This role is for a product leader who can combine deep Medicaid domain expertise, modern product management practices, and executive-level influence on shape platform strategy and turn complex payer ...
This role is for a product leader who can combine deep Medicaid domain expertise, modern product management practices, and executive-level influence on shape platform strategy and turn complex payer ...
Director Medicaid Plan Marketing
Seattle, WA · On-site
$153K - $230K/yr
Experience in securing media coverage, managing press inquiries, and drafting press releases strongly preferred. * Advance knowledge of Washington State Medicaid, the states local audiences, it ...
Director Medicaid Plan Marketing
Seattle, WA · On-site
$153K - $230K/yr
Experience in securing media coverage, managing press inquiries, and drafting press releases strongly preferred. * Advance knowledge of Washington State Medicaid, the states local audiences, it ...
Director Medicaid Plan Marketing
Seattle, WA · On-site
$153K - $230K/yr
Experience in securing media coverage, managing press inquiries, and drafting press releases strongly preferred. * Advance knowledge of Washington State Medicaid, the states local audiences, it ...
Director Medicaid Plan Marketing
Seattle, WA · On-site
$153K - $230K/yr
Experience in securing media coverage, managing press inquiries, and drafting press releases strongly preferred. * Advance knowledge of Washington State Medicaid, the states local audiences, it ...
Director Medicaid Plan Marketing
$153K - $230K/yr
Experience in securing media coverage, managing press inquiries, and drafting press releases strongly preferred. * Advance knowledge of Washington State Medicaid, the states local audiences, it ...
Director Medicaid Plan Marketing
$153K - $230K/yr
Experience in securing media coverage, managing press inquiries, and drafting press releases strongly preferred. * Advance knowledge of Washington State Medicaid, the states local audiences, it ...
Artemis Connection is a strategic management consultancy working across the for-profit, public and ... To learn more about Artemis Connection, visit About the Role Medicare/Medicaid Dual-Eligible ...
Artemis Connection is a strategic management consultancy working across the for-profit, public and ... To learn more about Artemis Connection, visit About the Role Medicare/Medicaid Dual-Eligible ...
Artemis Connection is a strategic management consultancy working across the for-profit, public and ... To learn more about Artemis Connection, visit About the Role Medicare/Medicaid Dual-Eligible ...
Artemis Connection is a strategic management consultancy working across the for-profit, public and ... To learn more about Artemis Connection, visit About the Role Medicare/Medicaid Dual-Eligible ...
Business Office Assistant in Skilled Nursing Facility
Bellevue, WA · On-site
$20 - $30/hr
Key Responsibilities Verify insurance coverage (Medicare, Medicaid, Managed Care, Private Pay) Assist with billing preparation and claims follow-up Maintain resident trust accounts and financial ...
Business Office Assistant in Skilled Nursing Facility
Bellevue, WA · On-site
$20 - $30/hr
Key Responsibilities Verify insurance coverage (Medicare, Medicaid, Managed Care, Private Pay) Assist with billing preparation and claims follow-up Maintain resident trust accounts and financial ...
Medicare/Medicaid Dual-Eligible Program Architect Rural & Frontier Health (Remote)
Seattle, WA · Remote
Artemis Connection is a strategic management consultancy working across the for-profit, public and ... To learn more about Artemis Connection, visit About the Role Medicare/Medicaid Dual-Eligible ...
Quick apply
Medicare/Medicaid Dual-Eligible Program Architect Rural & Frontier Health (Remote)
Seattle, WA · Remote
Artemis Connection is a strategic management consultancy working across the for-profit, public and ... To learn more about Artemis Connection, visit About the Role Medicare/Medicaid Dual-Eligible ...
Actuarial Consultant
Seattle, WA · On-site
Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk ...
Actuarial Consultant
Seattle, WA · On-site
Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk ...
Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider ...
Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider ...
Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider ...
Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider ...
Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider ...
Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider ...
ADS Case Manager
Seattle, WA · On-site
$29.87 - $42.63/hr
Case Managers are critical positions of our organization, working directly with individual clients ... Our clients are Medicaid beneficiaries that present with multiple medical and social needs. Through ...
