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Medicaid Program Manager Jobs in Oregon (NOW HIRING)

Strong expertise in Medicaid and Medicare programs, regulations, and managed care operations * Expertise in population health strategies, value-based care, and quality improvement * Advanced ...

Strong expertise in Medicaid and Medicare programs, regulations, and managed care operations * Expertise in population health strategies, value-based care, and quality improvement * Advanced ...

Manage the Healthy Families Program (HFA) and client services program which includes develop ... budget; oversees Medicaid claiming/reimbursement. Plan both short and long-range program ...

The HR Program Manager will play a critical role in advancing programs, projects, BMC (Boston ... Medicaid and Medicare contracts are managed and adhered to. · Monitoring, Evaluation and ...

... Medicaid Services (CMS), and EGWP policies and procedures. Manage operational efficiencies ... Ensures adherence to FEP program and ITS processes/procedures and applies deep Medicare Advantage ...

FQHC Billing Account Manager

OR · Remote

$60K - $65K/yr

Maintain knowledge of state Medicaid programs and managed care plans * Create dashboards and KPI reports to track AR aging, charge lag, clean claim rate, and payment trends * Lead and manage billing ...

FQHC Billing Account Manager

OR · On-site +1

$60K - $65K/yr

Maintain knowledge of state Medicaid programs and managed care plans * Create dashboards and KPI reports to track AR aging, charge lag, clean claim rate, and payment trends * Lead and manage billing ...

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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 Oregon?

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

Infographic showing various Medicaid Program Manager job openings in Oregon as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 21% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Managing Director, Medicaid

OR • On-site, Remote

American Institutes for Research
Scientific Research and Development Services • 1 - 5K employees

Full-time

Re-posted 18 days ago


Key responsibilities

  • Lead and oversee a portfolio of Medicaid policy and data analytics initiatives, including analytic design, data infrastructure development, and performance monitoring.

  • Guide multidisciplinary teams through analytic conceptualization, data specification, methodology, validation, and policy-relevant reporting.

  • Serve as a senior strategic advisor to federal and state clients, shaping analytic approaches and strengthening partnerships.


Job description

AIR's Healthcare Transformation Program is seeking an experienced Managing Director (MD) to lead and advance a portfolio of Medicaid policy and data analytics initiatives policy priorities, with a focus on strategic growth and innovation. The MD will provide executive leadership across multi-year projects involving Medicaid program analysis, data infrastructure development, and policy-relevant insights derived from administrative and claims data, while identifying emerging analytic needs, shaping new methodological approaches, and expanding AIR's Medicaid analytics portfolio in response to evolving federal and state policy priorities.

In this role, the MD will set the technical and strategic direction for Medicaid data analytics work-overseeing analytic design and implementation, data acquisition and management, performance monitoring, and technical assistance (TA)-and will partner with senior leadership to pursue new opportunities and strengthen AIR's position as a leader in federal and state Medicaid analytics.

Candidates hired for the position may work remotely within the United States (U.S.) or from one of our U.S. office locations. This does not include U.S. territories.

About AIR:

Established in 1946, with headquarters in Arlington, Virginia, AIR is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance to solve some of the most urgent challenges in the U.S. and around the world. We generate evidence and apply data-driven solutions that expand opportunities and improve lives for all.   

Responsibilities:

Project Leadership & Oversight

  • Set the strategic direction for a portfolio of federal and state Medicaid policy and data analytics initiatives, spanning analytic design, data infrastructure, performance monitoring, and reporting, and ensure alignment with evolving Medicaid program priorities and regulatory requirements.
  • Provide executive oversight across the full analytics lifecycle, guiding multidisciplinary teams on analytic conceptualization, data specification, methodology, validation, and policy-relevant reporting, while ensuring methodological rigor and consistency across projects.
  • Serve as a senior strategic advisor to federal and state clients, particularly CMS/CMCS and state Medicaid agencies, shaping analytic approaches, anticipating data and policy risks, and strengthening long-term partnerships.

Strategic Direction & Business Growth

  • Work with AIR's program area and functional leadership to create a business development strategy for established areas and specific new areas of growth and identify new opportunities, including:
  • Coordinating pursuit plans and pipelines for opportunities.
  • Supporting bid/no-bid decisions and ensuring alignment with AIR capabilities and priorities.
  • Leading or contributing to proposal pursuits: conceptualizing bid strategies, developing analytic and monitoring approaches, drafting proposal content, and conducting technical reviews
  • Cultivating and maintaining relationships with potential partners, funders, and clients.
  • Monitoring ongoing projects to understand client expectations, anticipate needs, and identify opportunities and challenges across the portfolio.
  • Assessing staff capacity and helping align resources to support both project delivery and new business pursuits.

