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Medicaid Program Manager Jobs in Georgia (NOW HIRING)

... and Medicaid programs. This position will interact with all levels of staff including executive ... Manage multiple Vendor onboarding and identify key requirements needed from cross-functional teams ...

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 ...

Medicaid program experience * SAS (Statistical Analysis System) software experience, including data management, advanced analytics, and modeling * PBM experience or knowledge and experience using ...

... manage the Medicare and Medicaid denials and appeals process. 6. Demonstrates ability to perform ... care program or regulatory agency. • Excellent communication and organizational skills. • ...

Showing results 21-40

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 cities in Georgia are hiring for Medicaid Program Manager jobs?

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

A - 4-1 746899 - Project Manager

FHR

Atlanta, GA • On-site

Other

Re-posted 22 days ago


Job description

** The candidate will primarily work remotely. Candidate may be asked to attend on-site meetings in Raleigh, NC, if needed. Candidate must work EST business hours.**

Our direct client has an opening for Project Manager w/ Child Welfare Exp position # 746899. This position is for 12+ months, with option of extension, and will be worked remote. Candidate may be asked to attend on-site meetings in Raleigh, NC, if needed. Candidate must work EST business hours.

If you are interested, please submit the following:

YOUR CURRENT RESUME

YOUR HOURLY RATE

Below is the job description – Resumes due ASAP –

Description:

Our client is seeking an experienced Project Manager. This management role will work with multiple internal and external stakeholders, project teams, divisions, departments, and vendors to strategize, implement, and maintain the various modernization initiative for social services and Medicaid programs. This position will interact with all levels of staff including executive staff.
Responsibilities include but are not limited to:
• Review project proposals or plans to determine a time frame, funding limitations, procedures for accomplishing projects, staffing requirements and the assignment of available departmental resources to various project phases.
• Identify and schedule project deliverables, milestones, and required activities and tasks.
• Provide leadership and motivation to project team members throughout the project life cycle and confer with project staff to outline a work plan.
• Establish a work plan and staffing for project activities, iterations, or phases, and arrange for recruitment or assignment of project personnel.
• Ensure that project goals are in line with business objectives.
• Ensure that project goals are achieved.
• Assign duties and responsibilities to project personnel and define the scope of their authority.
• Direct and coordinate the activities of project personnel to ensure projects progress on schedule and within budget.
• Review status reports prepared by project personnel and modify schedules or plans as required.
• Work with business and cross-functional teams to develop Business Case and Cost Benefit analysis for prioritized initiatives within the program.
• Manage multiple Vendor onboarding and identify key requirements needed from cross-functional teams and Vendors.
• Work with other program managers to identify risks and opportunities across multiple projects within the department.
• Manage budget across various workstreams and funding channels for maximum productivity.
• Manage resource allocations and expectations for program.
• Collaborate with the State DIT to ensure program compliance with the State IT Roadmap and all State Privacy and security requirements.
Skills:
• The selected candidate must be a results-oriented individual with a strong work ethic and must be able to demonstrate excellent leadership, negotiation, time management, facilitation, and organizational skills.
• Experience in communicating in a fashion tailored to the audience and their needs.
• Excellent written communication and presentation skills
• Demonstrates experience in working effectively with all levels of staff, clients, and other IT personnel.
• Experience in the responsibility for acquiring and utilizing the necessary resources and skills, within agreed parameters of cost, timeframes, and quality for a program.
• Ability to identify and plan systematic corrective action to reduce errors and improve the quality of the systems and services, by examination of the root causes of problems.
• Ability to build, influence, lead and motivate effective teams towards end results.
Management prefers applicants with the following:
- Candidate with PgMP Certification
- Candidate with Agile (PMI-ACP) Certification
- Experience managing or supervising programs involving Application modernization and modularization projects.
- Experience collaborating with State and Local Government
- Experience in complex, cross-functional team environments
- Knowledge of social services and medicaid programs or similarly complex case management systems

Required/Desired Skills:

Program Management experience managing multiple large complex projects - Required - 3 Years

Experience creating roadmaps for the portfolio - Required - 3 Years

Proven track record of delivering IT projects within budget, scope and schedule - Required - 3 Years

Objective decision-making ability based on strategic objectives priority, business performance analysis and resource availability - Required - 3 Years

Hands on experience managing project risk, cost, schedule, quality, testing, and communications - Required - 3 Years

Strong supervision, organizational, interpersonal and time management skills - Required - 3 Years

Demonstrated presentation, training skills, oral and written communication skills. - Required - 3 Years

Solid work experience with project management tools (e.g. Microsoft Project) - Required - 3 Years

Experience with MS Office(Word, Excel and Power point) - Required - 5 Years

Strong organization and analytical thinking skills with experience preparing Project plan for complex business needs. - Required - 5 Years

Ability to communicate effectively at all job levels, use excellent evaluation skills, and ability to relay information in legible reports as required - Required - 5 Years

Experience with Agile Methodologies. - Highly desired

PMI certification Project Management Professional (PMP) - Desired

Experience with Cloud technologies & SaaS applications running on Cloud - Desired

Experience collaborating with Federal, State and Local Government - Highly desired

Experience managing implementation of a statewide IT project - Desired

Experience in establishing and/or implementing governance models for IT modernization efforts - Desired

Experience with projects related to Application transformation and Modernization - Required - 2 Years


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