... program. This role requires significant expertise of Medicaid Enterprise System modules and data ... Additional roles include producing and managing the delivery of activity, value analytics and ...
... program. This role requires significant expertise of Medicaid Enterprise System modules and data ... Additional roles include producing and managing the delivery of activity, value analytics and ...
Capitalizes on opportunities and manages risks. Flexibility: Is open to change and new information ... search for Medicaid Program Specialist 4: Minimum Qualifications Competency-Based Minimum ...
Capitalizes on opportunities and manages risks. Flexibility: Is open to change and new information ... search for Medicaid Program Specialist 4: Minimum Qualifications Competency-Based Minimum ...
You will leverage your Medicaid program and policy project management skills to help a current client by leading projects within a program of multiple Medicaid initiatives focused on waiver and state ...
You will leverage your Medicaid program and policy project management skills to help a current client by leading projects within a program of multiple Medicaid initiatives focused on waiver and state ...
You will leverage your Medicaid program and policy project management skills to help a current client by leading projects within a program of multiple Medicaid initiatives focused on waiver and state ...
You will leverage your Medicaid program and policy project management skills to help a current client by leading projects within a program of multiple Medicaid initiatives focused on waiver and state ...
Program Manager, Tenancy Support Services
Louisville, KY · On-site
$50K - $56K/yr
... Medicaid Waiver Management Application (MWMA) process. This position will be supporting a new program for Wellspring. While the basic framework for the (i)RISE program has been established, the ...
Program Manager, Tenancy Support Services
Louisville, KY · On-site
$50K - $56K/yr
... Medicaid Waiver Management Application (MWMA) process. This position will be supporting a new program for Wellspring. While the basic framework for the (i)RISE program has been established, the ...
Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NY HELPS)
Albany, NY · On-site
$53K - $85K/yr
... programs available for Medicaid research, including Microsoft Access, eMedNY and the Medicaid Data Warehouse. The selected candidate will support the development of Medicaid managed care audits ...
Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NY HELPS)
Albany, NY · On-site
$53K - $85K/yr
... programs available for Medicaid research, including Microsoft Access, eMedNY and the Medicaid Data Warehouse. The selected candidate will support the development of Medicaid managed care audits ...
... Medicaid Waiver Management Application (MWMA) process. This position will be supporting a new program for Wellspring. While the basic framework for the (i)RISE program has been established, the ...
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... Medicaid Waiver Management Application (MWMA) process. This position will be supporting a new program for Wellspring. While the basic framework for the (i)RISE program has been established, the ...
Medicaid program administration Internal controls and audit support Budgeting/forecasting and ... Strong project management skills, with the ability to manage multiple priorities and meet deadlines.
Medicaid program administration Internal controls and audit support Budgeting/forecasting and ... Strong project management skills, with the ability to manage multiple priorities and meet deadlines.
Administration, Provider Management, Member Management, Claims Processing, Pharmacy Program, Drug ... Medicaid Staff Skill requirement: * 3 years' experience with Medicaid program administration, with ...
Administration, Provider Management, Member Management, Claims Processing, Pharmacy Program, Drug ... Medicaid Staff Skill requirement: * 3 years' experience with Medicaid program administration, with ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
68064935 - MEDICAL/HEALTH CARE PROGRAM ANALYST
Tallahassee, FL · On-site
$2.1K - $2.3K/wk
The Medicaid program provides low-income families and individuals with access to health care. If ... The Statewide Medicaid Managed Care report guide, contracts and amendments; Dear Managed Care Plan ...
68064935 - MEDICAL/HEALTH CARE PROGRAM ANALYST
Tallahassee, FL · On-site
$2.1K - $2.3K/wk
The Medicaid program provides low-income families and individuals with access to health care. If ... The Statewide Medicaid Managed Care report guide, contracts and amendments; Dear Managed Care Plan ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Executive Director - Medicaid Program Accountant (Finance & Accounting)
Houston, TX · On-site
$170K - $195K/yr
Medicaid program administration Internal controls and audit support Budgeting/forecasting and ... Strong project management skills, with the ability to manage multiple priorities and meet deadlines.
Executive Director - Medicaid Program Accountant (Finance & Accounting)
Houston, TX · On-site
$170K - $195K/yr
Medicaid program administration Internal controls and audit support Budgeting/forecasting and ... Strong project management skills, with the ability to manage multiple priorities and meet deadlines.
Maintains knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary ... Great attention to detail and follow up. * Ability to manage projects, assignments, and competing ...
Maintains knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary ... Great attention to detail and follow up. * Ability to manage projects, assignments, and competing ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Department Medicaid Project Management Operations Job Summary * Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility ...
Medicaid Program Manager information
See salary details
$38.5K - $49.3K
5% of jobs
$49.3K - $60K
6% of jobs
$60K - $70.8K
9% of jobs
$77.6K is the 25th percentile. Wages below this are outliers.
$70.8K - $81.6K
6% of jobs
$81.6K - $92.4K
5% of jobs
$92.4K - $103.1K
6% of jobs
$103.1K - $113.9K
5% of jobs
The median wage is $116K / yr.
$113.9K - $124.7K
31% of jobs
$125.1K is the 75th percentile. Wages above this are outliers.
$124.7K - $135.5K
7% of jobs
$135.5K - $146.2K
15% of jobs
$146.2K - $157K
3% of jobs
$38.5K
$107.5K
$157K
How much do medicaid program manager jobs pay per year?
As of Jun 24, 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.
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.
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:
What job categories do people searching Medicaid Program Manager jobs look for? The top searched job categories for Medicaid Program Manager jobs are:
Other
Posted 4 days ago
Job description
This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation for both DDI and maintenance & operations. Based on State requirements, the selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data.
Roles in this function include partnering with stakeholders to understand data requirements and supporting development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the State. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some (<25%) required travel to Springfield, IL for onsite customer meetings.
About Vergence
Sourced by ZipRecruiter
Vergence is an SBA-certified 8(a) consulting firm based out of Indianapolis. Our focus areas are business consulting, technology services, and healthcare management. We work with a wide range of government and commercial entities.
Industry
It services
Company size
11 - 50 Employees
Headquarters location
Indianapolis, IN, US
Year founded
2011