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Medicaid Functional Manager Jobs (NOW HIRING)

Kaiser Permanente

ED, Medicaid Hawaii

Honolulu, HI · On-site

Lead, manage and coordinate strategy, planning, health plan operations, compliance, regulatory and ... and functional strategies and policies. * Collaborate with regional and national government ...

Kaiser Permanente

ED, Medicaid Hawaii

Lead, manage and coordinate strategy, planning, health plan operations, compliance, regulatory and ... and functional strategies and policies. * Collaborate with regional and national government ...

Leeds Professional Resources

Be Seen First

Customer Service - Medicaid

Tampa, FL · On-site

$19/hr

... or Manager. * Evaluate individual needs and connect consumers who require community-based ... functional eligibility. * Maintain accurate tracking records related to Medicaid eligibility ...

My3Tech Inc

Medicaid Staff

... functional workflow, business process, information flow, project status, assist with advising on ... Administration, Provider Management, Member Management, Claims Processing, Pharmacy Program, Drug ...

Public Consulting Group

NY · On-site

Partner with cross-functional leadership to ensure consistent standards, processes, and service ... Financial Management and Forecasting** Lead regional financial planning for SBS programs, including ...

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Medicaid Functional Manager information

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$45K

$82.3K

$129.5K

How much do medicaid functional manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for medicaid functional manager in the United States is $82,286.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,500.00 and $94,000.00 per year, depending on experience, location, and employer.

What cities are hiring for Medicaid Functional Manager jobs?

Cities with the most Medicaid Functional Manager job openings:

What states have the most Medicaid Functional Manager jobs?

States with the most job openings for Medicaid Functional Manager jobs include:

What are popular job titles related to Medicaid Functional Manager jobs?

For Medicaid Functional Manager jobs, the most frequently searched job titles are:

Infographic showing various Medicaid Functional Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $82,286 per year, or $39.6 per hour.

SQL/ Medicaid Functional Consultant

Albany, NY • On-site

Cloud and Things
IT Services • 11 - 50 employees
Learn more about Cloud and Thingsexternal

$68 - $88/hr

Other

Posted 9 days ago

Job description

Back SQL/ Medicaid Functional Consultant

Other area(s): Albany, New York. W-2 hourly. Aug 27, 2026.

Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sector's IT environment. Our team is on the forefront of helping to solve the government's most complex IT challenges. If you are seeking a role that offers the opportunity to work on rewarding projects, consider a career with Cloud and Things.

*This is an exempt position. Salary commensurate with experience*

Job Title

SQL / Medicaid Functional Consultant

Location

Albany, NY (Hybrid)

Duration

12 Months (with potential for extension)

Start Date

estimated - 9/14/26

W2 Hourly Rate

$68-$88/hour

Application Deadline

8/28/26

Overview

We are seeking a SQL / Medicaid Functional Consultant who will support our NYS client. This role supports the Enrollment track of a New York State Medicaid LTSS modernization program, with a focus on requirements, functional solution design, and HIPAA 834 and 278 transaction interchanges. The consultant will work with State, MCO, vendor, development, and QA stakeholders to support accurate enrollment, interfaces, testing, and issue resolution.

Duties
  • Gather, analyze, and document business and functional requirements for the Enrollment track of the Medicaid LTSS modernization program.
  • Develop and maintain BRDs, FRDs, process flows, data mappings, and interface specifications that clearly articulate functional solution requirements.
  • Support HIPAA 834 and 278 transaction interchanges, including analysis of segments, loops, code sets, companion guides, and eMedNY inbound/outbound transactions.
  • Use SQL and basic data analysis to support enrollment reconciliation, transaction validation, defect investigation, and issue resolution.
  • Partner with State, MCO, vendor, development, and QA stakeholders on requirements clarification, testing support, and defect triage.
Mandatory Qualifications
  • 4+ years of experience as a Business / Functional Consultant in healthcare and/or public sector programs.
  • 2+ years of SQL experience.
  • 2+ years of Medicaid experience.
  • 1+ years of recent Medicaid and LTSS knowledge, including enrollment and managed care.
  • Hands-on experience with HIPAA 834 or 278 transactions, including segments, loops, code sets, and companion guides.
  • Experience with NY eMedNY and related inbound/outbound transaction interchange.
  • Ability to produce BRDs, FRDs, process flows, data mappings, and interface specifications.
  • Strong client-facing communication skills with the ability to work with State, MCO, and vendor stakeholders.
  • Experience partnering with development and QA teams on requirements clarification, testing, and defect triage.
  • Proficiency with JIRA, Confluence, Visio, and MS Office.
Desirable Qualifications
  • Experience supporting both HIPAA 834 and 278 transactions.
  • 3+ years supporting Enrollment on a Medicaid platform.
  • Work experience with eMedNY.
  • Familiarity with Managed Long Term Care enrollment concepts and non-MAGI workflows.
  • SQL/basic data analysis for reconciliation and defect investigation.
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