ADS Case Manager
Seattle, WA · On-site
$29.87 - $42.63/hr
Case Managers are critical positions of our organization, working directly with individual clients ... Our clients are Medicaid beneficiaries that present with multiple medical and social needs. Through ...
ADS Case Manager
Seattle, WA · On-site
$29.87 - $42.63/hr
Case Managers are critical positions of our organization, working directly with individual clients ... Our clients are Medicaid beneficiaries that present with multiple medical and social needs. Through ...
ADS Case Manager
Seattle, WA · On-site
$29.87 - $42.63/hr
Case Managers are critical positions of our organization, working directly with individual clients ... Our clients are Medicaid beneficiaries that present with multiple medical and social needs. Through ...
Operations Manager
$80K - $95K/yr
Serve as the operational owner of our Medicaid, Medicare, and other payer contracts. Ensure service delivery, documentation, authorizations, and billing readiness fully align with each contract ...
Quick apply
Operations Manager
$80K - $95K/yr
Serve as the operational owner of our Medicaid, Medicare, and other payer contracts. Ensure service delivery, documentation, authorizations, and billing readiness fully align with each contract ...
Take lead responsibilities, along with Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in ...
Take lead responsibilities, along with Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in ...
Clinical Manager - Whatcom and Everett Triage
Everett, WA · On-site
$91K - $133K/yr
Clinical Manager - Full Time $91,555.76- $133,382.67/yr DOE Bellingham & Everett, WA Lead Clinical ... Knowledge of applicable regulatory requirements, including WAC/RCW, DOH, Medicaid, and agency ...
Quick apply
Clinical Manager - Whatcom and Everett Triage
Everett, WA · On-site
$91K - $133K/yr
Clinical Manager - Full Time $91,555.76- $133,382.67/yr DOE Bellingham & Everett, WA Lead Clinical ... Knowledge of applicable regulatory requirements, including WAC/RCW, DOH, Medicaid, and agency ...
Clinical Manager - Whatcom and Everett Triage
Everett, WA · On-site
$91K - $133K/yr
Clinical Manager - Full Time $91,555.76- $133,382.67/yr DOE Bellingham & Everett, WA Lead Clinical ... Knowledge of applicable regulatory requirements, including WAC/RCW, DOH, Medicaid, and agency ...
Clinical Manager - Whatcom and Everett Triage
Everett, WA · On-site
$91K - $133K/yr
Clinical Manager - Full Time $91,555.76- $133,382.67/yr DOE Bellingham & Everett, WA Lead Clinical ... Knowledge of applicable regulatory requirements, including WAC/RCW, DOH, Medicaid, and agency ...
Field Nurse Case Manager
Seattle, WA · Hybrid
$88K - $108K/yr
Experience with third party benefits - health insurance, Medicaid, Social Security, Developmental ... solid time management and organization skills * Proven ability to collaborate as necessary to ...
Field Nurse Case Manager
Seattle, WA · Hybrid
$88K - $108K/yr
Experience with third party benefits - health insurance, Medicaid, Social Security, Developmental ... solid time management and organization skills * Proven ability to collaborate as necessary to ...
... across Medicaid, rural, and financially pressured environments. The successful candidate will ... Manage day-to-day engagement delivery, including workplans, team coordination, deliverable quality ...
... across Medicaid, rural, and financially pressured environments. The successful candidate will ... Manage day-to-day engagement delivery, including workplans, team coordination, deliverable quality ...
Medicaid Manager information
See Bothell, WA salary details
$25.7K - $33.8K
4% of jobs
$33.8K - $41.9K
10% of jobs
$48.4K is the 25th percentile. Wages below this are outliers.
$41.9K - $49.9K
14% of jobs
$49.9K - $58K
16% of jobs
The median wage is $65K / yr.
$58K - $66.1K
7% of jobs
$66.1K - $74.2K
10% of jobs
$78.2K is the 75th percentile. Wages above this are outliers.
$74.2K - $82.3K
29% of jobs
$82.3K - $90.3K
4% of jobs
$90.3K - $98.4K
3% of jobs
$98.4K - $106.5K
1% of jobs
$106.5K - $114.6K
2% of jobs
$25.7K
$68.6K
$114.6K
How much do medicaid manager jobs pay per year?
