Medicaid Program Manager Jobs in Renton, WA (NOW HIRING)

Washington State (Hybrid Remote with Statewide Travel)

Must reside in Washington State

$40–$49/hour DOE

Social Services | Medicaid | Housing | Care Coordination

Mysti's Adult & Family Services – Washington is seeking an experienced Program Manager to oversee service delivery, staff performance, client outcomes, compliance, and community partnerships across Washington State.

This leadership position is ideal for someone who thrives in fast-paced environments, enjoys solving complex problems, and is passionate about helping individuals and families access housing, healthcare, Medicaid-funded services, employment supports, and other critical community resources.

The Program Manager will oversee intake operations, case management, care coordination, housing navigation, and program quality while supporting staff development, ensuring regulatory compliance, and strengthening partnerships with state agencies, Managed Care Organizations (MCOs), healthcare providers, housing organizations, and community partners.

This is a hands-on leadership position for someone who enjoys building programs, improving systems, coaching staff, and driving measurable outcomes.

• Supervise and support Intake Specialists, Case Managers, Housing Navigators, Referral Coordinators, Employment Specialists, and other program staff.
• Monitor client engagement, service delivery, productivity, and successful client outcomes.
• Oversee Medicaid-funded care coordination, housing navigation, employment supports, Community Choice Guide (CCG), Foundational Community Supports (FCS), and other community-based programs.
• Ensure documentation meets Medicaid, Washington State, and organizational quality standards.
• Review assessments, service plans, progress notes, referrals, authorizations, and case documentation for accuracy, timeliness, and compliance.
• Support staff with high-acuity and complex client situations.
• Advocate for clients with Managed Care Organizations, hospitals, behavioral health providers, housing providers, landlords, legal aid organizations, and community agencies.
• Build and maintain strong relationships with healthcare systems, Accountable Communities of Health (ACHs), community organizations, and referral partners throughout Washington.
• Organize and attend outreach events, resource fairs, coalition meetings, trainings, and community conferences.
• Monitor program performance, identify operational challenges, and implement practical solutions.
• Develop workflows, improve operational processes, strengthen accountability, and promote continuous quality improvement.
• Collaborate with executive leadership to expand programs, improve service delivery, and support organizational growth.
• Travel throughout Washington State to support staff, partners, community engagement, and program operations.

Depending on organizational needs, this position may oversee one or more of the following programs:

• Foundational Community Supports (FCS)
• Community Choice Guide (CCG)
• Medicaid Care Coordination
• Housing Navigation
• Supported Employment
• Homeless Response Services
• Hospital & Community Care Transitions
• Long-Term Services & Supports (LTSS)
• Home and Community-Based Services (HCBS)
• Other state-funded and Medicaid-funded community programs

Mysti's is a rapidly growing organization.

We are looking for a builder—not someone seeking to manage a fully developed system.

The ideal candidate is comfortable:

• Creating structure where structure does not yet exist.
• Designing workflows and improving operational systems.
• Solving problems independently.
• Managing multiple priorities across diverse programs.
• Working effectively in a rapidly evolving environment.
• Holding staff accountable while providing coaching, mentorship, and support.
• Taking ownership of results and driving continuous improvement.

If you prefer highly structured environments where every process is already established, this position may not be the right fit.

• Bachelor's degree in Social Work, Human Services, Public Health, Healthcare Administration, Psychology, Sociology, or a related field (or equivalent experience).
• Minimum five (5) years of experience in social services, Medicaid programs, housing, behavioral health, healthcare, care coordination, homeless services, or related fields.
• Minimum three (3) years of supervisory or management experience.
• Experience working with individuals experiencing complex medical, behavioral health, housing, or social needs.
• Strong knowledge of Medicaid care coordination and client advocacy.
• Experience supervising remote and/or hybrid teams.
• Ability to travel throughout Washington State.
• Valid driver's license and reliable transportation.

• Experience with Washington Apple Health (Medicaid).
• Experience with Foundational Community Supports (FCS).
• Experience with Community Choice Guide (CCG).
• Experience working with Managed Care Organizations (Molina, Coordinated Care, Wellpoint, Community Health Plan of Washington, UnitedHealthcare Community Plan, etc.).
• Experience with DSHS, HCS, ALTSA, Aging & Disability services, or behavioral health systems.
• Experience managing programs across multiple counties.
• Experience leading quality improvement and compliance initiatives.

We're seeking someone who:

• Takes initiative.
• Solves complex problems.
• Builds systems and operational excellence.
• Leads by example.
• Advocates fiercely for clients.
• Coaches, mentors, and develops staff.
• Understands Medicaid and Washington's healthcare and social service systems.
• Builds strong relationships with community partners.
• Maintains high standards for compliance, documentation, and accountability.
• Can help scale statewide programs while maintaining exceptional quality.

• Competitive compensation
• Comprehensive benefits package
• 401(k) with employer-sponsored plan
• Employer-paid life insurance
• Hybrid remote work environment
• Professional development and leadership opportunities
• Mileage reimbursement for approved travel
• Mission-driven culture focused on improving lives across Washington
• Opportunity to help shape and grow innovative Medicaid and community-based programs throughout the state

Mysti's Adult & Family Services is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace where all employees can thrive.