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Medicaid Program Manager Jobs in Virginia (NOW HIRING)

DeKalb Health

Mental Health Program Manager

Richmond, VA · On-site

$65 - $68/hr

Manage Others Yes Description Position Summary The Program Manager for a Forensic Mental Health ... Ability to understand agency billing and reimbursement regulations such as Medicaid, Medicare and ...

CRi

Mental Health Program Manager

Richmond, VA · On-site

$65K - $67K/yr

The Program Manager for a Forensic Mental Health Group Home is a leadership role responsible for ... Ability to understand agency billing and reimbursement regulations such as Medicaid, Medicare and ...

Sky Solutions

Program Director (CMS)

Tysons Corner, VA · On-site

Program Manager / Program Director - CMS Federal Healthcare Program Location: Tysons Corner, VA ... Medicaid / MMIS / Data Platforms * Marketplace / Eligibility Systems * HCQIS or related CMS ...

New

CRi

Account Analyst

Chantilly, VA · On-site

$28 - $33/hr

... programs and issues. Plans, directs, and manages Medicaid external audits; resolves audit issues and responds to inquiries from Medicaid external auditors. • Assumes responsibility for Medicaid ...

Maximus

Lead Consultant - Medicaid

VA · On-site +1

... managed care and provider cost reporting. - Program Operations - Advise states on improvements in eligibility, enrollment, and customer service systems. - Quality Performance Analysis - Assess and ...

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All JobsMedicaid Program JobsMedicaid Program Manager JobsMedicaid Program Manager Jobs in Virginia

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 Virginia?

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

What job categories do people searching Medicaid Program Manager jobs in Virginia look for?

The top searched job categories for Medicaid Program Manager jobs in Virginia are:

What cities in Virginia are hiring for Medicaid Program Manager jobs?

Cities in Virginia with the most Medicaid Program Manager job openings:

Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Therapy Program Manager (PM)

Healthpro Heritage, LLC

Charlottesville, VA • On-site

$49 - $53/hr

Full-time

Re-posted 2 days ago

Key responsibilities

  • Manage and supervise clinical therapy staff, including hiring, performance appraisals, and fostering a positive team atmosphere.

  • Maintain a clinical caseload and ensure the delivery of high-quality therapy services in compliance with regulatory standards.

  • Develop strategies to expand therapy programs, including building caseloads and leading marketing efforts.

HealthPRO Heritage rating

6.9

Company rating: 6.9 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

Job description

Overview
HealthPro Heritage has a great full-time Program Manager Opportunity at The Colonnades in Charlottesville, VA.
  • Open to Occupational Therapists in the state of VA
  • Community: Long Term Care - Continuing Care Retirement Community including Skilled Nursing, AL, IL, and Memory Care
  • Compensation: $49-$53 per hour base pay + bonus opportunities
  • Hours: 40 hours per week
  • Responsible for: treating patients and managing/running a multitude of programs.
  • Prior management experience preferred

Why Choose HealthPro Herhitage?
  • Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions.
  • Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.
  • Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.
  • Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.
  • Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!

Join Us in Making a Difference
At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, and pediatric schools and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.
Responsibilities
Team Leadership & Management
  • Directly manage and supervise clinical therapy staff, including hiring, performance appraisals, and fostering a positive team atmosphere.
  • Monitor personnel compliance, credentials, and develop corrective action plans when necessary.

Clinical Oversight & Quality Assurance
  • Maintain a clinical caseload and ensure the delivery of high-quality therapy services in compliance with regulatory standards (e.g., CARF, JCAHO).
  • Conduct reviews of therapy programs and services to assess effectiveness and efficiency.

Program Development & Growth
  • Develop strategies to expand therapy programs, including building caseloads and implementing special initiatives like fitness or dementia programs.
  • Lead marketing efforts with local hospitals, physicians, and the community to promote the therapy program.

Operational Management
  • Oversee scheduling of patients and therapists to ensure adequate coverage.
  • Track and report assessment period data, ensuring proper documentation and adherence to Medicare and company guidelines.

Problem Resolution & Staff Support
  • Investigate and resolve patient, staff, or service-related issues, ensuring open communication and problem-solving.
  • Provide ongoing education and in-service training to staff and community members.

Compliance & Safety
  • Maintain up-to-date knowledge of laws and regulations governing rehabilitation services.
  • Ensure a safe environment by complying with infection control, OSHA standards, and proper use of tools and equipment.

Qualifications
  • Education: Degree in required discipline (Physical, Occupational, Speech Therapy and/or Physical Therapy/Occupational Therapy Assisting).
  • Licensure: Valid state licensure as a PT/OT/SLP and/or PTA/COTA, or license eligible
  • At least 3-5 years of clinical experience in rehabilitation or a related healthcare field.
  • Supervisory or management experience in a healthcare setting preferred, ideally in rehab therapy
  • Leadership & Team Management: Strong ability to lead, motivate, and manage a multidisciplinary team of therapists and support staff.
  • Clinical Knowledge: Deep understanding of rehabilitation principles, practices, and patient care protocols.
  • Communication: Excellent written and verbal communication skills for interacting with staff, patients, families, and stakeholders.
  • Problem-Solving: Effective decision-making and critical thinking skills to address challenges and improve operations.
  • Organizational Skills: Strong ability to manage schedules, resources, and budgets efficiently.
  • Compliance Knowledge: Familiarity with healthcare regulations, including HIPAA, Medicare/Medicaid, and other applicable laws.

HealthPRO Heritage and its subsidiaries provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HealthPRO Heritage and its subsidiaries comply with applicable state and local laws governing nondiscrimination in employment in every location in which the company facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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