1

Medicaid Director Jobs in Reston, VA (NOW HIRING)

... deputy directors, program leaders, and other state and local staff. - Leverage deep expertise in Medicaid policy, federal regulations, and state operations to deliver actionable, credible ...

Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

Conduct self-directed research to uncover problems in Medicaid payments made to institutional and non-institutional providers. * Make claim payment decisions based on clinical knowledge * This ...

Nurse Reviewer - Medicaid

Reston, VA · On-site

$66K - $106K/yr

Conduct self-directed research to uncover problems in Medicaid payments made to institutional and non-institutional providers. * Make claim payment decisions based on clinical knowledge * This ...

Clinical Director

Washington, DC · On-site

$75K - $95K/yr

Position Summary CareNationDC is seeking an experienced Clinical Director to lead clinical ... Ensure services are delivered according to DBH, Medicaid, HIPAA, ASAM, and agency standards.

next page

Showing results 1-20

Medicaid Director information

See Reston, VA salary details

$42.7K

$90.1K

$165.4K

How much do medicaid director jobs pay per year?

As of Aug 20, 2026, the average yearly pay for medicaid director in Reston, VA is $90,075.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,400.00 and $107,200.00 per year, depending on experience, location, and employer.

What does a Medicaid Director do?

A Medicaid Director oversees the administration of a state's Medicaid program, which provides health coverage to eligible low-income individuals and families. Their responsibilities include managing budgets, ensuring regulatory compliance, setting policy, and coordinating with federal agencies and healthcare providers. They also work to improve healthcare access and quality, and implement program changes based on federal and state laws. The Medicaid Director plays a crucial role in shaping healthcare delivery within their state.

What are some common challenges faced by a Medicaid Director in managing large-scale healthcare programs?

Medicaid Directors often encounter challenges related to balancing budget constraints with the need to provide comprehensive care to a diverse population. They must navigate complex federal and state regulations, adapt to shifting healthcare policies, and manage relationships with stakeholders such as healthcare providers, government agencies, and advocacy groups. Additionally, leading large teams and implementing new technologies or initiatives—such as value-based care models—require strong leadership, effective communication, and strategic planning skills.

What are the key skills and qualifications needed to thrive as a Medicaid Director, and why are they important?

To thrive as a Medicaid Director, you need deep expertise in healthcare policy, program management, budgeting, and a background in public administration or a related field. Familiarity with Medicaid Management Information Systems (MMIS), federal and state regulatory frameworks, and data analytics tools is essential. Strong leadership, negotiation, and stakeholder communication skills set outstanding candidates apart. These capabilities ensure effective program oversight, regulatory compliance, and the delivery of quality healthcare services to vulnerable populations.

What is the difference between Medicaid Director vs Medicaid Program Manager?

AspectMedicaid DirectorMedicaid Program Manager
CredentialsTypically requires a master's degree in public health, healthcare administration, or related field; extensive experience in Medicaid or healthcare policyBachelor's or master's degree in healthcare administration, public health, or related; relevant experience in Medicaid program management
Work EnvironmentExecutive-level role overseeing statewide Medicaid programs, policy development, and complianceOperational role managing daily Medicaid program activities, staff, and service delivery
Employer & IndustryState government agencies, healthcare organizations

The Medicaid Director holds a senior leadership position responsible for statewide Medicaid policy and strategy, while the Medicaid Program Manager focuses on managing daily program operations. Both roles require healthcare knowledge, but the Director's role is broader and more strategic.

What cities near Reston, VA are hiring for Medicaid Director jobs?

Cities near Reston, VA with the most Medicaid Director job openings:

Infographic showing various Medicaid Director job openings in Reston, VA as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $90,075 per year, or $43.3 per hour.

Medicaid Policy and Data Lead

Centers for Medicare & Medicaid Services

Bethesda, MD • On-site, Remote

$143K - $187K/yr

Full-time

This job post has expired today. Applications are no longer accepted.


Job description

Summary
Department of Health & Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services, Children and Adults Health Programs Group (CAHPG), Division of Enrollment Policy and Operations (DEPO).
As a Medicaid Policy and Data Lead, GS-0101-14, you will provide senior-level technical and analytical leadership for Medicaid and CHIP provision focusing on community engagement requirements and other provisions' impacting state eligiblity operations.
Learn more about this agency
Duties
Help
  • Ensuring the organization's strategic plan, mission, vision, and values are effectively communicated to the team and integrated into their strategies, goals, objectives, work plans, work products, and services.
  • Providing technical expertise on Medicaid and CHIP eligibility and enrollment, policy development, program operations, and data analysis.
  • Developing documents, implementing new or modified analytic methodologies, and ensuring rigorous quality assurance.

Requirements
Help
Conditions of employment
  • You must be a U.S. Citizen or National to apply for this position.
  • You will be subject to a background and suitability investigation.
  • Time-in-Grade restrictions apply.
  • Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov
  • One-year probationary period may be required.
  • If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System.
  • All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.

Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.

In order to qualify for the GS-14, you must meet the following:
Applicants must demonstrate that they meet the basic AND specialized experience requirements as noted below.
Basic Requirement: You must meet one of the items listed below (A, B, or C):
A. Possess a degree in behavioral or social science; or related disciplines appropriate to the position (must provide transcript); OR
B. Possess a combination of education and experience that provided you with the knowledge of one or more of the behavioral or social sciences equivalent to a major in the field (must provide transcript); OR
C. Possess four years of appropriate experience that demonstrates acquired knowledge of one or more of the behavioral or social sciences equivalent to a major in the field (must be demonstrated in your resume).
AND
Specialized Experience:
You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include:
1. Providing technical advice and developing recommendations on Medicaid eligibility and enrollment issues;
2. Developing technical policy guidance to implement Medicaid eligibility and enrollment policies;
3. Coordinating with internal and external partners to develop and implement Medicaid eligibility and enrollment policies; And
4. Leading data-driven policy analysis by interpreting technical data and identifying trends on Medicaid eligibility and enrollment issues.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.
Education
If you are meeting the Basic Requirement for this GS-0101-13 position based on academic education, TRANSCRIPTS are required to verify satisfactory completion of the educational requirement listed above.
Please see "Required Documents" section below for what documentation is required at the time of application.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13032612
Additional information
Bargaining Unit Position: Yes
Tour of Duty: Flexible
Recruitment Incentive: Not Authorized
Relocation Incentive: Not Authorized
Financial Disclosure: Not Required
Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified, you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills, and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
Expand Hide additional information
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.