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Medicaid Program Manager Jobs in Arizona (NOW HIRING)

Isaac School District

Medicaid Facilitator

Phoenix, AZ · On-site

ASAP Job Summary The Medicaid Facilitator manages and coordinates all aspects of the Medicaid program for the elementary school district. Key objectives include ensuring compliance with state and ...

Isaac School District

Medicaid Facilitator

Phoenix, AZ · On-site

ASAP Job Summary The Medicaid Facilitator manages and coordinates all aspects of the Medicaid program for the elementary school district. Key objectives include ensuring compliance with state and ...

Healogics

Program Director

Flagstaff, AZ · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities ...

Healogics, Inc.

Program Director

Flagstaff, AZ · On-site

$88.40 - $116.40/hr

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicaid Services (CMS) guidelines, as applicable.## **Essential Functions/Responsibilities ...

Healogics

Program Director

Flagstaff, AZ · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities ...

Briljent

Clinical Domain Project Manager (PBM)

Phoenix, AZ · On-site

$110 - $150/hr

Seven or more years of experience supporting Pharmacy Benefit Management (PBM) Medicaid programs * Project Management Professional (PMP) certification preferred, not required Physical Requirements ...

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Medicaid Program Manager information

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 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 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 Arizona?

For Medicaid Program Manager jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Medicaid Program Manager jobs in Arizona look for?

The top searched job categories for Medicaid Program Manager jobs in Arizona are:

What cities in Arizona are hiring for Medicaid Program Manager jobs?

Cities in Arizona with the most Medicaid Program Manager job openings:

Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Arizona as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 87% In-person, and 13% Remote job distribution.

Medicaid Facilitator

Phoenix, AZ • On-site

Isaac School District
See more jobs at Isaac School Districtexternal

Full-time

Re-posted 3 days ago

Job description

Position Type:
Student Support Services
Date Posted:
4/28/2026
Location:
All Sites
Date Available:
ASAP
Job Summary
The Medicaid Facilitator manages and coordinates all aspects of the Medicaid program for the elementary school district. Key objectives include ensuring compliance with state and federal regulations, processing claims, and maximizing reimbursement opportunities. The Facilitator collaborates with school administrators, teachers, and healthcare providers to ensure eligible students receive appropriate services.
Key Responsibilities
1. Medicaid/AHCCS Program Management
  • Oversee the district's Medicaid program for compliance with state and federal regulations.
  • Develop and implement policies/procedures for Medicaid services and billing.
  • Stay updated on changing Medicaid regulations and guidelines.

2. Claims Processing and Billing
  • Coordinate and process billing for eligible services provided to students.
  • Verify student eligibility and maintain accurate records.
  • Prepare and submit reimbursement claims in a timely manner.
  • Track and reconcile claims to ensure accuracy and completeness.

3. Compliance and Documentation
  • Ensure proper documentation of services from healthcare professionals (e.g., speech and occupational therapists).
  • Conduct regular audits for documentation compliance.
  • Maintain detailed records of claims, payments, and adjustments.

4. Training and Support
  • Train school staff and service providers on billing procedures and compliance.
  • Act as a resource for staff regarding Medicaid-related issues.

5. Collaboration and Communication
  • Collaborate with administrators and special education teams to coordinate student support.
  • Communicate with parents/guardians regarding Medicaid eligibility and services.
  • Liaise with state Medicaid offices and external agencies.

6. Reporting and Analysis
  • Generate and analyze billing and reimbursement reports.
  • Monitor trends in claims to identify improvement opportunities.
  • Provide regular program status updates to district leadership.

7. Program Development and Improvement
  • Implement strategies to maximize reimbursement opportunities.
  • Maintain relationships with external partners and state agencies.
  • Assist in developing grant applications or funding opportunities.

Preferred Qualifications
  • Education: Bachelor's degree in health administration, education, business administration, or a related field.
  • Experience: Previous Medicaid billing or healthcare administration experience, preferably in an educational setting.
  • Knowledge: Familiarity with Medicaid regulations, billing procedures, compliance, and special education programs.
  • Skills: Strong organizational, analytical, communication, and interpersonal skills.
  • Technical: Proficiency in data management and reporting software.
  • Certification: Certification in Medicaid administration or a related field.

Work Environment
Primary work is in an office environment within the district's administrative building. Occasional travel to schools within the district may be required.
Reports to: Executive Director of Student Services & Extended Learning
Salary: Classified Salary Schedule Range: 25

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