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Medicaid Program Manager Jobs in Alabama (NOW HIRING)

Acentra Health, LLC

Program Director

Montgomery, AL · On-site

As a Program Director, you will be in a key leadership role in managing and overseeing complex ... PMP Certification (Project Management Professional) or equivalent required. * Medicare, Medicaid ...

NTT DATA Services

MMIS Project Manager

Montgomery, AL · Remote

We are currently seeking a Program and Project Consultant to join our team in Montgomery, Alabama ... Experience with Medicaid Information Technology Architecture (MITA) 3.0 including the maturity ...

NTT DATA Services

MMIS Project Manager

Montgomery, AL · Remote

The Project Manager will work under the direct leadership of the PMO Program Manager. * Primary ... Experience with Medicaid Information Technology Architecture (MITA) 3.0 including the maturity ...

NTT DATA Services

MMIS Project Manager

Montgomery, AL · On-site

The Project Manager will work under the direct leadership of the PMO Program Manager. * Primary ... Experience with Medicaid Information Technology Architecture (MITA) 3.0 including the maturity ...

NTT DATA Services

MMIS Project Manager

Montgomery, AL · Remote

The Project Manager will work under the direct leadership of the PMO Program Manager. * Primary ... Experience with Medicaid Information Technology Architecture (MITA) 3.0 including the maturity ...

NTT DATA Services

MMIS Project Manager

Montgomery, AL · Remote

The Project Manager will work under the direct leadership of the PMO Program Manager. * Primary ... Experience with Medicaid Information Technology Architecture (MITA) 3.0 including the maturity ...

Conduent, Inc.

Privacy Officer (MMIS)

Montgomery, AL · On-site

Lead and manage all aspects of privacy compliance, safeguarding PHI, educating staff, handling ... Stay current with Federal and State privacy laws and regulations affecting Medicaid programs

Conduent, Inc.

Privacy Officer (MMIS)

Montgomery, AL · On-site

Lead and manage all aspects of privacy compliance, safeguarding PHI, educating staff, handling ... Stay current with Federal and State privacy laws and regulations affecting Medicaid programs

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Medicaid Program Manager information

What are the main challenges Medicaid Program Managers face in coordinating between state agencies and healthcare providers?

Medicaid Program Managers often navigate the complexities of aligning policies and procedures between state agencies and a diverse range of healthcare providers. Challenges can include managing frequent regulatory changes, ensuring compliance with both federal and state guidelines, and facilitating clear communication among stakeholders. Additionally, they must address provider concerns, resolve billing or service disputes, and adapt program initiatives to meet evolving healthcare needs. Strong organizational and relationship-building skills are essential to succeed in this collaborative and dynamic environment.

What does a Medicaid Program Manager do?

A Medicaid Program Manager oversees the administration and implementation of Medicaid programs at the state or organizational level. Their responsibilities include ensuring compliance with federal and state regulations, managing budgets, coordinating with stakeholders, and improving service delivery for Medicaid recipients. They often analyze data, develop policies, and work to enhance program efficiency and effectiveness. This role requires strong leadership, organizational, and policy analysis skills to ensure that eligible populations receive proper healthcare services.

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

To thrive as a Medicaid Program Manager, you need expertise in healthcare administration, knowledge of Medicaid regulations, and a relevant degree such as public health or healthcare management. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and compliance software is typically expected. Strong leadership, problem-solving, and communication skills enable effective team management and stakeholder engagement. These skills ensure efficient program operation, regulatory compliance, and the delivery of quality services to beneficiaries.
What are popular job titles related to Medicaid Program Manager jobs in Alabama? For Medicaid Program Manager jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Alabama look for? The top searched job categories for Medicaid Program Manager jobs in Alabama are:
Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Alabama as of August 2026, with employment types broken down into 33% Full Time, 33% Temporary, and 34% Contract. Highlights an 100% In-person job distribution.

Mgr Eligibility Program, Marshall Medical Centers, Full time, 1st Shift

Huntsville Hospital Health System

Boaz, AL • On-site

$35K - $46K/yr

Full-time

Re-posted 11 days ago

Huntsville Hospital Health System rating

6.1

Company rating: 6.1 out of 10

Based on 207 frontline employees who took The Breakroom Quiz

730th of 887 rated healthcare providers

Job description

Overview

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.

 

Position Summary:  The Eligibility Program Manager will serve as the on-site liaison between Marshall Medical Centers and our third party insurance eligibility vendor.  This role is responsible for ensuring timely, accurate verification of patient insurance benefits and for building the internal processes and accountability structures needed to keep eligibility operations running smoothly. The manager will own the day-to-day vendor relationship, drive performance standards, and partner with registration, billing, and clinical teams to reduce denials and improve the patient financial experience.  They must maintain compliance with current guidelines and all federal, state, and local laws pertaining to these programs. 

Primary Responsibilities:

        Serve as the single point of contact for the third-party eligibility vendor. Conduct regular performance reviews, escalate systemic issues, negotiate process improvements, and ensure contractual service levels are met.

        Design, document, and maintain eligibility verification workflows across all access points (inpatient, outpatient, ED, and scheduled services). Identify gaps, eliminate redundancies, and build repeatable processes that reduce manual intervention.

        Track eligibility verification rates, turnaround times, error rates, and denial trends. Present performance metrics to leadership and recommend corrective actions when benchmarks are not met.

        Partner with patient access, health information management, coding, and billing teams to resolve eligibility-related denials and payer discrepancies. Serve as a subject matter expert in eligibility and benefits interpretation.

        Train registration and access staff on eligibility tools, payer requirements, and exception handling. Develop reference materials and serve as a resource for escalated cases.

        Stay current on payer policy changes, CMS regulations, and state Medicaid requirements. Ensure eligibility processes remain compliant and reflect current coverage rules.

 

Qualifications

This position requires, at minimum, a high school diploma or GED. Bachelor's degree in healthcare administration, business administration, or a related field is preferred.  Prior experience in the healthcare environment and/or customer service is preferred. This position requires certification through Medicaid as an Application Assister and to award HPE.  A working knowledge of computers and systems to include Microsoft Word, Excel, and Outlook are necessary.  This position requires the ability to communicate in a pleasant, professional, concise, and caring manner. It also requires critical thinking and problem solving to ensure the best care possible for our patients.  Bi-lingual is preferred.

 

Employment Type: OTHER

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