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Medicaid Managed Care Jobs (NOW HIRING)

Abbott House

Medicaid Managed Care Liaison

Bronx, NY · On-site

$35K - $38K/yr

The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have experience, expertise, and knowledge of: * The child welfare system

MercyFirst

Medicaid Managed Care Liaison

Brooklyn, NY · On-site

$52K - $55K/yr

NYS child welfare system; foster care healthcare requirements; unique/complex needs of the foster care population; and Medicaid Managed Care policies and operations. Computer savvy with MS Outlook ...

MercyFirst

Medicaid Managed Care Liaison

Brooklyn, NY · On-site

$52K - $55K/yr

NYS child welfare system; foster care healthcare requirements; unique/complex needs of the foster care population; and Medicaid Managed Care policies and operations. Computer savvy with MS Outlook ...

MercyFirst

Medicaid Managed Care Liaison

Manhattan, NY · On-site

$52K - $55K/yr

NYS child welfare system; foster care healthcare requirements; unique/complex needs of the foster care population; and Medicaid Managed Care policies and operations. Computer savvy with MS Outlook ...

Humana

Compliance Professional, Medicaid Managed Care

Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), Certified Internal Auditor (CIA), Project Management certification, Healthcare Compliance certification. * Medicaid ...

Posted today

CVS Health

Senior Manager, Medicaid Compliance - Ohio

$75K - $165K/yr

... managed care organization operating in a moderately complex regulatory environment. This role will allow you to serve as the designated Compliance Officer for Aetna's Ohio (OH) Medicaid health plan.

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Medicaid Managed Care information

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How much do medicaid managed care jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for medicaid managed care 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 Managed Care?

Medicaid Managed Care is a system in which states contract with private health plans to provide Medicaid benefits and services to enrollees. These plans are responsible for coordinating and managing healthcare for members, often focusing on improving access, quality, and cost-effectiveness. Enrollees typically choose or are assigned to a managed care organization (MCO), which then provides a network of doctors and hospitals. Managed care can help streamline services and improve health outcomes while controlling costs for the Medicaid program.

What are the key skills and qualifications needed to thrive in Medicaid Managed Care?

To thrive in Medicaid Managed Care, you need a strong understanding of healthcare policy, Medicaid regulations, and population health management, often supported by a degree in healthcare administration or a related field. Familiarity with claims processing systems, care management software, and regulatory compliance tools is typically required. Excellent communication, problem-solving, and relationship-building skills help navigate complex stakeholder interactions and ensure member satisfaction. These skills are crucial for ensuring regulatory compliance, optimizing care delivery, and achieving positive health outcomes for Medicaid populations.

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

Professionals in Medicaid Managed Care often encounter challenges such as navigating complex regulatory requirements, coordinating care for diverse populations, and addressing social determinants of health. Effective communication with healthcare providers, staying updated on policy changes, and leveraging care management tools can help overcome these obstacles. Building strong interdisciplinary teams and fostering relationships with community organizations also play a key role in meeting members’ needs and ensuring compliance.

What is the difference between Medicaid Managed Care vs Medicaid Case Manager?

AspectMedicaid Managed CareMedicaid Case Manager
CredentialsVaries; often requires knowledge of Medicaid programsTypically requires a social work, nursing, or healthcare-related certification
Work EnvironmentInsurance companies, healthcare organizations, or government agenciesHealthcare facilities, community agencies, or Medicaid offices
Employer & IndustryHealth insurance providers, Medicaid managed care organizationsHealthcare providers, social service agencies, Medicaid programs

Medicaid Managed Care involves overseeing Medicaid health plans and ensuring members receive appropriate services, often working within insurance organizations. Medicaid Case Managers focus on coordinating individual patient care, assessing needs, and connecting clients with services. While both roles require knowledge of Medicaid policies, Managed Care professionals handle plan administration, whereas Case Managers work directly with clients to support their healthcare needs.