Team Leadership, Staff Development & Collaboration 

  • Supervise and mentor task leads, analysts, researchers, TA specialists, and operational staff to build strong, high-performing project teams.
  • Foster cross-functional collaboration across analytics, communications, data management, TA, and operations teams to ensure integrated, high-quality project delivery.
  • Provide coaching and support to rising project leaders in effective project management, quality assurance, client communication, and staff supervision.

Thought Leadership & External Engagement

  • Represent AIR in stakeholder meetings, technical discussions, and conferences related to Medicaid data, policy, and program analytics.
  • Collaborate with AIR's communications teams to translate Medicaid analytic findings into publications, briefs, and presentations for policy and technical audiences.
  • Contribute to AIR's visibility and reputation in Medicaid data analytics, federal health program monitoring, and TA.

Qualifications:

Education, Knowledge, and Experience

  • PhD or MA in health economics, public health, public policy, biostatistics, or a related social science or quantitative discipline. 
  • 10-15 years of leadership or management experience in Medicaid policy, health data analytics, or federal health program work.  
  • Successful experience serving as a Managing Director or equivalent on complex contracts involving Medicaid data analysis, program evaluation, performance monitoring, TA, and/or policy research.  
  • Experience working with or for CMS/CMCS, state Medicaid agencies, or similar federal and state health agencies.
  • Demonstrated success leading federal proposal development and contributing to winning bids in Medicaid or related health policy domains.
  • Expert knowledge of Medicaid program structures, financing, policy priorities, and federal-state partnership requirements, including managed care, fee-for-service, waiver programs (1115), and value-based payment models.
  • Experience overseeing large, complex contracts and portfolios, including fiscal stewardship, risk management, staffing strategies, and operational systems consistent with federal contracting requirements.  
  • Proven record leading large-scale Medicaid analytics or applied policy research initiatives, including authorship and review of technical deliverables and presentation of findings to policy and technical audiences.
  • Demonstrated success leading multidisciplinary, mission-driven teams, including staff, subcontractors, and consultants, and aligning technical work with broader Medicaid program objectives.

Skills

  • Deep technical expertise in Medicaid data systems and analytics, including T-MSIS (Transformed Medicaid Statistical Information System), MAX data, encounter data, and state-level administrative data-with the ability to design and oversee complex analytic workflows, data linkages, and quality assurance processes. 
  • Proficiency in analytic methods applicable to Medicaid populations and programs, such as risk adjustment, propensity scoring, difference-in-differences, interrupted time series, and predictive modeling, with the ability to set methodological standards across a portfolio.
  • Ability to provide executive-level technical leadership, translating complex data and analytic methodologies into clear strategic guidance for federal and state clients, senior stakeholders, and internal leadership  
  • Strategic, forward-looking thinker with the ability to identify emerging Medicaid data and analytic needs, shape new approaches, and maintain a long-term view of portfolio growth and sustainability.
  • Strong organizational and leadership skills, with experience managing multiple workstreams and setting priorities across complex, interrelated analytics efforts.
  • Collaborative leadership style and commitment to mentorship and talent development, building depth, continuity, and excellence in Medicaid data analytics capabilities.

Disclosures: Applicants must be currently authorized to work in the U.S. on a full-time basis. Employment-based visa sponsorship (including H-1B sponsorship) is not available for this position. Depending on project work, qualified candidates may need to meet certain residency requirements.

American Institutes for Research is an equal employment opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without discrimination on the basis of any characteristic protected by applicable federal, state or local law, including, but not limited to, actual or perceived race (including traits historically associated with race, such as hair texture, hair type, and protective hairstyles such as braid, locs, and twists), creed, color, religion, alienage or national origin, ancestry, citizenship status, age, physical or mental disability, medical condition (e.g., cancer), sex, gender, gender identity or expression (including transgender status), sexual orientation, marital status, civil union status, pregnancy, childbirth or related medical conditions, genetic information, or military or veteran status. AIR adheres to strict child safeguarding principles. All selected candidates will be expected to adhere to these standards and principles and will therefore undergo reference and background checks. AIR maintains a drug-free work environment. 

ACCESSIBILITY NOTICE: If you need a reasonable accommodation for any part of the employment process due to a physical or mental disability, please send an email to Taliba Boone at tboone@air.org or call 202.403.5000.

Fraudulent Job Scams Warning & Disclaimer: AIR is aware of individuals falsely presenting themselves as AIR representatives. Fraudulent job scams seek to extract sensitive information or money from victims. To protect yourself, please be aware that AIR recruitment will only email you from an "@air.org" domain. Please take extra caution while examining the email address, for example jdoe@air.org is correct and jdoe@aircareers.org is not a legitimate AIR email address. If you are unsure of the legitimacy of a communication you have received, please reach out to recruitment@air.org. If you see a job scam, or lose money to one, report it to the Federal Trade Commission (FTC) at ReportFraud.ftc.gov. You can also report it to your state attorney general. Find out more about how to avoid scams atftc.gov/scams.

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