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Medicaid Program Manager Jobs in Columbia, SC (NOW HIRING)

MedImpact

Clinical Account Executive II

Columbia, SC · On-site

$183K - $237K/yr

Summary The Clinical Account Executive (CAE) II possesses an exceptional working knowledge of Medicaid program pharmacy coverage and payment rules, along with in-depth experience in managing accounts ...

MedImpact

Clinical Account Executive II

Columbia, SC

$183K - $237K/yr

Summary The Clinical Account Executive (CAE) II possesses an exceptional working knowledge of Medicaid program pharmacy coverage and payment rules, along with in-depth experience in managing accounts ...

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All JobsMedicaid Program JobsMedicaid Program Manager JobsMedicaid Program Manager Jobs in Columbia, SC

Medicaid Program Manager information

See Columbia, SC salary details

$35.6K

$99.4K

$145.2K

How much do medicaid program manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for medicaid program manager in Columbia, SC is $99,416.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,500.00 and $122,600.00 per year, depending on experience, location, and employer.

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 job categories do people searching Medicaid Program Manager jobs in Columbia, SC look for?

The top searched job categories for Medicaid Program Manager jobs in Columbia, SC are:

Medicaid Program Manager jobs near you

Project Manager MMIS Medicaid - contract - Columbia, SC

SUNSHINE ENTERPRISE USA LLC

Columbia, SC • Hybrid

Contractor

Re-posted 19 days ago

Job description

Project Manager (MMIS Medicaid Systems Operations) Location: Columbia, SC Hybrid (3 days in office, 2 days remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract Experience Required: 06+ Years Candidate location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense. Project Scope: seeking an experienced IT Healthcare Consultant - Project Manager to serve as the lead for MMIS Medicaid Systems Operational Management. The consultant will oversee teams responsible for supporting business-critical Medicaid operations, including MCO enrollment, claims and encounter processing, payment processing, production support, and related healthcare system functions.

The consultant will coordinate with internal teams, external vendors, cybersecurity teams, enterprise architecture teams, and business stakeholders to ensure reliable system operations, incident resolution, compliance adherence, and continuous process improvement. Key Responsibilities: Medicaid System Operations Management Lead and oversee operational support activities for MMIS, Encounter Processing Systems, and supporting healthcare applications. Manage teams supporting production operations, helpdesk functions, interface/EDI support, and stakeholder monitoring.

Ensure operational processes meet business objectives and service-level expectations. Incident & Issue Management Manage production incidents, issues, escalations, and resolution activities. Ensure incidents are properly documented, tracked, escalated, and resolved within required timelines.

Identify operational risks and implement mitigation strategies. Maintain documentation of decisions, actions, and resolutions. Vendor & Stakeholder Management Coordinate with external vendors, cybersecurity teams, enterprise architecture teams, and business stakeholders.

Manage vendor deliverables, communications, and issue resolution. Ensure effective collaboration between technical and business teams. Project & Release Management Support system implementations, enhancements, and operational improvements.

Oversee release management activities, including: Stakeholder communication Implementation planning Readiness assessments Post-production monitoring Support change management activities, backlog grooming, and approval processes. Compliance & Process Management Ensure compliance with CMS, SSA, security policies, and organizational standards. Monitor security findings and ensure corrective actions are completed.

Develop, maintain, and enforce Standard Operating Procedures (SOPs). Identify opportunities for operational improvement. Team Leadership Provide leadership, guidance, and workload management for support teams.

Promote collaboration, accountability, and effective communication. Support a professional and productive team environment. Required Skills & Experience: 5+ years of experience managing healthcare system operations or administrative programs.

5+ years of experience supporting claims and/or encounter processing systems. 5+ years of project management experience managing system implementations, enhancements, or operational projects. 3+ years of experience managing external vendors providing system development/support services.

Experience with incident management, production support, and issue escalation. Ability to participate in after-hours/on-call support when required. Strong knowledge of Software Development Life Cycle (SDLC).

Excellent documentation, communication, and stakeholder management skills. Preferred Skills: Experience managing Medicaid Enterprise Systems (MES/MMIS) operations. Knowledge of Medicaid eligibility, enrollment, claims, and encounter processing concepts.

Experience preparing executive presentations and operational reports. Experience with ticketing systems. Experience creating SOPs and operational documentation.

AWS Cloud Certifications Education Bachelor's degree in Technical, Business, Healthcare, or related field. (5+ years of equivalent experience in business/systems analysis or application development may substitute.).

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