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Medicaid Program Manager Jobs in Texas (NOW HIRING)

Driscoll

Program Manager

Corpus Christi, TX

The Payment Integrity Program Manager is responsible for the management and oversight of the DHP ... Texas Medicaid Provider Procedures Manual, DHP Provider Contracts, and the DHP Provider Manual ...

Miller Law Office, PLLC

Medicaid Specialist

Plano, TX

$65K/yr

The Medicaid Specialist manages the full qualification process -- from initial eligibility analysis ... STAR+PLUS Waiver programs - Counsel families on asset spend-down strategies, Qualified Income ...

Tarian

Security Program Manager

Houston, TX · On-site

$79K/yr

The Security Program Manager provides leadership and administrative management to teammates ... This includes but is not limited to the Joint Commission, Center for Medicare and Medicaid Services ...

Tarian

Security Program Manager

Houston, TX · On-site

$79K/yr

The Security Program Manager provides leadership and administrative management to teammates ... This includes but is not limited to the Joint Commission, Center for Medicare and Medicaid Services ...

Tarian

Security Program Manager

Houston, TX · On-site

$79K/yr

The Security Program Manager provides leadership and administrative management to teammates ... This includes but is not limited to the Joint Commission, Center for Medicare and Medicaid Services ...

Tarian

Security Program Manager

Houston, TX

$79K/yr

The Security Program Manager provides leadership and administrative management to teammates ... This includes but is not limited to the Joint Commission, Center for Medicare and Medicaid Services ...

Tarian

Security Program Manager

Houston, TX · On-site

$79K/yr

The Security Program Manager provides leadership and administrative management to teammates ... This includes but is not limited to the Joint Commission, Center for Medicare and Medicaid Services ...

Miller Law Office, PLLC

Medicaid Specialist

Plano, TX · On-site

The Medicaid Specialist manages the full qualification process - from initial eligibility analysis ... STAR+PLUS Waiver programs - Counsel families on asset spend-down strategies, Qualified Income ...

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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 Texas? For Medicaid Program Manager jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Texas look for? The top searched job categories for Medicaid Program Manager jobs in Texas are:
What cities in Texas are hiring for Medicaid Program Manager jobs? Cities in Texas with the most Medicaid Program Manager job openings:
Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Manager, Medicaid Financial Operations

Capital Senior Living

Dallas, TX • On-site

$85K - $120K/yr

Full-time

Re-posted 10 days ago

Job description

About Sonida Senior Living
Sonida Senior Living is one of the nation's leading operators of independent living, assisted living and memory care communities for senior adults. The Company operates 165 communities that are home to nearly 12,000 residents across 35 states providing comfortable, safe, affordable communities where residents can form friendships, enjoy new experiences and receive personalized care from dedicated team members who treat them family.
Job Description:
This role serves as the organization's dedicated subject matter expert on Medicaid Waiver programs across all operating states. As Medicaid regulations, reimbursement structures, and managed care environments continue to evolve rapidly, this specialist will ensure our communities stay current, compliant, and connected to the right payer relationships. The ideal candidate brings deep knowledge of state-specific Medicaid policy and a track record of managing provider enrollment, contracting, and regulatory compliance in a multi-site healthcare or senior living setting.
Responsibilities:
Policy & Regulatory
  • Include Monitor and track Medicaid legislation, policy changes, and procedure updates across all operating states on an ongoing basis
  • Translate regulatory changes into actionable guidance for community leadership and operations teams
  • Maintain current knowledge of allowed room and board rates by state, including MA-SS income calculations and personal needs allowance (PNA) amounts
  • Research and document Medicaid Waiver program details for new states as the organization expands

Contracting
  • Manage the renewal of existing Medicaid contracts to ensure continuous participation and compliance
  • Establish new contracts with Managed Care Entities (MCEs) and Managed Care Organizations (MCOs) as needed
  • Negotiate reimbursement rates with payers (where applicable)
  • Maintain a centralized contract tracking system to monitor expiration dates, rate changes, and renewal timelines

Provider Enrollment & Credentialing
  • Research and verify existing National Provider Identifier (NPI) and Local Provider Identifier (LPI) numbers for current communities
  • Apply for new NPIs and LPIs as needed for new or expanding communities
  • Support communities in applying to become approved Medicaid Waiver providers, including data gathering and application coordination
  • Maintain accurate and up-to-date provider enrollment records across all states
  • Assist community and finance teams with data needed for Medicaid cost reports
  • Maintain working knowledge of state-specific estate recovery criteria, including applicable timelines and refund determination processes (resident vs. state)
  • Track and communicate legislative developments that may affect estate recovery windows (e.g., timeline extension initiatives)
  • Obtain and distribute updated Medicaid reimbursement rates to relevant stakeholders in a timely manner

Community Partnership & Training
  • Serve as a resource and thought partner for community leadership navigating Medicaid Waiver program requirements
  • Identify knowledge gaps across communities and develop tools or resources to close them
  • Collaborate cross-functionally with operations, finance, and compliance teams to align on Medicaid-related processes

Team Supervision
  • Directly supervise billing specialist(s), providing day-to-day direction, support, and accountability
  • Oversee the accuracy and timeliness of Medicaid billing activities, reviewing work product and resolving escalated issues
  • Coordinate closely with the Billing Specialist(s) on claims submission, payment reconciliation, and billing-related compliance requirements
  • Onboard and train the Billing Specialist(s) on Medicaid program processes, payer requirements, and compliance expectations

Qualifications:
  • 3+ years of experience in Medicaid program administration, payer relations, or provider enrollment
  • Working knowledge of Medicaid Waiver programs in at least one state (IN, TX, FL and MN preferred)
  • Familiarity with NPI/LPI enrollment processes
  • Strong organizational and project management skills
  • Ability to interpret and summarize regulatory and legislative documents
  • Proficiency in Microsoft 365
  • Experience in senior living, long-term care, or home and community-based services (HCBS)
  • Background in MCO/MCE contracting or rate negotiation
  • Familiarity with Medicaid cost reporting
  • Experience working in or alongside a multi-site operations environment

*The salary range for this role is $85,500 to $120,000.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
Capital Senior Living logo

About Capital Senior Living

Sourced by ZipRecruiter

Capital Senior Living Corporation, based in Dallas, Texas, US, operates within the healthcare industry, specifically providing senior living services. The company's main focus is on enhancing the quality of life for elderly residents. With a presence across numerous communities in different states, the company offers a spectrum of care, including independent living, assisted living, memory care, and other related ancillary services. Capital Senior Living was founded in 1990, demonstrating a proven track record in the senior living sector.

Industry

Individual, family and community social assistance

Company size

10,000+ Employees

Headquarters location

Addison, TX, US

Year founded

1990

Social media

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