What are some common challenges a Medicaid Manager faces when coordinating with healthcare providers and state agencies?
What does a Medicaid Manager do?
What is the difference between Medicaid Manager vs Medicaid Coordinator?
| Aspect | Medicaid Manager | Medicaid Coordinator |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree in healthcare administration, social work, or related field; certifications like Certified Medicaid Planner may be preferred | Often requires similar educational background; certifications are less common but may include Medicaid-specific training |
| Work Environment | Works in healthcare organizations, government agencies, or insurance companies overseeing Medicaid programs | Usually works in healthcare facilities or community organizations assisting with Medicaid enrollment and compliance |
| Responsibilities | Oversees Medicaid program operations, manages staff, ensures compliance, and develops policies | Assists 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?

Other
Medical, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Gainwell Technologies rating
7.8
Based on 78 frontline employees who took The Breakroom Quiz
135th of 242 rated software companies
Job description
Summary
Gainwell Technologies is seeking a Principal Product, Medicaid Claims Transformation, to lead Medicaid claims-related product domains as part of the transformation of our core adjudication products. This role is for a product leader who can combine deep Medicaid domain expertise, modern product management practices, and executive-level influence on shape platform strategy and turn complex payer and program needs into product direction.
The Principal Product, Medicaid Claims Transformation will own domain strategy and outcomes across one or more claims-adjacent domains, including member, provider, benefits, clinical, and finance. The role will partner across product, engineering, architecture, operations, client-facing teams, and business stakeholders to modernize how Gainwell defines, builds, measures, and evolves core Medicaid capabilities.
Your role in our mission
- Lead product strategy for Medicaid claims-related domains, translating member, provider, benefits, clinical, and finance needs into clear product outcomes and domain roadmaps.
- Shape the transformation of core adjudication capabilities by defining modern product direction, platform opportunities, and domain-level investment priorities.
- Develop a deep understanding of Medicaid program operations, claims workflows, regulatory and policy context, client pain points, market dynamics, and ecosystem shifts.
- Use product discovery, customer research, workflow analysis, data, and experimentation to validate problems, prioritize opportunities, and reduce delivery risk before large-scale build commitments.
- Partner with engineering, architecture, design, operations, implementation, sales, and client-facing teams to align domain strategy with feasible, scalable product execution.
- Frame ambiguous domain and platform decisions, evaluate tradeoffs, and bring recommendations forward with clear rationale, product economics, and business impact.
- Create and evangelize product narratives that help executives, delivery teams, and stakeholders understand the transformation vision and the why behind priority decisions.
- Define success measures for domain outcomes and use qualitative and quantitative insights to evaluate adoption, operational impact, user experience, and product performance.
- Identify new product opportunities within Medicaid claims and adjacent domains, including opportunities enabled by platform modernization, workflow redesign, automation, data, and interoperability.
- Coach and influence other product managers and cross-functional partners by modeling modern product practices and raising the quality of product decision-making.
What we're looking for
12+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis, with a proven ability to drive product strategy, innovation, and business outcomes.
Healthcare industry experience required, including Medicaid or Medicare programs, with a strong understanding of payer operations, claims processing, regulatory requirements, and healthcare technology solutions.
Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions, with a strong understanding of Technology Architecture, Mainframe Environments, Scheduling Software, and Related Enterprise Technologies.
Experience partnering with clients and stakeholders to translate business, technical, and data requirements into scalable product solutions, leveraging software development tools, methodologies, and best practices.
Demonstrated strengths in Product Development Methodologies, Strategic Planning, Analytical Problem Solving, Decision Making, and Prioritizing Initiatives in Complex Environments. Experience with AI product use cases, solution design, and the application of artificial intelligence technologies to enhance business and product outcomes is preferred.
What you should expect in this role
- Fully remote opportunity with the option to work anywhere within the United States
- Opportunities to travel through your work (0-10%)
- Willingness to work a flexible schedule to accommodate business needs and travel as required
- Video cameras must be used during all interviews, as well as during the initial week of orientation
The deadline to submit applications for this posting is September 30, 2026
The pay range for this position is $108,500.00 - $155,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
What Gainwell Technologies employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Gainwell Technologies
Sourced by ZipRecruiter
With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Irving, TX, US