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Medicaid Insurance Jobs in Oregon (NOW HIRING)

Kalos Consulting, Inc.

Health Insurance * 401K * 20 PTO Days * Quarterly bonus The Role You Will Play * The Health Actuarial Consultant-Medicaid will provide oversight of actuarial work on client projects including review ...

Kalos Consulting, Inc.

Health Insurance * 401K * 20 PTO Days * Quarterly bonus The Role You Will Play * The Health Actuarial Consultant-Medicaid will provide oversight of actuarial work on client projects including review ...

Kairos

Insurance Coordinator

Grants Pass, OR · On-site

Experience working with Medicaid, Medicare, and commercial payers. Proficiency with EHR and billing ... Verify insurance eligibility and behavioral health benefits prior to services * Confirm coverage ...

Kairos

Insurance Coordinator

Grants Pass, OR · On-site

Experience working with Medicaid, Medicare, and commercial payers. Proficiency with EHR and billing ... Verify insurance eligibility and behavioral health benefits prior to services * Confirm coverage ...

Kairos

Insurance Coordinator

Grants Pass, OR · On-site

$24.79 - $30.13/hr

Experience working with Medicaid, Medicare, and commercial payers. Proficiency with EHR and billing ... Verify insurance eligibility and behavioral health benefits prior to services * Confirm coverage ...

Cedar Sinai Park

Business Office Manager

Portland, OR

$25.18 - $30.28/hr

Maintains a working knowledge of the state long term care Medicaid insurance program, Medicare Part A, B and C insurance program, and private long term care insurance programs. Ensures pre-admission ...

Cedars-Sinai Park

Business Office Manager

Portland, OR · On-site

$25.18 - $30.28/hr

Maintains a working knowledge of the state long term care Medicaid insurance program, Medicare Part A, B and C insurance program, and private long term care insurance programs. Ensures pre-admission ...

Legacy Health

Insurance Verification Splst

Portland, OR · On-site

$21.25/hr

Specializes in payor type such as Commercial, Workers Compensation, Medicare, Medicaid, or Other ... Hospital insurance verification experience preferred. Skills : * Strong written and verbal ...

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All JobsMedicaid Insurance JobsMedicaid Insurance Jobs in Oregon

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 Oregon?

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

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

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

Medicaid Insurance jobs near you
Infographic showing various Medicaid Insurance job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Medicaid Actuary

Kalos Consulting, Inc.

Hybrid

Full-time

Medical, Retirement, PTO

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

Job description

Company Highlights

  • Up and coming small consultancy is building a team of Actuaries.
  • A certified MBE/WBE, helps clients meet state Medicaid government contracting requirements by providing support related to actuarial, analytical, and financial services.
  • Great team leadership.

Benefits and Features

  • Competitive compensation
  • Health Insurance
  • 401K
  • 20 PTO Days
  • Quarterly bonus

The Role You Will Play

  • The Health Actuarial Consultant-Medicaid will provide oversight of actuarial work on client projects including review of data models, assumptions, and analysis involved in the development of actuarially sound rates and the assessment of financial performance.
  • This role will collaborate with colleagues on team-based assignments ranging from small, time-limited projects to larger client projects with an extended timeline.
  • In addition, the Health Actuarial Consultant – Medicaid will provide guidance to junior colleagues to complete project tasks, including ongoing coaching and development.
  • This role is entrusted to consult with stakeholders on healthcare policies, data, and rates.

Community Highlights

  • This opportunity has flexibility to work from a remote home office.

Background Profile

  • Expertise related to managed care, Medicaid, and capitated rate development
  • Thorough understanding of general health care concepts and government healthcare
  • Working knowledge of MS Office Tools including VLOOKUP, INDEX and MATCH
  • ASA or FSA Designation
  • Bachelor’s degree

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