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Medicaid Manager Jobs (NOW HIRING)

Renown Health

Director of Medicaid

Reno, NV · On-site

$75.09 - $105.12/hr

The role serves as a key liaison with state agencies, Medicaid managed care organizations, and community partners, ensuring regulatory compliance, strong payer performance, and readiness for evolving ...

GDIT

Medicaid Systems Transition Manager

WV · Remote

$147K - $199K/yr

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

VIP Care Management

Medicaid Specialist

Lantana, FL · On-site

$40K - $50K/yr

Care Management, Inc. Geriatric Care Management & Elder Care Consulting • Lantana, Florida • vipcaremanagement.com Medicaid Specialist (Full-Time) -- Lantana, FL Schedule: Mon-Fri, 8:30 AM-5:00 ...

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

VIP Care Management

Medicaid Specialist

Lantana, FL · On-site

$40K - $50K/yr

Care Management, Inc. Geriatric Care Management & Elder Care Consulting • Lantana, Florida • vipcaremanagement.com Medicaid Specialist (Full-Time) -- Lantana, FL Schedule: Mon-Fri, 8:30 AM-5:00 ...

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Medicaid Manager information

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$23K

$61.4K

$102.5K

How much do medicaid manager jobs pay per year?

As of Jul 1, 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, and why are they important?

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:
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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 June 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $61,351 per year, or $29.5 per hour.
Director of Medicaid

Director of Medicaid

Renown Health

Reno, NV • On-site

$75.09 - $105.12/hr

Full-time

Posted yesterday

Renown Health rating

7.4

Company rating: 7.4 out of 10

Based on 96 frontline employees who took The Breakroom Quiz

256th of 877 rated healthcare providers

Job description

Position Purpose
The Director, Medicaid Strategy and Operations is a leadership role responsible for the strategic, financial, and operational performance of Renown Health's Medicaid portfolio. This position provides enterprise-wide leadership to ensure Medicaid programs are financially sustainable, operationally effective, and aligned with value-based, population-focused care models.
Working closely with clinical, financial, operational, and external partners, the Director leads the development and execution of Medicaid strategies that improve quality outcomes, affordability, access, and member experience. The role serves as a key liaison with state agencies, Medicaid managed care organizations, and community partners, ensuring regulatory compliance, strong payer performance, and readiness for evolving policy and market dynamics.
This leader drives cross-functional alignment, performance management, and continuous improvement across Medicaid initiatives, while advancing innovation, health equity, and growth opportunities. The position plays a critical role in supporting Renown's mission to improve the health and well-being of the communities it serves.
Nature and Scope
Operational and Financial Leadership:
    • Provides enterprise-wide leadership for the strategic, financial, and operational performance of Renown's Medicaid portfolio.
    • Accountable for day-to-day oversight, optimization, and sustainability of Medicaid lines of business across the care continuum, including performance against financial, quality, access, and member experience goals.
    • Leads and influences cross-functional teams to achieve strong operating results while advancing value-based, population-focused care models.
    • Develops and oversees Medicaid financial strategies, including monthly revenue performance, annual earnings, shared savings arrangements, quality incentive programs, and long-term margin sustainability.

Compliance & Regulatory Readiness:
    • Ensures ongoing compliance with CMS and Nevada Medicaid regulations, maintaining continuous audit readiness and operational preparedness for state and federal reviews. Interprets and operationalizes evolving regulatory requirements and translates them into effective, compliant workflows across clinical, financial, and operational teams.
    • Reviews, monitors, and provides strategic input into Medicaid managed care contracts, ensuring contractual obligations are met, performance is optimized, and Renown is appropriately reimbursed.

Strategic Planning and Performance Management:
    • Leads the development and execution of Medicaid strategies that improve quality, outcomes, affordability, and member experience.
    • Uses data-driven insights, performance dashboards, and benchmarks to identify opportunities, mitigate risks, and drive continuous improvement.
    • Partners closely with Finance, IT, Quality, Revenue Cycle, Population Health, and Clinical Operations to align Medicaid strategy with organizational priorities and system-wide initiatives.

Partnership and External Engagement:
  • Serves as a primary operational and strategic liaison with state agencies, Medicaid managed care organizations (MCOs), providers, and community-based organizations. Builds and sustains strong partnerships that support access, care coordination, health equity, and improved outcomes for Medicaid populations.
  • Represents Renown in state advisory committees, workgroups, and collaborative forums, contributing thought leadership and advancing shared Medicaid objectives.

Governance and Cross-Functional Leadership:
  • Leads and coordinates internal governance structures and multidisciplinary workgroups to ensure performance across Medicaid initiatives, including financial results, utilization management, care management, quality performance, member engagement, provider access, transformation initiatives, contractual deliverables, and regulatory compliance.
  • Promotes alignment, standardized workflows, and accountability across Renown entities and departments.

Population Health and Value-Based Care:
  • Provides leadership in coordinating clinical, operational, and payer-aligned activities to improve health outcomes for Medicaid populations.
  • Drives integration across care management, social determinants of health strategies, and community partnerships to reduce avoidable utilization and improve total cost of care performance.

Medicaid Innovation and Growth:
  • Monitors national and regional Medicaid policy and market trends, educating senior leadership on emerging models, risks, and opportunities.
  • Partners with executive leadership to evaluate, design, and implement Medicaid growth strategies, including product design, benefit structure, network optimization, cost management initiatives, and value-based program enhancements.

This position does not provide patient care
Disclaimer
The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name
Description
Education:
Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Bachelor's degree or equivalent leadership experience required. Master's degree preferred.
Experience:
Minimum 8 years population management/operations/finance experience and project management, preferably with heavy clinical and data management components.
Significant knowledge of both the clinical and financial aspects of managed care, including capitation and global budgets.
License(s):
None
Certification(s):
None
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

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About Renown Health

Sourced by ZipRecruiter

Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Reno, NV, US

Year founded

1862

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