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Medicaid Program Manager Jobs in California (NOW HIRING)

ssollc

Medicaid Program Manager

Albany, CA · Hybrid

$85K - $93K/yr

Medicaid Program Manager Office of Aging & Long-Term Care Location: Albany, NY Schedule: Hybrid (50% Onsite / 50% Remote) Salary Range: $85,000 - $93,600 About the Opportunity The Office of Aging ...

SF Health Plan

Program Manager, NCQA

San Francisco, CA · Hybrid

$90K - $105K/yr

Possess a strong quality improvement background that includes managed care and NCQA, specifically within the Medicaid and government-sponsored programs environments. WHAT WE OFFER: * Health Benefits

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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 California?

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

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

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

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

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

Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in California as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 2% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Medicaid Program Manager

Albany, CA • Hybrid

ssollc
See more jobs at ssollcexternal

$85K - $93K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Key responsibilities

  • Oversee and manage quality assurance activities for the NHTD and TBI Waiver Programs.

  • Lead the waiver participant complaint process, ensuring timely investigation and resolution of concerns.

  • Ensure waiver program compliance with federal CMS standards and regulations.

Job description

Medicaid Program Manager 

Office of Aging & Long-Term Care

Location: Albany, NY

Schedule: Hybrid (50% Onsite / 50% Remote)

Salary Range: $85,000 - $93,600

About the Opportunity

The Office of Aging & Long-Term Care is seeking a Medicaid Program Manager to support the Center for Home and Community Based Services in its mission to rebalance New York State's long-term care system from institutional care to home and community-based services.

This position plays a critical role in supporting the Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI) Medicaid Waiver Programs. The successful candidate will help ensure compliance with Centers for Medicare & Medicaid Services (CMS) requirements while overseeing participant complaint resolution, quality assurance initiatives, and stakeholder engagement efforts that enhance service delivery and participant outcomes.

Key ResponsibilitiesQuality Assurance & Program Oversight
  • Oversee and manage quality assurance activities for the NHTD and TBI Waiver Programs.
  • Lead the waiver participant complaint process, ensuring timely investigation and resolution of concerns.
  • Serve as the primary point of contact for waiver participant cases.
  • Investigate participant complaints, critical incidents, abuse, neglect, and participant harm allegations.
  • Collaborate with Regional Resource Development Centers (RRDCs), Service Coordinators, and provider agencies to address and resolve participant concerns.
Compliance & Regulatory Management
  • Ensure waiver program compliance with federal CMS standards and regulations.
  • Interact with CMS staff and external stakeholders regarding waiver operations and regulatory requirements.
  • Monitor program performance and identify opportunities for continuous quality improvement.
Technical Assistance & Stakeholder Engagement
  • Provide technical assistance and guidance to RRDCs, program service agencies, and internal Department of Health teams.
  • Interpret and clarify waiver policies, procedures, and program manuals.
  • Identify opportunities for stakeholder education and participant engagement.
  • Serve as a liaison across Department of Health bureaus to support coordinated program operations.
Reporting & Operational Improvement
  • Conduct periodic reviews of waiver service quality and participant outcomes.
  • Develop reports, recommendations, and program analyses for leadership.
  • Identify operational efficiencies and process improvement opportunities.
  • Facilitate meetings and present findings to internal and external stakeholders.
Required Qualifications
  • Bachelor's degree and equivalent professional experience, or a combination of education and experience.
  • 10+ years of professional experience in healthcare administration, Medicaid programs, human services, long-term care, public health, or a related field.
  • 5+ years of subject matter expertise in Medicaid, waiver programs, managed care, healthcare compliance, or related program operations.
  • Demonstrated supervisory or team leadership experience.
  • Experience managing complex investigations, case reviews, compliance activities, or quality assurance initiatives.
Preferred Qualifications
  • Experience with Home and Community-Based Services (HCBS), Medicaid Waiver Programs, NHTD, TBI, or long-term services and supports (LTSS).
  • Knowledge of CMS regulations and Medicaid program requirements.
  • Strong written and verbal communication skills.
  • Excellent organizational, analytical, and problem-solving abilities.
  • Experience facilitating meetings and collaborating with diverse stakeholder groups.
  • Advanced proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.
  • Ability to prepare detailed reports, executive summaries, and presentations for leadership.
Benefits (Through SSO)

SSO offers a competitive benefits package that supports your health, financial wellbeing, and longterm growth, including:

  • Medical, dental, and vision insurance
  • 401(k) with discretionary employer match
  • Paid time off and holidays
  • Flexible spending accounts
  • Additional employee perks

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