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Medicaid Manager Jobs (NOW HIRING)

Americare

Medicaid Coordinator

New York, NY · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

The Medicaid Coordinator plays a critical role in supporting organizational operations and patient access to care by managing Medicaid eligibility, enrollment, and reimbursement processes. This ...

Americare

Medicaid Coordinator

Brooklyn, NY · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

The Medicaid Coordinator plays a critical role in supporting organizational operations and patient access to care by managing Medicaid eligibility, enrollment, and reimbursement processes. This ...

Americare

Medicaid Coordinator

Manhattan, NY · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

The Medicaid Coordinator plays a critical role in supporting organizational operations and patient access to care by managing Medicaid eligibility, enrollment, and reimbursement processes. This ...

Queens Blvd Extended Care Facility

Be Seen First

Medicaid Coordinator

Woodside, NY · On-site

$50K - $59K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

This role serves as a liaison between clients, healthcare providers, managed care organizations, and government agencies to ensure uninterrupted Medicaid coverage and access to services. Key ...

Kaiser Permanente

ED, Medicaid Hawaii

Honolulu, HI · On-site

Lead, manage, mentor, and develop Medicaid and D-SNP leaders and staff in Hawaii and across the KP program to provide the subject matter expertise to support the market and shared services with ...

Odyssey House

Entitlement Medicaid Specialist

Manhattan, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Daily Data Entry of Medicaid Managed Care coverage / Medicare / Private Insurance / MAT in AWARDS, E-Lab and LabCorp Portal * Daily update the Entitlement 820 Reports with consumers' coverage

VIMO INC.

Medicaid Business Analyst

Mountain View, CA · On-site

$140K - $170K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will ...

VIMO INC.

Medicaid Business Analyst

Mountain View, CA · On-site +1

$120K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will ...

GDIT

Medicaid Systems Transition Manager

WV · Remote

$147K - $199K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medicaid Compliance, Medicaid Management Information System (MMIS), Service Transition, Systems Integration Management, Transition Management Certifications: Project Management Professional (PMP ...

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All JobsMedicaid JobsMedicaid Manager Jobs

Medicaid Manager information

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$23K

$61.4K

$102.5K

How much do medicaid manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for medicaid manager in the United States is $61,351.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $69,000.00 per year, depending on experience, location, and employer.

What are some common challenges a Medicaid Manager faces when coordinating with healthcare providers and state agencies?

Medicaid Managers often encounter challenges when aligning the diverse requirements of healthcare providers with the regulatory expectations of state agencies. Balancing compliance, timely claims processing, and communication between stakeholders can be complex, especially given frequently changing policies and high caseloads. Successful Medicaid Managers stay proactive by fostering strong relationships, staying up-to-date on policy changes, and implementing efficient workflows to minimize errors and delays. This collaborative approach is essential for ensuring quality care delivery while maintaining program integrity.

What does a Medicaid Manager do?

A Medicaid Manager oversees the administration and management of Medicaid programs within a healthcare organization or government agency. They ensure compliance with federal and state regulations, manage budgets, supervise staff, and coordinate services to ensure eligible individuals receive appropriate healthcare benefits. Their role often includes developing policies, monitoring program performance, and collaborating with other departments or agencies to improve service delivery. Medicaid Managers play a critical role in optimizing program efficiency and ensuring quality care for beneficiaries.

What is the difference between Medicaid Manager vs Medicaid Coordinator?

AspectMedicaid ManagerMedicaid Coordinator
CredentialsTypically requires a bachelor’s degree in healthcare administration, social work, or related field; certifications like Certified Medicaid Planner may be preferredOften requires similar educational background; certifications are less common but may include Medicaid-specific training
Work EnvironmentWorks in healthcare organizations, government agencies, or insurance companies overseeing Medicaid programsUsually works in healthcare facilities or community organizations assisting with Medicaid enrollment and compliance
ResponsibilitiesOversees Medicaid program operations, manages staff, ensures compliance, and develops policiesAssists clients with Medicaid applications, explains benefits, and ensures proper documentation

Medicaid Managers focus on overseeing Medicaid program operations and compliance, while Medicaid Coordinators primarily assist clients with enrollment and benefits. Both roles require similar educational backgrounds but differ in scope and responsibilities.

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

To thrive as a Medicaid Manager, you need expertise in healthcare administration, regulatory compliance, and Medicaid policy, often supported by a bachelor’s or master’s degree in health administration or a related field. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and relevant certifications such as Certified Professional in Healthcare Quality (CPHQ) are vital. Strong leadership, communication, and problem-solving skills help you effectively manage teams and navigate complex healthcare regulations. These skills ensure efficient program administration, regulatory adherence, and improved healthcare outcomes for Medicaid populations.
More about Medicaid Manager jobs

What cities are hiring for Medicaid Manager jobs?

