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Medicaid Program Manager Jobs (NOW HIRING)

Program Manager {PBM}

Austin, TX · On-site +1

$86.80K - $124K/yr

Builds and manages client relationships with State Medicaid clients with support from the Program Director. * Builds relationships and collaborates effectively with implementation team, product team ...

New

Program Manager {PBM}

Dallas, TX · On-site +1

$86.80K - $124K/yr

Builds and manages client relationships with State Medicaid clients with support from the Program Director. * Builds relationships and collaborates effectively with implementation team, product team ...

New

Key Responsibilities Medicaid & SSI Program Support * Respond to and manage SSI inquiries for potential and current clients. * Coordinate with the RN to ensure submission of Form 618 for eligibility ...

The Program Manger also leads requirements development, business analysis, and data-driven assessment to support decision-making and ensure solutions meet Medicaid policy and compliance standards.

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Showing results 1-20

Medicaid Program Manager information

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$38.5K

$107.5K

$157K

How much do medicaid program manager jobs pay per year?

As of Jun 4, 2026, the average yearly pay for medicaid program manager in the United States is $107,460.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,500.00 and $132,500.00 per year, depending on experience, location, and employer.

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 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.
More about Medicaid Program Manager jobs
What cities are hiring for Medicaid Program Manager jobs? Cities with the most Medicaid Program Manager job openings:
What states have the most Medicaid Program Manager jobs? States with the most job openings for Medicaid Program Manager jobs include:
Infographic showing various Medicaid Program Manager job openings in the United States as of May 2026, with employment types broken down into 20% Full Time, and 80% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $107,460 per year, or $51.7 per hour.
Program Manager {PBM}

Program Manager {PBM}

Gainwell Technologies LLC

Austin, TX • On-site, Remote

$86.80K - $124K/yr

Other

Medical, Retirement, PTO

Posted 2 days ago


Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

106th of 185 rated software companies


Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Summary
We are seeking a talented Program Manager with PBM who can coordinate the delivery of our pharmacy solution suite for a state Medicaid program(s). This individual needs to have strong analytical skills, excellent presentation and face-to-face client skills.
Your role in our mission
The Program Manager for Software Implementation is responsible for leading cross-functional programs to successfully deliver complex software implementation projects. This role oversees planning, execution, risk management, stakeholder alignment, and delivery across multiple interconnected projects, ensuring implementations are completed on time, within scope, and aligned with business objectives.
The Program Manager serves as the primary point of coordination between business stakeholders, engineering, product, vendors, and customers throughout the implementation lifecycle.
What We're Looking for this Role to do
  • Identifies sales opportunities and assists the account management team with successful close of sale (including proposal development process).
  • Builds and manages client relationships with State Medicaid clients with support from the Program Director.
  • Builds relationships and collaborates effectively with implementation team, product team, and engineering team to ensure successful delivery of services to client(s); assists in the creation and/or review of client deliverables.
  • Responsible for ensuring client satisfaction for a defined Pharmacy implementation project(s).
  • Oversight and management of specific products/services of a contract or special projects for State Medicaid Utilization Management contracts.
  • Continuous monitoring and timely reporting to management on progress toward business goals.
  • Assist in the development of both internal and external reports to monitor delivery and financial performance.
  • Identifies opportunities for process improvements, client relationships and satisfaction, and strategic agendas and partnerships.

What we're looking for
  • 5+ years of Medical Claims, PBM, and / or Pharmacy Solution experience
  • 5+ years' experience in Program Management of a large Software Implementation
  • Strong communication skills with the ability to negotiate and collaborate across multi-functional team
  • Hands-On experience in SDLC, Agile, MS Project and testing methodologies (SIT, UAT. Performance testing)
  • (Preferred) General technical knowledge of APIs, Integrations, Hosting Infrastructure

What you should expect in this role
  • Remote position from US locations.
  • Opportunities to travel through your work (0-20%).
  • Willingness to work a flexible schedule to accommodate business needs and travel as required.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation

The deadline to submit applications for this posting is August 31, 2026.
The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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About Gainwell Technologies

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With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US