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Medicaid Manager Jobs in Rochester, NY (NOW HIRING)

Angels In Your Home

Medical Biller

Rochester, NY · Remote

$20 - $25/hr

Knowledge of Medicaid, managed care plans, authorizations, EVV, and payer billing requirements preferred. * Experience with HHAeXchange, eMedNY, managed care portals, or similar billing systems ...

Angels In Your Home

Medical Biller

Rochester, NY · On-site

$20 - $25/hr

Knowledge of Medicaid, managed care plans, authorizations, EVV, and payer billing requirements preferred. * Experience with HHAeXchange, eMedNY, managed care portals, or similar billing systems ...

Angels In Your Home LHCSA

Medical Biller

Rochester, NY · On-site

$20 - $25/hr

Knowledge of Medicaid, managed care plans, authorizations, EVV, and payer billing requirements preferred. * Experience with HHAeXchange, eMedNY, managed care portals, or similar billing systems ...

Hilton East

CASE MANAGER

Hilton, NY · On-site

$25 - $30/hr

The Case Manager must have knowledge of Medicaid programs and Social Security benefits to assist residents and families with available resources and eligibility guidance. Requirements: * Bachelor ...

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All JobsMedicaid JobsMedicaid Manager JobsMedicaid Manager Jobs in Rochester, NY

Medicaid Manager information

See Rochester, NY salary details

$22.7K

$60.6K

$101.2K

How much do medicaid manager jobs pay per year?

As of Aug 4, 2026, the average yearly pay for medicaid manager in Rochester, NY is $60,561.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,400.00 and $68,100.00 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 are the most commonly searched types of Medicaid jobs in Rochester, NY? The most popular types of Medicaid jobs in Rochester, NY are:
What job categories do people searching Medicaid Manager jobs in Rochester, NY look for? The top searched job categories for Medicaid Manager jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Medicaid Manager jobs? Cities near Rochester, NY with the most Medicaid Manager job openings:
Medicaid Manager jobs near you
Infographic showing various Medicaid Manager job openings in Rochester, NY as of July 2026, with employment types broken down into 81% Full Time, 17% Part Time, 1% Temporary, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $60,574 per year, or $29.1 per hour.

Medical Biller

Angels In Your Home

Rochester, NY • Remote

$20 - $25/hr

Other

Re-posted 9 days ago

Job description

Description

 Angels In Your Home, a licensed home care services agency serving individuals across New York State, is seeking a detail-oriented and reliable Billing Specialist / Home Care Biller to join our administrative team.

This is a full-time position responsible for supporting accurate and timely billing, claims submission, payment follow-up, and account reconciliation for home care services. The Billing Specialist / Home Care Biller will work collaboratively with internal departments, payers, managed care plans, insurance representatives, and other stakeholders to ensure billing processes are completed accurately, efficiently, and in accordance with payer requirements and agency procedures.


Primary responsibilities include:

  • Prepare, review, and submit billing claims for home care services in accordance with payer requirements, agency procedures, and applicable regulations.
  • Ensure billing information is accurate, complete, and supported by appropriate documentation prior to submission.
  • Review authorizations, service records, schedules, timesheets, EVV data, and related documentation to support accurate billing.
  • Post payments, adjustments, denials, and other account activity accurately and timely.
  • Reconcile billed services, payments received, outstanding balances, and payer remittance information.
  • Identify billing discrepancies and work with appropriate internal staff to resolve issues.
  • Monitor aging accounts and follow up on unpaid or denied claims.
  • Communicate with payers, managed care plans, insurance representatives, and other parties regarding claim status, payment issues, and billing corrections.
  • Assist with resolving claim denials, rejections, underpayments, and outstanding balances.
  • Maintain accurate billing records and documentation in accordance with agency policy, payer requirements, and applicable regulatory standards.
  • Protect confidential client and agency information in compliance with HIPAA and agency privacy practices.
  • Stay informed of billing requirements, payer updates, and process changes that may impact claims submission or reimbursement.
  • Work closely with scheduling, intake, payroll, compliance, and clinical staff to address billing-related questions or documentation needs.
  • Communicate clearly and professionally regarding billing issues, missing information, authorizations, and claim corrections.

Requirements


  • Prior experience in healthcare billing, home care billing, Medicaid Managed Care billing, or medical claims processing preferred.
  • Experience with LHCSA, home care, or long-term care billing is strongly preferred.
  • Knowledge of Medicaid, managed care plans, authorizations, EVV, and payer billing requirements preferred.
  • Experience with HHAeXchange, eMedNY, managed care portals, or similar billing systems preferred.
  • Strong attention to detail and ability to identify discrepancies in documentation, schedules, authorizations, and claims.
  • Ability to manage multiple priorities, meet deadlines, and maintain organized records.
  • Strong written and verbal communication skills.
  • Proficiency with Microsoft Office, especially Excel and Outlook.
  • High school diploma or equivalent required.
  • Associate degree or additional healthcare billing training preferred.


Angels In Your Home is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, age, national origin, disability, veteran status, or any other protected status under federal, state, or local law.

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