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Medicaid Program Specialist Jobs (NOW HIRING)

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 ...

Carevide

Program Specialist Reports to: AR Manager The Program Specialist will ensure the policies ... Monitor weekly reports for Medicaid coverage and bill covered services. * Obtain & document monthly ...

Carevide

Program Specialist

Greenville, TX · On-site

Program Specialist Reports to: AR Manager The Program Specialist will ensure the policies ... Monitor weekly reports for Medicaid coverage and bill covered services. * Obtain & document monthly ...

OneWell Health Care

IDD Program Specialist

Altoona, PA · On-site

$20 - $25/hr

IDD Program Specialist | Home Health Location: Pennsylvania Employment Type: Full Time Work ... Familiarity with ODP waiver programs, Medicaid, and regulatory requirements * Experience with ...

OneWell Health Care

IDD Program Specialist

Allentown, PA · On-site

$20 - $25/hr

IDD Program Specialist | Home Health Location: Pennsylvania Employment Type: Full Time Work ... Familiarity with ODP waiver programs, Medicaid, and regulatory requirements * Experience with ...

BerryDunn

Senior Medicaid Analyst

Kapolei, HI · On-site

$88K - $110K/yr

You will work closely with program integrity leaders, forensic and payment integrity specialists, Medicaid compliance and policy experts, claims analysts, business analysts, vendors, and client ...

BerryDunn

Senior Medicaid Analyst

$87K - $109K/yr

You will work closely with program integrity leaders, forensic and payment integrity specialists, Medicaid compliance and policy experts, claims analysts, business analysts, vendors, and client ...

Merakey

Program Specialist

Media, PA · On-site

$28/hr

We are seeking a Program Specialist to join our team in Delaware County. Earn: $28/Hour + Benefits ... Supports the coordination of Medicaid renewals and redeterminations * Coordinates and facilitates ...

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Medicaid Program Specialist information

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$30.5K

$67.1K

$114K

How much do medicaid program specialist jobs pay per year?

As of Sep 11, 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% Internship, 1% As Needed, 74% Full Time, 20% Part Time, and 4% 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 Specialist

Effort, PA • On-site

Brookmont Health & Rehab
See more jobs at Brookmont Health & Rehabexternal

Full-time

Re-posted 22 days ago

Job description

Medicaid Specialist

Job Summary:

Brookmont Health & Rehab, a trusted senior care community in Effort, Pennsylvania, is seeking a highly skilled Medicaid Specialist to join our team. As a Medicaid Specialist, you will play a vital role in ensuring that our patients receive the best possible care by navigating the complex Medicaid system. If you are passionate about delivering high-quality patient care and possess strong analytical and communication skills, we encourage you to apply for this Medicaid Specialist position.

Responsibilities:

  • Assist patients in navigating the Medicaid system to ensure seamless coverage and access to necessary services

  • Conduct intake assessments to identify patient eligibility for Medicaid programs

  • Process and submit Medicaid claims in a timely and accurate manner

  • Collaborate with healthcare providers to obtain necessary information and documentation for Medicaid applications

  • Provide exceptional patient communication and education on Medicaid benefits and services

  • Maintain accurate records and reports of patient Medicaid applications and claims

Requirements:

  • Prior experience in a related field, such as healthcare or social services, is preferred

  • Strong analytical and problem-solving skills with attention to detail

  • Excellent communication and interpersonal skills

  • Ability to work in a fast-paced environment with multiple priorities

  • Proficiency in Medicaid regulations and policies

About the Role:

As a Medicaid Specialist at Brookmont Health & Rehab, you will be part of a dedicated team committed to providing exceptional patient care. Our Medicaid Specialist role offers a dynamic and challenging work environment, with opportunities for professional growth and development. If you are looking for a rewarding career in healthcare, apply for this Medicaid Specialist position today!

How to Apply:

If you are a motivated and compassionate individual with a passion for delivering high-quality patient care, we encourage you to apply for this Medicaid Specialist role. To learn more about this opportunity, please apply directly for this position.