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Medicaid Program Manager Jobs in Michigan (NOW HIRING)

Abound Health

Program Manager

Southfield, MI · On-site

The Program Manager provides operational leadership for assigned programs, ensuring high-quality ... Ensure compliance with Medicaid, HIPAA, accreditation, and company policies and procedures.

McLaren

Pharmacy Program Manager, Michigan

Flint, MI · On-site

$63.25 - $74.50/hr

MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare ... The Pharmacy Program Manager is responsible for the end-to-end oversight of McLaren Health Plan ...

New

McLaren Health Care

Pharmacy Program Manager, Michigan

Flint, MI · On-site

$63.25 - $74.50/hr

MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare ... The Pharmacy Program Manager is responsible for the end-to-end oversight of McLaren Health Plan ...

New

Healogics

Program Director

Alpena, MI · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities ...

Healogics

Program Director

Alpena, MI · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities ...

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All JobsMedicaid Program JobsMedicaid Program Manager JobsMedicaid Program Manager Jobs in Michigan

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 Michigan? For Medicaid Program Manager jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Michigan look for? The top searched job categories for Medicaid Program Manager jobs in Michigan are:
What cities in Michigan are hiring for Medicaid Program Manager jobs? Cities in Michigan with the most Medicaid Program Manager job openings:
Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Michigan as of June 2026, with employment types broken down into 14% Full Time, and 86% Part Time. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Program Manager

Abound Health

Southfield, MI • On-site

Full-time

Medical, Dental, Retirement

Posted 29 days ago

Abound Health rating

6.3

Company rating: 6.3 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

99th of 239 rated social care providers

Job description

Pro Care is seeking a Program Manager to join our IDD Services team. In this role, you will report to the Regional Manager. The Program Manager provides operational leadership for assigned programs, ensuring high-quality, person-centered services while maintaining compliance with Medicaid, HIPAA, accreditation standards, and company policies. This position leads office staff, supports quality outcomes, and promotes Pro Care's mission and values.
Key Responsibilities:
  • Oversee the daily operations of assigned programs and office locations.
  • Hire, train, coach, and supervise office staff, including Assistant Program Directors and Care Coordinators.
  • Ensure compliance with Medicaid, HIPAA, accreditation, and company policies and procedures.
  • Monitor quality assurance activities, incident reporting, investigations, and corrective actions.
  • Manage service authorizations and collaborate with Care Coordinators and payer organizations to resolve issues.
  • Represent Pro Care at community events, provider meetings, and recruitment activities.
  • Foster a positive, collaborative work environment focused on exceptional client care and employee development.

Qualifications:
  • Strong leadership and team management experience.
  • Five (5) or more years of management experience with two years in the IDD or human services field preferred.
  • Knowledge of Medicaid regulations, HIPAA, and IDD service delivery.
  • Experience with quality assurance, compliance, and incident management.
  • Excellent communication, organizational, and problem-solving skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Valid driver's license, reliable transportation, and the ability to travel within the assigned region.

Education:
  • Bachelor's degree preferred.

Compensation & Benefits:
Base pay is determined by factors such as work location, experience, job-related skills, and relevant education or training. In addition to base pay, total compensation may include various other forms of pay. We offer a comprehensive benefits package, including competitive health, dental, and wellness benefits, which begin on your 60th day of employment. Additionally, our 401(k) plan becomes available after 12 months of employment. For more information about our total rewards package, please reach out to your Talent Acquisition Partner.
Equal Employment Opportunity
Pro Care is an equal opportunity employer. Pro Care evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status, or any other legally protected characteristic.

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