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Medicaid Manager Jobs in Bothell, WA (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

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Medicaid Manager information

See Bothell, WA salary details

$25.7K

$68.6K

$114.6K

How much do medicaid manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for medicaid manager in Bothell, WA is $68,583.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,200.00 and $77,100.00 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.
What job categories do people searching Medicaid Manager jobs in Bothell, WA look for? The top searched job categories for Medicaid Manager jobs in Bothell, WA are:
What cities near Bothell, WA are hiring for Medicaid Manager jobs? Cities near Bothell, WA with the most Medicaid Manager job openings:
Infographic showing various Medicaid Manager job openings in Bothell, WA as of August 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $68,583 per year, or $33 per hour.

Principal Product, Medicaid Claims Transformation

Gainwell Technologies LLC

Seattle, WA • On-site

Other

Medical, Retirement, PTO

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


Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

135th of 242 rated software companies


Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
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.

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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