Medicaid Program Manager Jobs in New York (NOW HIRING)

The Ali Forney Center (AFC) protects LGBTQ+ youth from homelessness and helps them build the tools needed to live independently. Founded in 2002, AFC provides housing, healthcare, and educational support to thousands of youth each year. AFC creates an affirming, supportive environment where LGBTQ+ youth can thrive.

The Social Care Network (SCN) Program Manager oversees the implementation, coordination, compliance, and day-to-day operations of the Ali Forney Center’s participation in New York State’s Medicaid 1115 Waiver Social Care Network initiative. The Program Manager ensures that staff are trained, supported, and operating in compliance with New York State Department of Health (NYSDOH), Office of Health Insurance Programs (OHIP), SCN, and Managed Care Organization (MCO) requirements.

This role serves as the internal operational lead for AFC’s SCN work across screening, navigation, enhanced HRSN services, nutrition supports, housing-related supports, referrals, billing coordination, and data reporting. The Program Manager will work closely with frontline staff, finance, compliance, program leadership, and external SCN partners to ensure high-quality service delivery and reimbursement readiness.

• Coordinate implementation and ongoing operations of AFC’s SCN program across Manhattan, Brooklyn, and Queens.

• Ensure compliance with SCN policies, NYHER (New York Health Equity Reform) 1115 Waiver guidance, SCN Operations Manual requirements, and Medicaid documentation standards.

• Supervise and support SCN staff delivering screenings, navigation, nutrition, housing, and care coordination services.

• Develop workflows to ensure timely completion of screenings, eligibility assessments, social care plans, referrals, and service documentation within the SCN IT Platform.

• Monitor program performance metrics, billing readiness, referral completion, and service delivery timelines.

• Coordinate onboarding and required trainings for SCN staff, including trauma-informed care, cultural competency, HIPAA, data privacy, mandated reporting, and SCN platform training.

• Serve as AFC’s point person with Public Health Solutions and SCN operational partners.

• Support quality assurance activities, audits, reporting, and corrective action plans as needed.

• Ensure proper collection and maintenance of member consent and confidential health information in compliance with HIPAA and NYS regulations.

• Collaborate with finance and billing staff to support reimbursement tracking and issue resolution.

• Assist in developing policies, SOPs, training materials, and internal compliance tools related to SCN services.

• Monitor staffing capacity and help identify operational gaps and program improvement opportunities.

BENEFITS & TOTAL REWARDS

• Medical, Dental, and Vision Insurance
• 401(k) with up to a 5% employer match (vested after five years)
• Generous Paid Time Off, Sick Leave, Personal Leave, and 12 Paid Holidays
• Employee Assistance Program (EAP)
• Professional Development Opportunities
• Mission-driven, inclusive workplace culture

• Bachelor’s degree required

• Minimum 3–5 years of experience in Medicaid-funded programs, care coordination, social services, housing, or healthcare operations..

• Strong project management, compliance, and operational oversight skills.

• Experience supervising staff and coordinating multidisciplinary teams.

• Strong written, organizational, and communication skills.

• Ability to manage multiple priorities in a fast-paced environment.

Preferred but not required

• Master’s degree in Social Work, Public Health, Health Administration, or related field preferred.

• Experience with New York State Medicaid systems, managed care, or 1115 Waiver initiatives strongly preferred

• Knowledge of health-related social needs (HRSN), trauma-informed care, LGBTQ+ youth services, and housing instability preferred.

Thank you for your interest in the Ali Forney Center. Due to the high volume of applications received, only candidates selected for further consideration will be contacted. We encourage you to apply for any positions for which you meet the qualifications .

Ali Forney Center is an equal opportunity employer committed to a workplace where all employees feel respected, supported, and able to thrive. We consider all qualified applicants without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected status.