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Medicaid Program Manager Jobs in Reston, VA (NOW HIRING)

Didlake

Program Manager

Manassas, VA · On-site

Why This Role Matters The Program Manager provides support, assistance, and guidance to individuals ... Familiarity with Medicaid regulations Skills & Abilities * Must be eligible to work in the U.S.

Barrow Wise Consulting

Medicaid/Medicare Consultant

MD · On-site

$90K - $150K/yr

Provide and manage consulting, data transfer, and claims processing services to increase federal ... and Medicaid programs; provide IDHS with detailed information identifying those claims that the ...

Access Star

Program Manager

Manassas, VA · On-site

... Management programs. Promotes residents rights, assists residents to make informed decisions ... Medicaid Waiver requirements, human rights requirements, OSHA requirements, and other contractual ...

Didlake

Program Manager

Manassas, VA · On-site

Why This Role Matters The Program Manager provides support, assistance, and guidance to individuals ... Maintains employee and consumer time records in eTime or WFM and monitors Medicaid and CSB funding ...

Access Star

Program Manager

Manassas, VA · On-site

Administers Medicaid Waiver services. * Schedules, trains, leads and evaluates the work of Group ... and manage the behaviors of program participants. Job Type: Full-time Benefits: * Employee ...

Maximus

Technical Project Manager

VA · On-site +1

General information Job Posting Title Technical Project Manager Date Tuesday, May 5, 2026 City ... The ideal candidate brings strong leadership capabilities and deep Medicaid program experience to ...

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All JobsMedicaid Program Manager JobsMedicaid Program Manager Jobs in Reston, VA

Medicaid Program Manager information

See Reston, VA salary details

$40.1K

$111.8K

$163.3K

How much do medicaid program manager jobs pay per year?

As of Jun 19, 2026, the average yearly pay for medicaid program manager in Reston, VA is $111,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,700.00 and $137,800.00 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 Reston, VA look for? The top searched job categories for Medicaid Program Manager jobs in Reston, VA are:
What cities near Reston, VA are hiring for Medicaid Program Manager jobs? Cities near Reston, VA with the most Medicaid Program Manager job openings:
Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Reston, VA as of June 2026, with employment types broken down into 2% As Needed, 78% Full Time, 13% Part Time, 1% Temporary, and 6% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $111,797 per year, or $53.7 per hour.
Vice President/Executive Director, Federal Medicaid Practice

Vice President/Executive Director, Federal Medicaid Practice

Mathematica

Washington, DC

Other

Posted 8 days ago

Job description

Asa national leader in evidence-based decision-making, Mathematica builds on itsextensive knowledge of programs and policies to design and implement solutionsbuilt on high quality data, supported by deep understanding of programs andpolicies, and customized for clients' needs. Driven by its mission, Mathematicafinds ways to improve the quality, efficiency, affordability, and financing ofhealth care, and to promote sound decision-making in care delivery andfinancing, quality measures and health systems change. Mathematica also worksto address longstanding issues in health care, such as measuring and improvinghealth care quality, controlling health care costs, and designing efficient andeffective delivery systems to meet diverse needs.
Weseek a department director for our Federal Medicaid Department (either at theExecutive Director or Vice President level), a mature market, providingadvisory services to the Centers for Medicaid and CHIP Services (CMCS) at theCenters for Medicare & Medicaid Services (CMS), the Medicaid and CHIPPayment Advisory Commission (MACPAC) and numerous other U.S. Department ofHealth and Human Services offices and agencies. The department leader willdrive results and deepen relationships with CMS and other Federal agenciesworking with the Medicaid program, as well as provide support and guidance toour State Medicaid group.  The positionreports to the Senior Vice President of our Federal Payors and DeliveryTransformation (FPDT) division.
Mathematica'scurrent Federal Medicaid practice is approximately 180 people supportingprograms such as 1115 waiver technical assistance, Medicaid data quality and analytics,and technical assistance to states on a variety of policy and operational issues.  Within other agencies, we also provide supporton evaluation of Medicaid program effectiveness, substance use policy and useof Medicaid data for analytic purposes. 
Theexecutive should have substantial Medicaid policy and strategy experience, andsignificant consulting experience at either the Federal or state levels.  The executive should have a track record anddemonstrated ability to build a consulting practice and lead groups ofprofessionals in a dynamic, ever-changing environment. Mathematica is seekingsomeone who can continue to expand an existing and well-respected practice, andbe a business leader in both policy and digital services as Medicaid data andsystems evolve. The ideal candidate will provide strategy and operational oversightto help Mathematica win and execute complex, high profile engagements, servingas a partner to CMS and other Federal agencies. In addition, the executive willdevelop relationships with the Vice President for State Health, and statehealth business development team to provide subject matter support, collaborateon overlapping policy issues, and resolve potential conflicts of interest.
Inaddition, the executive will possess a comfort level operating with other stakeholdersand executives in the healthcare environment to externally representMathematica and the FPDT Division offerings. This person will establish trustand respect with clients through their superior content knowledge across abroad range of complex issues. 
Mathematicais seeking a proven leader that can: 

  • Continue to advance Mathematica's industry leading position in Medicaid data analytics and related program implementation across the Federal government
  • Manage a 130+ person advisory services practice, determining business development priorities, staffing needs, and investment areas
  • Manage Department and Division level budgets, project revenue, and set targets for growth
  • Expand Mathematica's ability to provide digital services as CMCS and other Federal agencies evolve their technology capabilities
  • Bring a solution-minded skillset to operations of a large, diverse practice to continuously improve internal processes, manage needs into the organization, and set overhead spending priorities
  • Integrate the emerging trends in healthcare such as value-based care and equity issues, with Mathematica's strong market capabilities to strengthen the Medicaid practice
  • Provide or coordinate thought-leadership around issues critical to Mathematica's Medicaid clients
  • Collaborate with the Vice President for State Health to share ideas, resolve conflicts, and manage staffing across the Federal and State Medicaid markets
  • Collaborate across the Mathematica enterprise to bring the best solutions to clients and provide process improvements across the business unit

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