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

LIFELONG AIDS ALLIANCE

ADS Case Manager

Seattle, WA

$29.87 - $42.63/hr

The ADS program is contracted by DSHS to provide long-term case management to medically complex Medicaid clients in the East King County area. Case management includes a comprehensive in-home ...

LIFELONG HEALTH FOR ALL

ADS Case Manager

Seattle, WA · On-site

$29.87 - $42.63/hr

The ADS program is contracted by DSHS to provide long-term case management to medically complex Medicaid clients in the East King County area. Case management includes a comprehensive in-home ...

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All JobsMedicaid Program Manager JobsMedicaid Program Manager Jobs in Renton, WA

Medicaid Program Manager information

See Renton, WA salary details

$43.3K

$120.9K

$176.6K

How much do medicaid program manager jobs pay per year?

As of Jun 23, 2026, the average yearly pay for medicaid program manager in Renton, WA is $120,874.00, according to ZipRecruiter salary data. Most workers in this role earn between $89,400.00 and $149,000.00 per year, depending on experience, location, and employer.

Does Medicaid cover Eliquis?

Medicaid coverage for Eliquis, a blood thinner used to prevent blood clots, varies by state and specific Medicaid program. As a Medicaid Program Manager, understanding state-specific formularies and prior authorization requirements is essential, as coverage may depend on medical necessity and approved indications.

Who is eligible for Medicaid?

Medicaid program managers need to understand that eligibility for Medicaid generally depends on income level, household size, and other factors such as age, disability, or pregnancy. In most cases, low-income individuals and families, children, pregnant women, seniors, and people with disabilities qualify for Medicaid coverage. Eligibility criteria can vary by state and may require documentation of income and residency.

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's the difference between Medicaid and Medicare?

A Medicaid Program Manager understands that Medicaid is a state and federally funded program providing health coverage for low-income individuals, while Medicare is a federal program primarily for people aged 65 and older or with certain disabilities. Medicaid often covers a broader range of services and has income-based eligibility, whereas Medicare offers standardized benefits regardless of income. Both programs require knowledge of healthcare policies, billing, and compliance standards relevant to managing public health programs.

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 is the maximum income for Medicaid?

For a Medicaid Program Manager, understanding income limits is essential, as eligibility varies by household size and income. In Pennsylvania, the maximum income for Medicaid eligibility generally ranges from 138% to 200% of the federal poverty level, depending on the specific program and applicant category. These thresholds are updated annually and may differ for children, pregnant women, or disabled individuals.
What job categories do people searching Medicaid Program Manager jobs in Renton, WA look for? The top searched job categories for Medicaid Program Manager jobs in Renton, WA are:
Medicaid Program Manager jobs near you
Clinical Care Manager - King County, WA

Clinical Care Manager - King County, WA

UnitedHealth Group

Seattle, WA

$40 - $54/hr

Full-time

Retirement

Posted 2 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

187th of 875 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
As a Clinical Care Manager working with Medicaid members, you'll wear many hats, and work in a variety of environments. You'll interact with members while incarcerated or leaving incarceration - with new medications or diagnoses. The clinical care manager's primary focus will be to provide Reentry Targeted Case Management (rTCM) services. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more.
The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressful, more effective health care system for us all. This position requires clinical care coordination to be provided to Medicaid members who are currently and formerly incarcerated virtually, telephonically, or (potentially) in-person.
This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm.
Primary Responsibilities:
  • Provide a complete continuum of quality care through close communication with members via phone interaction or in-person interaction
  • Support members with condition education, medication reviews and connections to resources such as Home and Community Based Services (HCBS)
  • Assist members with the transition from a carceral facility back to the community via Health Assessment and Care Planning
  • Partner with care team (correctional facilities, community providers, internal staff) to complete care plans and warm handoff
  • Improve health and self-management of conditions
  • Reduce inappropriate emergency department utilization, preventable hospital readmissions, and reduction in recidivism
  • Provide member education on Medicaid benefits, treatment options, and comprehensive services
  • May participate in community events related to scope of work
  • Meet NCQA Population Health Management Standards
  • Meet state-specific contractual requirements related to the delivery of care management

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Bachelor's degree or greater
  • Current, unrestricted RN license in Washington or current, licensed behavioral health clinician (LICSW, LMHC, LMHCA, LMFTA, certified or licensed agency affiliated counselor)
  • 2+ years of experience directly working with individuals with special healthcare needs
  • 2+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management
  • Experience with Microsoft Excel (ability to create spreadsheets, input data entry), Microsoft Word (creating and editing documents) and Microsoft Outlook (send/receive emails)
  • Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
  • Access to high-speed internet from home
  • Dedicated workspace from home
  • Driver's License, access to reliable transportation, and the ability to travel up to 25% locally, to visit client and/or carceral sites within designated area
  • Reside in King County, Washington

Preferred Qualifications:
  • Certification in Case Management (CCM)
  • Experience with members with substance use disorders and members with other complex or multiple chronic conditions
  • Case Management experience
  • Behavioral Health experience
  • Carceral facility experience
  • Medicaid, Medicare, Managed Care experience
  • Home care / field-based case management
  • Familiarity with the resources available in the local community

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $40.00 to $54.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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