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Medicaid Program Specialist Jobs (NOW HIRING)

BerryDunn

Medicaid Program Integrity Senior Consultant

$118K - $119K/yr

... specialists, data analysts, compliance staff, vendor partners, and other workstream members to help ... Research, interpret, and apply Medicaid policies, program integrity requirements, and applicable ...

Isaac School District

Medicaid Facilitator

Phoenix, AZ · On-site

Oversee the district's Medicaid program for compliance with state and federal regulations. * Develop and implement policies/procedures for Medicaid services and billing. * Stay updated on changing ...

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How much do medicaid program specialist jobs pay per year?

As of Sep 10, 2026, the average yearly pay for medicaid program specialist in the United States is $67,077.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $79,000.00 per year, depending on experience, location, and employer.

What does a Medicaid Program Specialist do?

A Medicaid Program Specialist is responsible for managing, implementing, and monitoring Medicaid programs to ensure compliance with federal and state regulations. They analyze policies, oversee program operations, and help ensure that beneficiaries receive appropriate services. These specialists may also work with healthcare providers, process applications, and handle reporting or audits related to Medicaid services. Their work is essential for maintaining the quality and effectiveness of Medicaid programs.

What are the key skills and qualifications needed to thrive as a Medicaid Program Specialist?

To thrive as a Medicaid Program Specialist, you need a strong understanding of Medicaid policies, program management, and regulatory compliance, typically supported by a bachelor’s degree in public health, social work, or a related field. Familiarity with Medicaid Management Information Systems (MMIS), data analysis tools, and relevant state and federal regulations is crucial. Excellent analytical skills, attention to detail, and effective communication are vital soft skills for collaborating with stakeholders and ensuring program integrity. These abilities are essential for navigating complex healthcare regulations, optimizing program efficiency, and delivering quality services to beneficiaries.

What are some common challenges faced by Medicaid Program Specialists, and how can they be managed effectively?

Medicaid Program Specialists often face challenges such as navigating complex regulatory requirements, keeping up with frequent policy changes, and balancing the needs of diverse stakeholders. Effective management involves staying updated on federal and state Medicaid guidelines, participating in ongoing training, and fostering strong communication with healthcare providers, beneficiaries, and government agencies. Collaborating with interdisciplinary teams and utilizing robust data management systems can also help streamline processes and ensure program compliance.
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Medicaid Program Specialist jobs near you
Infographic showing various Medicaid Program Specialist job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $67,077 per year, or $32.2 per hour.

Medicaid Program Specialist/Office Manager

Little Rock, AR • On-site

Southeast Arkansas Education Service Cooperative
See more jobs at Southeast Arkansas Education Service Cooperativeexternal

Other

Re-posted 12 days ago

Job description

SUPERVISION AND LOCATION:
This position serves under the direct supervision of the Arkansas Department of Education, Division of Elementary and Secondary Education, School Health Services office and is housed at the Arkansas Department of Education, Arch Ford Education Building in Little Rock.
FUNCTIONS:
The individual is responsible for entering and tracking school district Medicaid revenue claimed each quarter, processing quarterly match statements, and collecting, recording and depositing match payments in an accurate and timely manner. The individual will distribute Medicaid match statements to districts quarterly; collect and process deposits and transfer of district match payments; conduct data entry of Medicaid match information to maintain quarterly Medicaid billing records; process Medicaid match transfer quarterly; assist districts with completing Medicaid billing adjustments; prepare monthly travel for program staff; process purchasing documents and process for approval for program staff operations; compile district Medicaid revenue reports; create and maintain forms, templates, office procedure documents and protocols; assist in reviewing and facilitating submission of Medicaid provider enrollment applications for school districts; act as a liaison to DMS for school district provider enrollment; create and distribute local education agency verification letters for Medicaid provider enrollment; maintain provider enrollment records; process personal care certification correspondence; maintain office inventory records and protocols; prepare monitor, and maintain program operating budgets; assist in program budget preparation and monitor program expenditures throughout the budget cycle; analyze data pertinent to MITS programming and department goals and objectives; conduct administrative duties including travel arrangements and office phone coverage; facilitate inter-agency collaboration; assist with other school health training; and assist Director of School Health Services as requested. This position is governed by state and federal laws and agency/institution policy.
SPECIAL REQUIREMENTS:
Must be proficient in Microsoft Excel application to create, format, and analyze large amounts of financial dataAccounts receivable experienceAdministrative support/office management experience
MINIMUM QUALIFICATIONS:
The formal education equivalent of a bachelor's degree in education, business administration, office administration, or a related field, plus one year of experience in a specialized or related field applicable to work performed; or the formal education equivalent of an associate's degree in education, business administration, office administration, or a related field, plus three years of experience in a specialized or related field applicable to work performed; or the formal education equivalent of a high school diploma, plus five years of experience in an educational institution's administrative or business management capacity.
CERTIFICATES & LICENSES:
Must possess a valid Arkansas driver's license.

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