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Medicaid Program Manager Jobs in Washington (NOW HIRING)

Maximus

Lead Consultant - Medicaid

VA · On-site +1

  • Medical

  • Life

  • Retirement

  • PTO

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

KBEC Group Inc.

Coordinator, TEC Program

Washington, DC · On-site

$60K - $65K/yr

... Medicaid Waiver Services Requirements, Incident Management, Program Rules and Policies as requested. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: The below statements are intended to describe the ...

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

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

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

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

Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Program Director (SUD)

T and N Services and Solutions

Washington, DC • On-site

$90K/yr

Contractor

This job post has expired today. Applications are no longer accepted.

Job description

Position Overview:

Provide clinical leadership for T and N, supervising SUD counselors, coaches, and care coordinators; ensure high-quality, evidence-based treatment, regulatory compliance, and strong community partnerships. This role combines clinical supervision, program oversight, and community coordination to achieve strong client outcomes, maintain regulatory readiness, and foster a supportive workplace culture. Licensure is required for this role.



Key Responsibilities:

Client Care Coordination

  • Provide clinical oversight and conduct client intake, assessment, treatment planning, and case management services.
  • Participate in interdisciplinary team meetings, treatment planning, and care coordination.

Operations & Community Engagement

  • Liaise with referral partners, courts, hospitals, and community agencies.
  • Manage site schedules, caseloads, and coverage planning.

Staff Management & Development

    • Develop and implement engagement strategies—such as topic-focused groups, interactive therapy sessions, and community resource events—to improve treatment retention and client satisfaction.
    • Supervise a team of licensed and unlicensed behavioral health clinicians.
    • Provides consistent and constructive feedback to supervisees to support their performance and execution of assigned duties.
    • Provide individual and group clinical supervision to counselors, coaches, and case coordinators.
    • Assists in the training and professional development of staff to support continuous learning and program improvement.
    • Prepare program reports and KPI dashboards for leadership.

    Clinical Tasks & Oversight

    • Lead structured group sessions, therapeutic workshops, and peer-support activities to promote active participant engagement and sustain recovery progress.
    • Review caseloads, treatment plans, assessments, and client progress.
    • Provide crisis intervention and support, ensuring appropriate referrals and linkages to services.

    Compliance & Quality Assurance

      • Conduct regular chart reviews and clinical audits to maintain compliance and quality standards.
      • Ensures compliance with all applicable regulations, standards, and guidelines issued by the District of Columbia Departments of Behavioral Health and Health, the Medicaid Program, and other governing bodies.
      • Ensure proper documentation in electronic medical records (EMR), meeting billing and compliance requirements.
      • Monitor the effectiveness of services, conduct quality assurance reviews, and provide clinical supervision to ensure adherence to best practices.
      • Ensure compliance with HIPAA, ASAM criteria, and state licensing standards.



        Qualifications:

        Required:

        • Education: Master’s degree in social work, counseling, psychology, or a related behavioral health field.
        • Licensure: LICSW/LCSW-C/LPC, RN, NP in the District of Columbia
        • Experience: At least one (1) year of experience in outpatient mental health services for adults.
        • Minimum of one (1) year of clinical and administrative supervisory experience in a behavioral health setting.


        Preferred:

        • Experience: 2 years of experience in outpatient mental health services.
        • Experience with co-occurring disorders.


        Core Competencies:

          • Knowledge of SUD treatment models, ASAM levels of care, and behavioral health regulations.
          • Proficiency in electronic medical records (EMR) and Microsoft Office Suite.
          • Strong clinical judgment and crisis management skills.
          • Ability to lead, motivate, and mentor diverse teams.
          • Excellent communication and documentation skills.
          • Commitment to equity, inclusion, and trauma-informed care.
          • Data-driven mindset for tracking outcomes and improving services.


          Working Conditions

          • Primary work at DC outpatient clinic, Monday through Friday, 8:30am to 5pm in office.
          • Community Events within the DC area. 


          Work Authorization/Security Clearance (if applicable)

          T&N is committed to employing only individuals who are authorized to work in the United States and who comply with applicable immigration and employment law.


          AAP/EEO STATEMENT

          It is the policy of T and N Services and Solutions, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state, or local law. In addition, T and N Services and Solutions will provide reasonable accommodations for qualified individuals with disabilities.


          Other Duties

          Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.