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Medicaid Program Manager Jobs in Idaho (NOW HIRING)

Program Manager - QIDP Salary : $58,656 Job Status : Full time/Salary Work Location: Idaho Falls ... Ensure compliance with all applicable agency policies, Medicaid requirements, licensing standards ...

Ensure required documents are collected, completed, and maintained according to agency and Medicaid ... Collaboration & Communication * Work closely with case managers, CBRS staff, therapists ...

Case Manager

Coeur D Alene, ID · On-site

$44K - $59K/yr

We unite for Idaho's youth by providing accessible programs and services that nurture hope, healing ... Medicaid clients o Ability to complete annual certification of CANS o Passion for working with ...

Case Manager

Coeur D Alene, ID · On-site

$19.50 - $25.25/hr

We unite for Idaho's youth by providing accessible programs and services that nurture hope, healing ... Medicaid clients o Ability to complete annual certification of CANS o Passion for working with ...

Case Manager

Coeur D Alene, ID · On-site

$44K - $59K/yr

We unite for Idaho's youth by providing accessible programs and services that nurture hope, healing ... Medicaid clients o Ability to complete annual certification of CANS o Passion for working with ...

As a Case Manager, you can proudly tell your family and friends that you help nurture hope, healing ... Demonstrate knowledge of Medicaid's Youth Empowerment Services Program * Demonstrate a working ...

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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 Idaho?

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

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

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

Infographic showing various Medicaid Program Manager job openings in Idaho as of August 2026, with employment types broken down into 86% Full Time, 10% Part Time, and 4% Contract. Highlights an 79% In-person, 3% Hybrid, and 18% Remote job distribution.

Population Health Program Manager

Payette, ID • On-site

Valley Family Health Care Inc
Outpatient Health Care • 51 - 200 employees

Full-time

Posted 9 days ago


Job description

Description

 QUALIFICATIONS:

1. Two or more years' experience in the fields of healthcare, public health, social service, or quality improvement.

2. Minimum of 1 year experience in value-based payment programs, population health, or care coordination; a background in medical billing is a plus.

3. Bachelor's degree in business or health related field; a combination of experience and post high school education may be substituted for degree requirements.

4. Knowledge of typical quality and value-based care programs within Medicare, Medicaid, and commercial payors.

5. Knowledge of CMS Quality Metrics. 

6. Excellent organizational skills and strong written and verbal communication skills.

7. Strong computer skills, particularly in Microsoft Excel and Electronic Health Records.

8. Ability to read, interpret, and analyze data.

9. Able to build and maintain effective partnerships internally and externally with an awareness of community resources.

10. Strong analytical skills with the ability to manage and prioritize multiple tasks.

11. Fluent in written and spoken English. Spanish fluency is desirable.

Requirements

  RESPONSIBILITIES:

  1. Responsible for managing the      success of Valley Family Health Care's Value Based Payment Programs. 
  2. Manage the care      coordinators/RN case managers, and the Population Health Specialists to      include directing work, performance management and supervision.
  3. Monthly reporting to care teams and Leadership.
  4. Working closely with Data Analytics team and external      partners to ensure reporting is valid and utilizable. 

5. Maintaining reporting requirements for value-based payment programs.

6. Maintaining relationships with value-based payment programs partners.

7. Maintenance of population health tools. 

8. Quality improvement initiatives and projects related to quality metrics. 

9. Training of care teams related to value based payment programs and clinical quality metrics.

10. Promote clear communication among the integrated care team. 

11. Participate in other VFHC meetings and committees as assigned.

12. Assist with meeting quality measures by completing tasks related to VFHC initiatives.

13. Perform other duties as assigned.


Physical Requirements:

  1. Must be able to lift 25      lbs.
  2. Continuous      sitting, standing, walking.
  3. Correctable      vision and hearing.
  4. The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
  5. The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.