• Order supplies, handle mail, scan documents, and coordinate with operations staff on administrative matters such as email and phone systems.
• Collaborate with and support intake paralegals regarding medical debt cases.
• Assist with hiring, onboarding, and training new HLA staff.

Participate in HLA efforts to improve our organization's internal and external practices and procedures, such as through our diversity, equity, and inclusion (DEI) work (2%).

• HLA is committed to advancing diversity, equity, and inclusion (DEI) at the individual, organizational, and systems levels.
• We make time for all staff to take part in activities designed to identify and dismantle instances of inequity within ourselves, within our organization, within our client community, within the broader community, and across the Commonwealth.

Qualifications

All HLA employees are expected to have the skills to:

• Work both independently and as an effective team member.
• Collaborate with and support staff at all levels of our organization.
• Communicate clearly and professionally.

• Demonstrate empathy and sensitivity while working directly with clients encountering crises.
• Maintain confidentiality and, for attorneys, strict adherence to all professional responsibility requirements for the practice of law.
• Demonstrate intellectual curiosity, openness, and the desire and ability to listen and learn.
• Understand and believe in the mission of the organization.
• Embody the values of the organization, including a commitment to decreasing inequity in our health care system and society as a whole.

Additional qualifications specific to this position are:

• 2 years of experience in the legal or non-profit space as an advocate, community organizer, social worker, paralegal, or other relevant experience.
• Legal or consumer assistance background.
• Proficiency in Microsoft software.
• Sense of humor and enthusiasm for public interest advocacy.
• Patience on the phone, particularly with people in crisis.
• Meticulous organizational and time management skills.
• Ability to effectively manage multiple priorities.
• Strong written and verbal language skills in English, as well as another language. Proficiency in Spanish or Portuguese is strongly desired, but other languages are also welcome.

Salary Range

$57,000 - $63,000 annualized.

Benefits

• Retirement Plans
  • 401(k) or Roth 401(k) retirement plans with a variable employer contribution. Employer contributions start after one year of service.
  • Your contributions vest immediately.
• Medical Insurance
  • HMO and PPO Options with a generous employer contribution.
• Dental and Vision Insurance
• Paid Time Off
  • 20 vacation days per year
  • 3 personal days per year
  • 15 sick days per year
  • 12 paid holidays per year
  • 1 birthday day per year
  • 3 volunteer days per year
  • That's a total of 54 days paid days of per year!
• Medical and Dependent Flexible Spending Accounts (FSAs)

• FSAs allow you to set aside pre-tax dollars for healthcare and dependent care expenses

• Life Insurance and Long-Term Disability Insurance
  • Life insurance at 2x your salary with a maximum of $400,000. The benefit is doubled in the event of accidental death.
  • Long-term disability benefit that covers 60% of salary after 90 days of disability
• Outside Health Insurance Reimbursement
  • If you obtain health insurance elsewhere (typically through a parent, spouse or domestic partner), you are eligible for a taxable reimbursement.
• Fitness Reimbursement
  • $150 per year
• Parental Leave
  • Up to 12 weeks of protected leave to bond with your new child

To Apply

Our standard process is for applications to be submitted online at: https://hlainc.efficientapply.com/jobs/ where you will upload a resume and cover letter. A cover letter is required.

If this process is not accessible to you, please contact hr@hla-inc.org or 617-275-2985.

HLA is proud to be an equal opportunity employer. We welcome applicants of all identities with regard to race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, and many other factors. We celebrate diversity and are committed to building an inclusive work environment where all team members are encouraged to be their authentic and whole selves.