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Medicaid Planner Jobs (NOW HIRING)

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

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$34.5K

$65.7K

$95.5K

How much do medicaid planner jobs pay per year?

As of Sep 10, 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.

Medicaid Eligibility Consultant II

Westborough, MA • Remote

University of Massachusetts Medical School
Education • 10K+ employees
Learn more about University of Massachusetts Medical Schoolexternal

$80K - $90K/yr

Full-time

Re-posted 9 days ago

Key responsibilities

  • Assist in the development of contracts with state agencies and support Medicaid eligibility system design, development, and implementation.

  • Conduct complex analysis to support Medicaid eligibility and program integrity projects, including research and development activities.

  • Participate in meetings, system design sessions, and testing to ensure Medicaid systems meet client needs and align with agency objectives.

Job description

General Summary

Under the general direction of the Senior Associate or designee, the Medicaid Eligibility Consultant II will assist in the development of contracts with state agencies; both in and out of state. The Medicaid Eligibility Consultant II should be an insightful, detail-oriented professional with Medicaid-related experience, excellent analytical and organizing skills who is able to apply that skill set to support both Medicaid Eligibility and Program Integrity Initiatives as well as the design, development and implementation of Medicaid eligibility systems.


Responsibilities

  • Conduct complex analysis to support of Medicaid eligibility and program integrity projects in and out of state.
  • Perform research & development analysis relevant to Medicaid eligibility and/or program integrity revenue management/cost savings projects as assigned.
  • Contribute to the development of program and project expansion plans.
  • Contribute to the development of presentations and the preparation of marketing materials to clients.
  • Provide on-site support to senior staff during client visits and meetings
  • Participate in the development of agreements between public entities and the University.
  • Participate in the development of Medicaid systems on behalf of the client Medicaid agency:
  • Serve as a Supporting Subject Matter Expert (SME) in Medicaid eligibility regulations, operations, and processes to support the design, development, and implementation of changes to Medicaid MAGI and non-MAGI eligibility systems. 
  • Assist with presenting Medicaid agency business needs and strategic vision in systems development activities and ensure they align with agency objectives.  
  • Participate in multi-agency workgroups supporting the development of a common eligibility application.
  • Participate in meetings with the systems’ upstream and downstream stakeholders to assess needs and provide solutions. 
  • Attend business and system design sessions
  • Review, provide feedback and approve appropriate business system design requirements
  • Attend regularly scheduled and ad hoc meetings virtually and onsite; and
  • Assist with testing and resolution of system defects.
  • Support procurement processes such as Request for Information (RFI) and Request for Proposal (RFP) development.
  • Contribute to project forecasting and complete assigned cost analysis tasks in support of financial planning and savings initiatives.
  • Participate in presentations to staff regarding success, merits of initiative, etc.
  • Independently research, develop, and prepare work and implementation plans in support of project and initiatives. Complete assigned projects from start to finish.

Qualifications

  • Bachelor's Level Degree or equivalent in a business, health policy, social service, or public administration related field
  • 3 to 5 years of experience in a business related field
  • Extensive and in-depth knowledge of Medicaid policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems.
  • Familiarity working with complex technical, systems and/or programs issues affecting Medicaid and its services to members.
  • Strong verbal and written communication skills.
  • Must have knowledge of state and federal regulations as they apply to public assistance programs
  • Demonstrated experience in Microsoft Word, Excel and PowerPoint
  • Demonstrated project management skills
  • Ability to travel to the client and/or off- site locations weekly

Apply