More about Medicaid Managed Care jobs

What cities are hiring for Medicaid Managed Care jobs?

Cities with the most Medicaid Managed Care job openings:

What states have the most Medicaid Managed Care jobs?

States with the most job openings for Medicaid Managed Care jobs include:

What job categories do people searching Medicaid Managed Care jobs look for?

The top searched job categories for Medicaid Managed Care jobs are:

Medicaid Managed Care jobs near you
Infographic showing various Medicaid Managed Care job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 20% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $57,922 per year, or $27.8 per hour.

Medicaid Managed Care Liaison

Bronx, NY • On-site

Abbott House
See more jobs at Abbott Houseexternal

$35K - $38K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Job Summary:
The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have experience, expertise, and knowledge of:
  • The child welfare system
  • Foster care healthcare requirements
  • The unique complex needs of the foster care population
  • Medicaid Managed Care policies and procedure
  • The Medicaid Managed Care Liaison is a full-time position.
Duties and Responsibilities:
29I Core Services
Coordinate with MCO (Managed Care Organization) Foster Care Liaison
Inform and coordinate PCP (Primary Care Physician) changes
Assist with plan enrollment, disenrollment, and transitions
Issue plan Welcome letters
Secure plan ID showing effective date
Assist in ID card replacement
Assist with foster care placement changes including: - Access to health care - Facilitate a single case agreement when a child is placed outside of the MMCP's service area or provider network
Interact with clinical and billing staff
Refer children for needed services and assist in provider selection
Coordinate with health care providers, including school and community-based services
Maintain eligibility for public or private health insurance
Assist with consent and/or confidentiality issues
Obtain authorizations from all MCO
Update the AccuMedic (EHR) system with the authorization information to ensure proper billing occurs
Health Services Supervisor
Take care of general office duties such as answering telephone and triaging calls, maintaining office supplies, preparing time sheets, and maintaining clinical staff schedules in Microsoft Outlook.
  • Assist Foster Care and Group Home programs with Access to care.
  • Oversee and support program audits
  • Responsible for closed medical records
  • Arrange Single Case Agreements with out of network placements
  • Billing and Clinical Staff interaction
  • Referrals to services
  • Coordinate care with providers including schools and Community Based services.
  • Assist with consent / confidentiality issues.
  • Assist with Fair Hearings / court ordered services.
  • Schedule clinical appointments, make reminder calls, and track kept and not kept appointments.
  • Create and maintain tickler system for child-specific mandated services in developmental and mental health treatment.
  • Type clinical reports memos letters, and other reports for the department.
  • Photocopy, distribute, and file reports and other written materials.
  • Log and distribute requests for clinical services to appropriate staff.
  • Distribute and track completed clinical reports.
  • Track Continuing Education credits, licensure, and malpractice insurance of clinicians.
  • Prepare and maintain records of department purchases.
  • Handle incoming and outgoing mail for the department.
  • Maintain up-to-date treatment case lists on each clinician.
  • Interact with clinical and billing staff
  • Oversees all business functions
  • Perform other secretarial duties as requested by Medical Director.
  • Any other related duties as required
Educational & Experience Requirements:
Experience:
Minimum 3 years' experience in a medical or social services office environment.
Knowledge and use of computers.
Experience with Electronic Health Records a plus.
Excellent Typing skills.
Excellent Data entry skills.
Familiar with NYS Child Welfare protocols.
Organizational skills.
Good Communication and collaboration skills.
Required background checks:
NYS Statewide Central Register of Child Abuse and Maltreatment (SCR)
NYS Sex Offender Registry (SOR)
NYS Division of Criminal Justice Services (DCJS) fingerprinting
NYS Justice Center Staff Exclusion List (SEL)
NYS OMIG Medicaid Exclusion List
Complete mandated reporter training
Education:
High school diploma - minimum; BA/ BS/ MPA preferred
Job Type: Full-time
Salary: $35,000.00 - $38,000.00 per year
Benefits:
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

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