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Medicaid Program Manager Jobs in Georgia (NOW HIRING)

CYNET SYSTEMS

Medicaid Business Analyst

Atlanta, GA · On-site

$55/hr

... management processes. * Mandatory experience working with large system integrators, healthcare vendors, or state Medicaid programs. * Experience working on large state Medicaid programs and ...

FHR

A - 4-1 746899 - Project Manager

Atlanta, GA · On-site

... and Medicaid programs. This position will interact with all levels of staff including executive ... Management prefers applicants with the following: - Candidate with PgMP Certification - Candidate ...

HOSPICE SAVANNAH INC

Scheduler, PACE Program, PRN

Savannah, GA · On-site

$15.25 - $18.50/hr

... by PACE Center management. Minimum Qualifications * Before working independently, meet a ... Have not been convicted of criminal offenses involving Medicaid, Medicare, other health insurance ...

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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 Georgia? For Medicaid Program Manager jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Georgia look for? The top searched job categories for Medicaid Program Manager jobs in Georgia are:
What cities in Georgia are hiring for Medicaid Program Manager jobs? Cities in Georgia with the most Medicaid Program Manager job openings:
Medicaid Program Manager jobs near you
Director, Medicaid Quality Improvement & Strategy

Director, Medicaid Quality Improvement & Strategy

TRC Talent Solutions

Atlanta, GA

$120K - $150K/yr

Full-time

Posted 2 days ago

Job description

Director, Medicaid Quality Improvement & Strategy | Lead Data-Driven Healthcare Transformation  

Location: Dunwoody, GA

Type: Direct Hire

Schedule: M-F

Salary: $120k+ (DOE)

Are you a strategic leader and subject matter expert within Medicaid delivery systems and managed care environments? TRC Talent Solutions is seeking a Director of Medicaid Quality Improvement & Strategy for a healthcare consulting organization. This role partners closely with analytics, operational, and executive leadership teams to translate Medicaid data into actionable insights that improve healthcare quality, access, and outcomes. Help drive quality improvement strategy, performance initiatives, and data-driven decision making across Medicaid programs.

What You'll Be Doing

  • Serve as a subject matter expert within Medicaid managed care and fee-for-service environments

  • Help drive quality improvement and performance strategy initiatives across Medicaid programs

  • Interpret healthcare quality, claims, and operational data to identify trends, gaps, and opportunities

  • Translate complex data findings into clear, actionable recommendations for leadership and stakeholders

  • Partner cross-functionally with analytics, operations, and clinical teams to support quality and population health initiatives

  • Support development of dashboards, reporting tools, and strategic presentations

  • Contribute to initiatives focused on improving healthcare outcomes, provider performance, and Medicaid program effectiveness

  • Participate in strategic discussions related to Medicaid quality initiatives and managed care performance

What We're Looking For

  • Master's degree required. 

  • 3+ years of experience within Medicaid, managed care, population health, healthcare quality, or related healthcare environments

  • Strong understanding of Medicaid delivery systems and managed care organizations (MCOs)

  • Experience interpreting healthcare performance metrics, quality measures, or healthcare analytics

  • Ability to communicate complex information to both technical and non-technical audiences

  • Experience working cross-functionally across analytics, operations, clinical, or strategy teams

  • Exposure to healthcare quality improvement initiatives, population health, HEDIS, or value-based care preferred

TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.