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Medicaid Program Manager Jobs in Georgia (NOW HIRING)

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 ...

PruittHealth

Compliance Auditor - Nurse

Norcross, GA · On-site

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

PruittHealth

Compliance Auditor - Nurse

Norcross, GA · On-site

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

PruittHealth

Compliance Auditor - Nurse

Norcross, GA · On-site

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

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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

Scheduler, PACE Program, PRN

HOSPICE SAVANNAH INC

Savannah, GA • On-site

$15.25 - $18.50/hr

Other

Re-posted 15 days ago

Job description

Job Summary
The Scheduler is responsible for coordinating and scheduling outside medical appointments for PACE participants in accordance with participant care plans and IDT direction, while maintaining accurate medical appointment records and performing other duties as assigned by PACE Center management.
Minimum Qualifications
  • Before working independently, meet a standardized set of competencies for the Scheduler position established by the PACE plan (CMS required).
  • Before engaging in participant care, be medically cleared for communicable diseases and have up-to-date immunizations and vaccines (CMS required).
  • Have not been convicted of criminal offenses involving Medicaid, Medicare, other health insurance or health care programs, or social services programs under title XX of the Act (CMS required).
  • Have not been excluded from participating in Medicare and Medicaid programs (CMS required).
  • Have not been convicted of criminal offenses pertaining to physical, sexual, drug, or alcohol abuse (CMS required).

Competencies, Preferred Knowledge, Skills, and Abilities
  • High school diploma or equivalent (Preferred).
  • Experience in medical scheduling, medical records management, or healthcare administrative support (Preferred).
  • Experience working in Electronic Health Records (EHRs) (Preferred).
  • Experience coordinating medical appointments with hospitals, specialty providers, or outpatient clinics (Preferred).
  • One year of experience working with a frail or elderly population or in a healthcare setting serving older adults (CMS preferred).

Physical Demands and Work Environment
This position is primarily sedentary and is performed in an office environment. The Scheduler routinely sits for extended periods while working on a computer and communicating via telephone and email. The role requires frequent visual focus and manual dexterity to enter and review appointment data, medical records, and documentation, as well as the ability to communicate effectively in verbal and written formats.
The work environment typically involves a moderate noise level typical of an office or healthcare setting. Occasional standing, walking, bending, or reaching may be required while performing duties within the PACE Center. The position may require the ability to lift or carry light office materials such as files or documents of up to 20 pounds.
Position Type and Expected Hours of Work
This position is classified as PRN, non-exempt, generally scheduled to work as needed during the days of Monday -Friday, 8am- 4:30pm. This position may require occasional variations in schedule, including additional hours, based on operational and organizational needs.
Travel
No travel required

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