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Medicaid Program Manager Jobs in Michigan (NOW HIRING)

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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 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.

Contract Negotiation Manager, Medicaid (Michigan)

CVS Health

South Lyon, MI • On-site

$60K - $132K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,329 frontline employees who took The Breakroom Quiz

88th of 111 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Job Summary

  • Constructs negotiation, execution, review, and analysis of contracts. Delivers dispute resolution and settlement negotiations with providers. Ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals.

What you will do

  • Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives.

  • Forecasts changes within the Contract Negotiations industry, conducts business impact assessments, and develops modification strategies with the aid of process improvement methodologies.

  • Designs systems to recruit providers in support of network expansion and adequacy targets.

  • Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities.

  • Determines recommendations to manage cost issues and support cost-saving initiatives and settlement activities.

  • Assists in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units.

  • Coaches more junior colleagues in techniques, processes, and responsibilities.

Required Qualifications

  • 5+ years experience in a provider relations, contracting or managed care environment

  • Critical thinking to maintain cost management and a fully engaged network of participating PCP or specialists.

  • Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.

  • Microsoft Office/Excel proficient

  • Must reside in the state of Michigan and be able to travel in the state (up to 10-15%) as needed (Michigan).

Preferred Qualifications

  • Strong communication, critical thinking, problem resolution and interpersonalskills.

  • Understanding knowledge of Value Based Contracting.

  • Internal Aetna system knowledge a plus.

  • Understanding of Medicaid.

Education

  • Bachelor's degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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