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Medicaid Program Manager Jobs in Washington (NOW HIRING)

Why This Role Matters The Program Manager provides support, assistance, and guidance to individuals ... Familiarity with Medicaid regulations Skills & Abilities * Must be eligible to work in the U.S.

Medicaid/Medicare Consultant

MD · On-site

$90K - $150K/yr

Provide and manage consulting, data transfer, and claims processing services to increase federal ... and Medicaid programs; provide IDHS with detailed information identifying those claims that the ...

Ensure compliance with all State and Federal regulatory guidelines, including Medicaid, Licensing ... Perform the duties of the Program Manager in his/her absence. Ensure the daily operations are ...

Ensure compliance with all State and Federal regulatory guidelines, including Medicaid, Licensing ... Perform the duties of the Program Manager in his/her absence. Ensure the daily operations are ...

... Management programs. Promotes residents rights, assists residents to make informed decisions ... Medicaid Waiver requirements, human rights requirements, OSHA requirements, and other contractual ...

We are seeking an experienced Program Manager to provide leadership and oversight for a large-scale federal IT modernization program supporting the Center for Medicare and Medicaid (CMS) . The ...

Administers Medicaid Waiver services. * Schedules, trains, leads and evaluates the work of Group ... and manage the behaviors of program participants. Job Type: Full-time Benefits: * Employee ...

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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 Washington? For Medicaid Program Manager jobs in Washington, the most frequently searched job titles are:
What cities in Washington are hiring for Medicaid Program Manager jobs? Cities in Washington with the most Medicaid Program Manager job openings:
Vice President/Executive Director, Federal Medicaid Practice

Vice President/Executive Director, Federal Medicaid Practice

Mathematica

Washington, DC

Other

Re-posted 5 days ago


Job description

Asa national leader in evidence-based decision-making, Mathematica builds on itsextensive knowledge of programs and policies to design and implement solutionsbuilt on high quality data, supported by deep understanding of programs andpolicies, and customized for clients' needs. Driven by its mission, Mathematicafinds ways to improve the quality, efficiency, affordability, and financing ofhealth care, and to promote sound decision-making in care delivery andfinancing, quality measures and health systems change. Mathematica also worksto address longstanding issues in health care, such as measuring and improvinghealth care quality, controlling health care costs, and designing efficient andeffective delivery systems to meet diverse needs.
Weseek a department director for our Federal Medicaid Department (either at theExecutive Director or Vice President level), a mature market, providingadvisory services to the Centers for Medicaid and CHIP Services (CMCS) at theCenters for Medicare & Medicaid Services (CMS), the Medicaid and CHIPPayment Advisory Commission (MACPAC) and numerous other U.S. Department ofHealth and Human Services offices and agencies. The department leader willdrive results and deepen relationships with CMS and other Federal agenciesworking with the Medicaid program, as well as provide support and guidance toour State Medicaid group.  The positionreports to the Senior Vice President of our Federal Payors and DeliveryTransformation (FPDT) division.
Mathematica'scurrent Federal Medicaid practice is approximately 180 people supportingprograms such as 1115 waiver technical assistance, Medicaid data quality and analytics,and technical assistance to states on a variety of policy and operational issues.  Within other agencies, we also provide supporton evaluation of Medicaid program effectiveness, substance use policy and useof Medicaid data for analytic purposes. 
Theexecutive should have substantial Medicaid policy and strategy experience, andsignificant consulting experience at either the Federal or state levels.  The executive should have a track record anddemonstrated ability to build a consulting practice and lead groups ofprofessionals in a dynamic, ever-changing environment. Mathematica is seekingsomeone who can continue to expand an existing and well-respected practice, andbe a business leader in both policy and digital services as Medicaid data andsystems evolve. The ideal candidate will provide strategy and operational oversightto help Mathematica win and execute complex, high profile engagements, servingas a partner to CMS and other Federal agencies. In addition, the executive willdevelop relationships with the Vice President for State Health, and statehealth business development team to provide subject matter support, collaborateon overlapping policy issues, and resolve potential conflicts of interest.
Inaddition, the executive will possess a comfort level operating with other stakeholdersand executives in the healthcare environment to externally representMathematica and the FPDT Division offerings. This person will establish trustand respect with clients through their superior content knowledge across abroad range of complex issues. 
Mathematicais seeking a proven leader that can: 

  • Continue to advance Mathematica's industry leading position in Medicaid data analytics and related program implementation across the Federal government
  • Manage a 130+ person advisory services practice, determining business development priorities, staffing needs, and investment areas
  • Manage Department and Division level budgets, project revenue, and set targets for growth
  • Expand Mathematica's ability to provide digital services as CMCS and other Federal agencies evolve their technology capabilities
  • Bring a solution-minded skillset to operations of a large, diverse practice to continuously improve internal processes, manage needs into the organization, and set overhead spending priorities
  • Integrate the emerging trends in healthcare such as value-based care and equity issues, with Mathematica's strong market capabilities to strengthen the Medicaid practice
  • Provide or coordinate thought-leadership around issues critical to Mathematica's Medicaid clients
  • Collaborate with the Vice President for State Health to share ideas, resolve conflicts, and manage staffing across the Federal and State Medicaid markets
  • Collaborate across the Mathematica enterprise to bring the best solutions to clients and provide process improvements across the business unit