Cities with the most Medicaid Manager job openings:

What are the most commonly searched types of Medicaid jobs?

The most popular types of Medicaid jobs are:

What states have the most Medicaid Manager jobs?

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

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

The top searched job categories for Medicaid Manager jobs are:

Medicaid Manager jobs near you
Infographic showing various Medicaid Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $61,351 per year, or $29.5 per hour.

Medicaid SME - MS - Medicaid

HCL Global Systems

Jackson, MS • On-site

Other

Re-posted 5 days ago

Job description

Description:
  • The Medicaid SME will provide subject matter expertise related to Medicaid program data, policies, and operational workflows to support the successful implementation and operationalization of the Program Integrity (PI) tool. The SME will collaborate with technical teams, program staff, vendors, and project leadership to ensure the PI solution effectively leverages Medicaid data to detect, prevent, and investigate fraud, waste, and abuse.

Key Responsibilities:
  • Data Domain Expertise - Provide expert guidance related to the structure, relationships, and usage of Medicaid data domains, including:

Member Data:
  • Eligibility and enrollment data
  • Demographic and coverage information
  • Managed care enrollment and attribution
  • Member identifiers and cross-system matching

Provider Data:
  • Provider enrollment and credentialing
  • Provider taxonomy and specialty classifications
  • Provider affiliations and group relationships
  • National Provider Identifier (NPI) and provider registry integration

Claims Data:
  • Professional, institutional, and pharmacy claims
  • Claim lifecycle and adjudication processes
  • Service codes (CPT, HCPCS, ICD, DRG)
  • Payment and encounter processing
  • Claims adjustments, voids, and resubmissions

Managed Care Data:
  • Managed Care Organization (MCO) encounter data
  • Capitation payments
  • Managed care reporting requirements
  • Encounter-to-claim mapping and validation

Program Integrity Support:
  • Advising on data requirements for fraud, waste, and abuse detection
  • Assisting with data mapping and data model validation for the PI tool
  • Supporting development of analytics, rules, and investigative workflows
  • Identifying data quality issues and remediation strategies
  • Helping define use cases and investigative scenarios
  • Ensuring accurate interpretation of Medicaid policy and program rules within the tool

Implementation Support:
  • Collaborating with system integrators and vendors on data ingestion and transformation
  • Supporting data validation, testing, and reconciliation
  • Participating in requirements gathering and design sessions
  • Providing business context for technical teams
  • Reviewing system outputs for accuracy and relevance
  • Supporting User Acceptance Testing (UAT)

Stakeholder Collaboration:
  • Program Integrity leadership
  • Data analytics teams
  • Medicaid program staff
  • IT and data architecture teams
  • System implementation vendors
  • Managed Care oversight teams

Work Products:
  • Medicaid data domain documentation validation
  • Data mapping and data dictionary validation
  • Program Integrity use cases and business rules validation
  • Data quality assessments and recommendations
  • Support documentation for system configuration validation
  • UAT participation and validation feedback
  • Implementation support reports and findings validation

Note:
  • Applicants who do not meet all of the required skills/experience minimums may not be considered further.
  • The awarded applicant will be required to execute a Business Associate Agreement (BAA) with DOM.
  • The period of performance will be for one-year intervals with the ability to renew for up to five (5) years based on mutual agreement of the parties.

Required Skills/Experience
Provide the minimum required skills and/or experience the contractor must possess to qualify for this position. These requirements will be transferred to the Score Sheet and candidates without these requirements reflected on their resume will NOT be presented to the manager for consideration.
The Medicaid SME must possess:
  • Minimum of 15 years of experience working with Medicaid program data and operations

Demonstrated expertise in the following Medicaid data domains:
  • Member/Eligibility data
  • Provider enrollment data
  • Claims and encounter data
  • Managed care program data
  • Experience working with Gainwell Medicaid Management Information Systems (MMIS) or successor platforms
  • Strong understanding of Medicaid program policies and regulatory requirements
  • Experience supporting large system implementations or modernization projects
  • Ability to communicate complex Medicaid data concepts to technical and non-technical stakeholders

Preferred / Not Required:
Provide any skills/experience that would be helpful for the candidate to possess but not required. Examples: Previous supervisory experience, WebLogic experience helpful, etc.
  • Experience implementing and managing Provider Enrollment systems
  • Experience implementing claims systems and managing claims data
  • Familiarity with CMS reporting and compliance requirements
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About HCL Global Systems

Sourced by ZipRecruiter

HCL Global Systems is One of the Best IT Consulting Firm specialized in Application Development, Quality Testing, IT Courses Training, Staffing and Recruitment services. With wide range of experience, We are confident in our ability to help our Customers grow and improve their businesses. More than likely, regardless of the nature and scope of the problem, Our dedicated Team of Professionals can help you to achieve a cost effective business solution.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Farmington Hills, MI, US

Year founded

2005

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