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Medicaid Manager Jobs (NOW HIRING)

Son

Medicaid Medical Director

Lincoln, NE · On-site +1

$300K - $350K/yr

JR2026-00027855 Medicaid Medical Director (Open) Applications No Longer Accepted On (If no date is ... This position leads clinical quality strategy, medical policy, utilization management, and ...

Nebraska State Jobs

Medicaid Medical Director

Lincoln, NE · On-site

$300K - $350K/yr

JR2026-00027855 Medicaid Medical Director (Open) Applications No Longer Accepted On (If no date is ... This position leads clinical quality strategy, medical policy, utilization management, and ...

Deloitte

Medicaid Actuarial Manager

Hartford, CT · On-site

Lead 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 ...

Fox Subacute

Medicaid Specialist

Philadelphia, PA · On-site

$23/hr

Support healthcare staff, social workers, and case managers with Medicaid-related tasks * Assist ... and obtain private pay collections weekly * Support admissions by filing and assisting with ...

Place 2B Properties

Medicaid Specialist

Bedford, NH · On-site

$52 - $72/hr

Manage day-to-day Medicaid administrative processes and requirements * Perform medical billing and claims processing, including reviewing rejected claims, discrepancies, missing information, and ...

Deloitte

Medicaid Actuarial Manager

New York, NY · On-site

Lead 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 ...

GDIT

Configuration Manager - Medicaid Systems

WV · On-site +1

$111K - $150K/yr

IT Configuration Management, ITIL Configuration Management, Medicaid Management Information System (MMIS) Certifications: ITIL 4 Foundation | PeopleCert - PeopleCert Experience: 5 + years of related ...

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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 Sep 5, 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 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 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 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 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.

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 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $61,351 per year, or $29.5 per hour.

Medicaid Medical Director

Son

Lincoln, NE • On-site, Remote

$300K - $350K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 27 days ago

Job description

The work we do matters!

Hiring Agency:

Health & Human Services - Agency 25


Location:

Lincoln, NE


Hiring Rate:

$1.000


Job Posting:

JR2026-00027855 Medicaid Medical Director (Open)


Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):


Job Description:

The Nebraska Department of Health and Human Services (DHHS) is seeking an experienced physician leader to serve as Medical Director for the Division of Medicaid and Long-Term Care (MLTC). As the division's senior clinical executive, the Medical Director provides strategic clinical leadership for Nebraska's Medicaid program, ensuring the delivery of high-quality, evidence-based, and fiscally responsible healthcare services for Medicaid members across the state.
The Medical Director provides clinical oversight for Nebraska's Medical Assistance Program, including fee-for-service, managed care, waiver, and other healthcare delivery models. This position leads clinical quality strategy, medical policy, utilization management, and population health initiatives while serving as the principal physician advisor to MLTC executive leadership.
In addition to leading Medicaid clinical operations, the Medical Director will provide executive oversight for clinical initiatives associated with Nebraska's Rural Health Transformation Program (RHTP), supporting statewide efforts to improve access, care coordination, population health, and value-based care.
As a member of the MLTC Executive Leadership Team, the Medical Director serves as a trusted advisor to agency leadership, represents DHHS with providers, managed care organizations, legislators, and federal partners, and helps shape the future of Nebraska Medicaid.


Location: Preferred work location is Lincoln, Nebraska. Candidates located elsewhere in Nebraska will also be considered, with regular travel to Lincoln expected based on business needs.

Salary:Annual salary ranging from $300,000 - $350,000 commensurate with qualifications and experience, if approved. DHHS also offers a comprehensive benefits package, including health insurance, retirement, paid leave, and professional development opportunities.

Reports to: Drew Gonshorowski, Director, Division of Medicaid and Long-Term Care.

Primary Responsibilities:

  • Serve as the senior clinical leader for Nebraska Medicaid, providing strategic oversight of clinical operations, medical policy, quality improvement, utilization management, pharmacy, credentialing, and other medically related programs across fee-for-service, managed care, waiver, and other healthcare delivery models.

  • Lead the development and implementation of evidence-based clinical strategies that improve healthcare quality, patient safety, population health, value-based care, and health outcomes while ensuring compliance with federal and state Medicaid requirements.

  • Provide clinical leadership for Medicaid-related RHTP initiatives, advancing innovative care delivery models, whole-person care, and long-term system transformation that improve access and outcomes for Nebraskans.

  • Serve as the division's principal physician advisor to executive leadership, providing clinical expertise on healthcare policy, regulatory matters, legislative initiatives, complex medical determinations, and strategic planning.

  • Represent Nebraska Medicaid in collaboration with providers, Medicaid Managed Care Organizations, CMS, professional organizations, state agencies, and other stakeholders to strengthen partnerships, improve care coordination, and advance statewide quality initiatives.

  • Ensure the clinical integrity of Nebraska Medicaid through oversight of medical policy, quality initiatives, clinical program performance, medically related contracts, and other administrative or legal matters requiring physician expertise.


Requirements/Qualifications:

Minimum Qualifications:

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).

  • Active, unrestricted Nebraska medical license or ability to obtain prior to employment.

  • Board certification in a recognized specialty.

  • Progressive physician leadership experience within a healthcare organization, health plan, or public healthcare system.

  • Experience with Medicaid, managed care, healthcare quality improvement, and healthcare policy.

  • Demonstrated ability to lead complex clinical initiatives and build collaborative partnerships with providers, executive leadership, legislators, and regulatory agencies.


If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/


Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

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