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Medicaid Program Manager Jobs in Orem, UT (NOW HIRING)

... case management. In this role you will: * Screen and evaluate patients for existing insurance ... Participates in ongoing, comprehensive training programs as required. * Follows policies and ...

Manage program operations, including budgets, contracts, performance outcomes, and resource allocation. * Oversee billing processes and vendors to ensure accurate, timely, and compliant Medicaid ...

Dual Nurse Case Manager

Draper, UT · On-site

$29 - $32/hr

The Dual Nurse Case Manager coordinates medical services and coordinates care for our clients through Utah's Medicaid New Choices Waiver program. We offer the benefit of a flexible work schedule ...

Posted today

Dual Nurse Case Manager

Draper, UT · On-site

$29 - $32/hr

The Dual Nurse Case Manager coordinates medical services and coordinates care for our clients through Utah's Medicaid New Choices Waiver program. We offer the benefit of a flexible work schedule ...

Posted today

... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ... Free mental health and family planning programs, including adoption assistance and fertility ...

Regional Retail Sales Manager

Draper, UT · On-site

$80K - $103K/yr

Plan and lead efficient, timely training programs for store staff.Coordinate with Store Managers on ... Knowledge of Medicare, Medicaid, or other medical insurance billing requirements (or the ability to ...

... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ... Free mental health and family planning programs, including adoption assistance and fertility ...

... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ... Free mental health and family planning programs, including adoption assistance and fertility ...

Ensure ongoing compliance with the requirements of Medicaid and all third-party insurance payors ... Manage and maintain the outcomes research program * Maintain a compliance calendar to track license ...

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Showing results 1-20

Medicaid Program Manager information

See Orem, UT salary details

$33.5K

$93.4K

$136.5K

How much do medicaid program manager jobs pay per year?

As of Aug 26, 2026, the average yearly pay for medicaid program manager in Orem, UT is $93,423.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,100.00 and $115,200.00 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 are popular job titles related to Medicaid Program Manager jobs in Orem, UT?

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

What cities near Orem, UT are hiring for Medicaid Program Manager jobs?

Cities near Orem, UT with the most Medicaid Program Manager job openings:

Infographic showing various Medicaid Program Manager job openings in Orem, UT as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $93,423 per year, or $44.9 per hour.

Medicaid Eligibility Advocate

Orem, UT • On-site


Mission Hospital
Hospitals • 10K+ employees

7.5

Company rating: 7.5 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Good employer

Respectful managers


Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Job description

Schedule: Monday - Friday; 8:00am - 5:00pm
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate
Job Summary and Qualifications
The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management.
In this role you will:
  • Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity applications.
  • Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
  • Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.
  • Complete and file applications. Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.
  • Ensure all insurance, demographic and eligibility information is obtained and entered into the system accurately. Document progress notes to the patient's file and the hospital computer system.
  • Participates in ongoing, comprehensive training programs as required.
  • Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested.
  • Will be required to make field visits as necessary and will need reliable personal transportation readily available.
Qualifications:
  • Associate's degree preferred
  • Minimum one-year related experience preferred, preferably in healthcare.
  • Relevant education may substitute experience requirement.
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
"
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Medicaid Eligibility Advocate opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Mission Health logo

About Mission Health

Sourced by ZipRecruiter

Mission Hospital, located in Asheville, is Mission Health's flagship hospital and is licensed for 763 beds. Business North Carolina ranked Mission Hospital the No. 1 "Best Hospital" in North Carolina for 2017 and 2018, and Mission Hospital ranked among the top 1% of "Best Hospitals" nationally in 2016 by Healthgrades. We are the regional referral center for tertiary and quaternary care and the region's only Level II trauma center. Mission Hospital also includes Mission Children's Hospital - the region's only children's hospital - providing 30 pediatric sub-specialists. We're the busiest surgical hospital west of Raleigh, North Carolina, and the second-busiest in the state. Mission Hospital provides the only open heart and interventional cardiology in the region, and is the only Cyberknife provider west of Raleigh.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Asheville, NC, US


What Mission Health (North Carolina) employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom