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Medicaid Planner Jobs (NOW HIRING)

Kaiser Permanente

ED, Medicaid Hawaii

Executive Director of Medicaid, Hawaii Reporting to the National Senior Vice President of Medicaid ... Lead, manage and coordinate strategy, planning, health plan operations, compliance, regulatory and ...

Leeds Professional Resources

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Customer Service - Medicaid

Tampa, FL · On-site

$19/hr

... planners, nursing home social workers, care providers, and other community professionals to ... Provide Medicaid-related assistance and information during emergency or disaster situations when ...

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

Review Medicaid claims and medical records for accuracy, reasonableness, and compliance with ... Support onsite planning, workgroup sessions, client leadership preparation, release activities, and ...

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

Review Medicaid claims and medical records for accuracy, reasonableness, and compliance with ... Support onsite planning, workgroup sessions, client leadership preparation, release activities, and ...

BerryDunn

Medicaid Payment Integrity SME

Review Medicaid claims and medical records for accuracy, reasonableness, and compliance with ... Support onsite planning, workgroup sessions, client leadership preparation, release activities, and ...

BerryDunn

Medicaid Policy Director

$160K - $180K/yr

Overview BerryDunn is seeking a Medicaid Policy Director to join our Medicaid consulting team. As ... analysis to clients; planning for and implementing new guidance and programs; preparing ...

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Medicaid Planner information

See salary details

$34.5K

$65.7K

$95.5K

How much do medicaid planner jobs pay per year?

As of Sep 9, 2026, the average yearly pay for medicaid planner in the United States is $65,702.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $74,000.00 per year, depending on experience, location, and employer.

What is a Medicaid planner?

Medicaid Planners are professionals who help individuals and families navigate the complex process of qualifying for Medicaid benefits, particularly for long-term care. They assist with financial planning, asset protection, and ensuring that applications meet state and federal requirements. Their expertise can help clients legally maximize their eligibility for Medicaid while preserving assets for spouses or heirs. Medicaid Planners may include attorneys, financial advisors, or certified Medicaid specialists. Their guidance can be crucial for those facing high costs of nursing home or assisted living care.

What are some of the most common challenges faced by Medicaid planners when helping clients qualify for benefits?

Medicaid Planners frequently encounter challenges such as navigating complex and ever-changing eligibility rules, managing strict asset and income limits, and addressing clients’ misconceptions about the process. Additionally, they must work closely with clients and their families to gather detailed financial documentation and develop personalized spend-down strategies—all while ensuring compliance with state and federal regulations. Effective communication, up-to-date legal knowledge, and a compassionate approach are essential for overcoming these challenges and successfully guiding clients through the Medicaid application process.

What are the key skills and qualifications needed to thrive as a Medicaid planner, and why are they important?

To thrive as a Medicaid Planner, you need a strong understanding of Medicaid regulations, elder law, and financial planning, often supported by a background in law, finance, or social work. Familiarity with Medicaid eligibility systems, legal documentation software, and relevant certifications such as Certified Medicaid Planner (CMP) is beneficial. Outstanding communication, ethical judgment, and empathy are essential soft skills for working with clients and their families during sensitive planning processes. These skills ensure accurate guidance, compliance with complex regulations, and compassionate support for clients navigating long-term care funding.

What is the difference between Medicaid Planner vs Medicaid Case Manager?

AspectMedicaid PlannerMedicaid Case Manager
CredentialsTypically requires knowledge of Medicaid policies, certifications varyOften requires social work or healthcare-related certifications
Work EnvironmentConsulting firms, financial planning offices, or healthcare agenciesHospitals, clinics, or community health organizations
Employer & IndustryFinancial advisors, elder care agencies, insurance companiesHealthcare providers, social service agencies
Primary FocusPlanning and advising on Medicaid eligibility and benefitsAssisting clients with Medicaid applications and ongoing case management

While both roles involve Medicaid, a Medicaid Planner focuses on strategic planning and advising clients on Medicaid options, whereas a Medicaid Case Manager provides direct assistance with applications and ongoing case support. Understanding these differences helps clients find the right professional for their needs.

How do you become a certified Medicaid planner?

