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Medicaid Insurance Jobs (NOW HIRING)

VIMO INC.

Medicaid Business Analyst

Mountain View, CA · On-site +1

$120K - $160K/yr

Our innovative approach to health insurance shopping and enrollment has expanded beyond exchanges, and we are now reinventing how states administer safety net programs such as Medicaid, SNAP (food ...

Allure HCS

IL · On-site

$40K - $50K/yr

... insurance or retirement benefits. * Salary: $40,000-$50,000 Annually Join Our Team: If you are a ... Medicaid Specialist Assistant role in Knox County, Illinois. Apply Now: To apply, please submit ...

Allure HCS

IL

$40K - $50K/yr

... insurance or retirement benefits. * Salary: $40,000-$50,000 Annually Join Our Team: If you are a ... Medicaid Specialist Assistant role in Knox County, Illinois. Apply Now: To apply, please submit ...

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Medicaid Insurance information

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$15

$27

$42

How much do medicaid insurance jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for medicaid insurance in the United States is $27.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.69 per hour, depending on experience, location, and employer.

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 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 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 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.

More about Medicaid Insurance jobs

What cities are hiring for Medicaid Insurance jobs?

Cities with the most Medicaid Insurance job openings:

What states have the most Medicaid Insurance jobs?

States with the most job openings for Medicaid Insurance jobs include:

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

The top searched job categories for Medicaid Insurance jobs are:

Medicaid Insurance jobs near you
Infographic showing various Medicaid Insurance job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $57,922 per year, or $27.8 per hour.

Regional Medicaid Specialist

Trilogy Healthcare Services

Kings Mills, OH • On-site

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 25 days ago

Job description

Regional Medicaid Specialist

The Regional Medicaid Specialist manages Medicaid eligibility, applications, and pending accounts for residents across a multi-facility SNF organization. This role partners with facility teams, residents, families, and state agencies to ensure timely approvals, compliance, and reimbursement support.

Roles and responsibilities include managing Medicaid application processes for residents across multiple Skilled Nursing Facility locations, completing Medicaid applications, renewals, redeterminations, recertifications, and change reporting in accordance with assigned regions Medicaid regulations and payer timelines. Conducts resident and family interviews to gather eligibility information and explain Medicaid coverage, patient liability, spend-down requirements, and documentation needs in a clear and compassionate manner. Collects, reviews, validates, and maintains required eligibility documentation including income, assets, insurance, residency, trusts, transfers, and other supporting records. Monitors Medicaid pending accounts and aging reports to ensure timely submission, follow-up, approval, and reimbursement. Tracks application status and communicate directly with assigned regions Family and Social Services Administration (FSSA), county offices, caseworkers, and managed care organizations regarding pending applications and requests for information. Coordinates with Admissions, Social Services, BOMs, and Regional Teams to ensure accurate payer conversions, coverage verification, and financially appropriate admissions. Reviews eligibility determinations and assist with appeals, reconsiderations, or additional documentation requests when necessary. Supports timely assignment and verification of patient liability and communicate updates to facility business office teams and resident representatives. Maintains accurate, audit-ready documentation of applications, approvals, denials, renewals, correspondence, and case activity within designated systems. Audits resident accounts for compliance with Medicaid requirements, company policies, and reimbursement guidelines. Identifies and resolves Medicaid-related billing issues, discrepancies, and coverage gaps. Collaborates with facility billing and corporate revenue cycle teams to reduce pending Medicaid balances, minimize bad debt exposure, and improve cash collections. Provides education, training, and support to facility business office staff regarding assigned regions Medicaid processes, eligibility guidelines, and best practices. Stays current on state and federal Medicaid regulations affecting long-term care reimbursement and communicate relevant updates to operational teams. Ensures compliance with HIPAA, privacy regulations, and company confidentiality policies. Participates in special projects, audits, and process improvement initiatives related to Medicaid operations and revenue cycle performance. Other duties as assigned.

Qualifications: High School / GED, 5-8 years experience. Associates degree preferred.

Physical requirements include sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 20lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

Location: US-OH- North Ohio Division OH

Benefits include competitive salaries and weekly pay, 401(k) Company Match, mental health support program, student loan repayment and tuition reimbursement, health, vision, dental & life insurance kick in on the first of the month after your start date, first time homebuyers' program, HSA/FSA, and so much more!

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