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Medicaid Insurance Jobs in Minnesota (NOW HIRING)

Deloitte

Medicaid Actuarial Manager

Minneapolis, MN · On-site

Familiarity with group insurance products including disability, long term care, etc. * Experience ... Lead engagements focused on Medicaid reimbursement, including actuarial rate development across ...

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Medicaid Insurance information

What is Medicaid insurance?

Medicaid insurance is a government-funded health coverage program in the United States designed to help low-income individuals and families access medical care. It provides a range of health benefits, including doctor visits, hospital stays, prescriptions, and preventive services, often at little or no cost to eligible participants. Medicaid is jointly funded by federal and state governments, and eligibility criteria can vary by state. The program plays a crucial role in ensuring vulnerable populations receive necessary healthcare services.

What are the key skills and qualifications needed to thrive as a Medicaid insurance specialist?

To thrive as a Medicaid Insurance Specialist, you need deep knowledge of healthcare regulations, Medicaid eligibility requirements, and claims processing, typically supported by a background in healthcare administration or insurance. Familiarity with Medicaid management information systems (MMIS), electronic health records (EHR), and billing software is essential. Attention to detail, strong communication, and problem-solving skills help specialists navigate complex cases and assist clients effectively. These skills ensure accurate processing of claims, compliance with regulations, and timely support for beneficiaries.

What are some common challenges faced by professionals working in Medicaid insurance, and how can they be addressed?

Professionals in Medicaid insurance often navigate complex regulatory requirements and frequent policy changes, which can be challenging to keep up with. Additionally, the role may involve managing high caseloads and addressing the diverse needs of members from various backgrounds. Staying updated through regular training, collaborating closely with team members, and leveraging technology for case management can help address these challenges. Open communication and a strong support network within the organization also contribute to effective problem-solving and professional growth.

What is the difference between Medicaid Insurance vs Medicaid Case Manager?

AspectMedicaid InsuranceMedicaid Case Manager
CredentialsVaries; often none required or state-specific certificationsTypically requires a social work, nursing, or healthcare-related degree and certification
Work EnvironmentInsurance companies, government agencies, healthcare providersCommunity settings, healthcare facilities, government offices
Employer & IndustryHealth insurance providers, government programsState Medicaid agencies, healthcare organizations
Job FocusCoverage, policy management, billingClient advocacy, eligibility, care coordination

Medicaid Insurance involves managing coverage policies and billing, while Medicaid Case Managers focus on assisting clients with eligibility, care plans, and resource coordination. Both roles are essential in the Medicaid system but serve different functions within the healthcare industry.

How do you become a Medicaid Insurance specialist?

To become a Medicaid Insurance specialist, individuals typically need a high school diploma or equivalent, with some roles requiring a bachelor's degree in health administration, social work, or related fields. Relevant skills include knowledge of Medicaid policies, strong communication, and proficiency with healthcare management software; certifications such as Certified Medicaid Specialist can enhance job prospects.

How to become a Medicaid insurance case worker?

To become a Medicaid insurance case worker, candidates typically need a high school diploma or equivalent, with some positions requiring an associate's or bachelor's degree in social work, healthcare, or a related field. Relevant skills include knowledge of Medicaid policies, strong communication, and computer proficiency; certification or training in case management may also be beneficial. Employment often requires background checks and familiarity with healthcare management systems.

What are popular job titles related to Medicaid Insurance jobs in Minnesota?

For Medicaid Insurance jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Medicaid Insurance jobs in Minnesota look for?

The top searched job categories for Medicaid Insurance jobs in Minnesota are:

What cities in Minnesota are hiring for Medicaid Insurance jobs?

Cities in Minnesota with the most Medicaid Insurance job openings:

Medicaid Insurance jobs near you
Infographic showing various Medicaid Insurance job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, 5% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Billing Director

AFFINITY RESIDENTIAL CARE LLC

Minneapolis, MN • On-site

$75K - $90K/yr

Full-time

Posted 19 days ago

Job description

Description:

Affinity Care MN is growing, and we are seeking an experienced, strategic billing leader to join us as our next Billing Director. The Billing Director provides strategic leadership and oversight of all billing operations, developing and implementing the billing policies, procedures, and systems that ensure accurate, timely, and compliant reimbursement across all programs. The Billing Director oversees claims submission, accounts receivable, payer relationships, provider credentialing, and billing staff supervision to support the organization's financial health and operational efficiency.

This role requires a strong understanding of healthcare and human services billing practices, excellent analytical skills, and the ability to balance regulatory compliance with operational efficiency. The Billing Director partners with executive leadership, providers, and payers to ensure accurate billing and optimal financial performance.


Billing Director Responsibilities

  • Oversee all billing operations, including claims submission, reimbursement tracking, and account reconciliation across all programs.
  • Own accounts receivable performance department-wide: monitor aging, resolve escalated denials, and set the strategy to keep AR current.
  • Develop and implement billing policies, procedures, and internal controls, including innovative and AI-assisted billing solutions, to improve accuracy and efficiency.
  • Build detailed billing and AR reports and present performance, revenue trends, and reimbursement risk to executive leadership.
  • Lead, mentor, and hold accountable a billing team of three, including hiring, training, and performance management.
  • Oversee provider credentialing, re-credentialing, enrollment, and revalidation activities to ensure compliance with payer requirements.
  • Serve as the primary point of contact for payer audits and billing-related compliance reviews.
  • Ensure billing practices comply with Medicaid, insurance, MCO, and applicable state and federal regulations, including MNITS requirements.
  • Partner with Finance and program leadership to align billing practices with organizational goals.
Requirements:
  • Bachelor's degree (BS/BA) in Accounting, Finance, Business Administration, or related field required; an equivalent combination of education, training, and relevant work experience may be considered.
  • 3–5 years of relevant billing, revenue cycle, or healthcare/human services billing experience required, including leadership experience.
  • Strong knowledge of Medicaid billing, MNITS, insurance billing practices, and third-party payer/MCO requirements required.
  • Advanced Excel skills required; comfort with AI-assisted billing and reporting tools preferred.
  • Highly organized and analytical, with the ability to lead a team while managing a complex, high-volume AR portfolio.
  • Experience with waiver billing and familiarity with waiver services preferred.
  • Billing and coding certificate preferred.
  • Experience with prior authorizations and MCO requirements required.