To become a certified Medicaid planner, professionals typically complete specialized training or coursework in Medicaid planning, gain relevant experience in elder law or financial planning, and obtain certification through recognized organizations such as the National Academy of Elder Law Attorneys or similar entities. Certification requirements vary by organization but generally include passing an exam and demonstrating expertise in Medicaid rules and estate planning.

What cities are hiring for Medicaid Planner jobs?

Cities with the most Medicaid Planner job openings:

What states have the most Medicaid Planner jobs?

States with the most job openings for Medicaid Planner jobs include:

What are popular job titles related to Medicaid Planner jobs?

For Medicaid Planner jobs, the most frequently searched job titles are:

Medicaid Planner jobs near you
Infographic showing various Medicaid Planner job openings in the United States as of September 2026, with employment types broken down into 3% As Needed, 77% Full Time, 16% Part Time, and 4% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $65,702 per year, or $31.6 per hour.

ED, Medicaid Hawaii

Remote

Kaiser Permanente
Health Care and Social Assistance • 10K+ employees
Learn more about Kaiser Permanenteexternal

Other

Posted 27 days ago

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 928 frontline employees who took The Breakroom Quiz

56th of 898 rated healthcare providers

Job description

Executive Director of Medicaid, Hawaii

Reporting to the National Senior Vice President of Medicaid, with accountability to the Regional President of the Hawaii region, the Executive Director of Medicaid, Hawaii is a key leader of the Medicaid national line of business and responsible for leading, managing and/or coordinating KPs Medicaid strategy, planning, regulatory relationships, health plan operations, member service, compliance, industry relationships and related activities in Hawaii. The position involves close coordination with a variety of KP regional, national, and shared service leaders and functions that support Medicaid operations and the services provided to beneficiaries in Hawaii and for all KP regions. The position includes similar responsibilities for state D-SNP functions, in collaboration with KPs Medicare line of business leaders. The Executive Director maintains relationships and represents KP with a variety of external partners and stakeholders including regulators; safety net and other providers; other health plans; industry associations; advocacy groups; media and others. This role involves extensive coordination and collaboration with the KP medical care delivery system, including the Hawaii Permanente Medical Group, serving Hawaii.

Essential Responsibilities:

  • Lead, manage and coordinate strategy, planning, health plan operations, compliance, regulatory and industry relationships, and related activities in Hawaii.
  • Work closely with all national, shared service and HI market leaders and other care delivery and medical group leaders to support HI with implementation of the strategy, regulatory and operational requirements.
  • Lead, manage, mentor, and develop Medicaid and D-SNP leaders and staff in Hawaii and across the KP program to provide the subject matter expertise to support the market and shared services with implementation of Medicaid and D-SNP regulatory requirements.
  • Maintain a deep understanding of current and potential state and Federal Medicaid, CHIP, D-SNP and related legislation and regulations, and their impact on KP Medicaid strategy, operations, and performance.
  • Monitor and maintain a deep understanding of the national, Hawaii health plan and provider competitive environment as it relates to Medicaid, dual eligibles, and vulnerable populations.
  • Lead and coordinate the development, implementation and ongoing modification of Medicaid and D-SNP participation strategies in Hawaii. Coordinate and align regional Medicaid and D-SNP strategy development and plans with regional and national line of business, care delivery and functional strategies and policies.
  • Collaborate with regional and national government relations to monitor and influence legislation and regulation related to Medicaid and D-SNP. Develop and execute legislative, regulatory and advocacy strategies to assure adequate payment levels and efficient regulation for Medicaid and D-SNP plans and providers.
  • Collaborate with National Medicaid Compliance to ensure all KP functions are aware of and compliant with state and Federal Medicaid and D-SNP requirements. Identify and support implementation of changes needed to achieve and maintain compliance.
  • Establish, modify, and monitor a comprehensive set of key performance metrics across all functions to monitor performance and compliance of the Medicaid and D-SNP lines of business.
  • Collaborate with regional and national finance, including Medicare and Medicaid finance, to monitor and help manage financial performance.
  • Implement ongoing changes to Medicaid and D-SNP organizational structure, staffing and processes to improve effectiveness and efficiencies.
  • Monitor, collaborate and support initiatives to improve financial performance of the Medicaid and D-SNP lines of business.
  • Responsible for the management of KP relationships with the States Medicaid agencies.

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