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Medicaid Program Manager Jobs in Nebraska (NOW HIRING)

Medicaid Medical Director

Lincoln, NE · On-site

$300K - $350K/yr

JR2026-00027855 Medicaid Medical Director (Open) Applications No Longer Accepted On (If no date is ... Program, including fee-for-service, managed care, waiver, and other healthcare delivery models.

Medicaid Medical Director

Lincoln, NE · On-site +1

$300K - $350K/yr

JR2026-00027855 Medicaid Medical Director (Open) Applications No Longer Accepted On (If no date is ... Program, including fee-for-service, managed care, waiver, and other healthcare delivery models.

Senior Counsel/Associate General Counsel

Omaha, NE · On-site

$132K - $179K/yr

Partner closely with Compliance and Risk on regulatory matters, Medicaid program integrity, and managed care organization (MCO) inquiries. * Draft, negotiate, and manage a wide variety of healthcare ...

Case Manager

Grand Island, NE · On-site

$16.50 - $21.25/hr

... program. * Assist residents with finding resources they may need in the community. * Co-facilitate ... Check Medicaid eligibility on all residents on the first, 15th and last business day of each month.

Case Manager

Grand Island, NE · On-site

$16.50 - $21.25/hr

... program. * Assist residents with finding resources they may need in the community. * Co-facilitate ... Check Medicaid eligibility on all residents on the first, 15th and last business day of each month.

... assistance programs in our Economic Assistance or Medicaid teams. The significant work our ... Experience in the field of human services, or case management, or determining eligibility for ...

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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 Nebraska? For Medicaid Program Manager jobs in Nebraska, the most frequently searched job titles are:
What cities in Nebraska are hiring for Medicaid Program Manager jobs? Cities in Nebraska with the most Medicaid Program Manager job openings:

Medicaid Medical Director

Nebraska State Jobs

Lincoln, NE • On-site

$300K - $350K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 22 days ago


Nebraska Department Of Transportation rating

7.5

Company rating: 7.5 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

506th of 836 rated public administrative organizations


Job description

The work we do matters!
Hiring Agency:
Health & Human Services - Agency 25
Location:
Lincoln, NE
Hiring Rate:
$1.000
Job Posting:
JR2026-00027855 Medicaid Medical Director (Open)
Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):
Job Description:
The Nebraska Department of Health and Human Services (DHHS) is seeking an experienced physician leader to serve as Medical Director for the Division of Medicaid and Long-Term Care (MLTC). As the division's senior clinical executive, the Medical Director provides strategic clinical leadership for Nebraska's Medicaid program, ensuring the delivery of high-quality, evidence-based, and fiscally responsible healthcare services for Medicaid members across the state.
The Medical Director provides clinical oversight for Nebraska's Medical Assistance Program, including fee-for-service, managed care, waiver, and other healthcare delivery models. This position leads clinical quality strategy, medical policy, utilization management, and population health initiatives while serving as the principal physician advisor to MLTC executive leadership.
In addition to leading Medicaid clinical operations, the Medical Director will provide executive oversight for clinical initiatives associated with Nebraska's Rural Health Transformation Program (RHTP), supporting statewide efforts to improve access, care coordination, population health, and value-based care.
As a member of the MLTC Executive Leadership Team, the Medical Director serves as a trusted advisor to agency leadership, represents DHHS with providers, managed care organizations, legislators, and federal partners, and helps shape the future of Nebraska Medicaid.
Location: Preferred work location is Lincoln, Nebraska. Candidates located elsewhere in Nebraska will also be considered, with regular travel to Lincoln expected based on business needs.
Salary: Annual salary ranging from $300,000 - $350,000 commensurate with qualifications and experience, if approved. DHHS also offers a comprehensive benefits package, including health insurance, retirement, paid leave, and professional development opportunities.
Reports to: Drew Gonshorowski, Director, Division of Medicaid and Long-Term Care.
Primary Responsibilities:
  • Serve as the senior clinical leader for Nebraska Medicaid, providing strategic oversight of clinical operations, medical policy, quality improvement, utilization management, pharmacy, credentialing, and other medically related programs across fee-for-service, managed care, waiver, and other healthcare delivery models.
  • Lead the development and implementation of evidence-based clinical strategies that improve healthcare quality, patient safety, population health, value-based care, and health outcomes while ensuring compliance with federal and state Medicaid requirements.
  • Provide clinical leadership for Medicaid-related RHTP initiatives, advancing innovative care delivery models, whole-person care, and long-term system transformation that improve access and outcomes for Nebraskans.
  • Serve as the division's principal physician advisor to executive leadership, providing clinical expertise on healthcare policy, regulatory matters, legislative initiatives, complex medical determinations, and strategic planning.
  • Represent Nebraska Medicaid in collaboration with providers, Medicaid Managed Care Organizations, CMS, professional organizations, state agencies, and other stakeholders to strengthen partnerships, improve care coordination, and advance statewide quality initiatives.
  • Ensure the clinical integrity of Nebraska Medicaid through oversight of medical policy, quality initiatives, clinical program performance, medically related contracts, and other administrative or legal matters requiring physician expertise.

Requirements/Qualifications:
Minimum Qualifications:
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
  • Active, unrestricted Nebraska medical license or ability to obtain prior to employment.
  • Board certification in a recognized specialty.
  • Progressive physician leadership experience within a healthcare organization, health plan, or public healthcare system.
  • Experience with Medicaid, managed care, healthcare quality improvement, and healthcare policy.
  • Demonstrated ability to lead complex clinical initiatives and build collaborative partnerships with providers, executive leadership, legislators, and regulatory agencies.

If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/
Benefits
We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits
Equal Opportunity Statement
The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

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