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Medicaid Program Jobs (NOW HIRING)

Medicare/Medicaid Program Integrity Advisor USmax is seeking a Medicare/Medicaid Program Integrity Advisor for the U.S. Department of Health and Human Services (HHS), the Centers for Medicare ...

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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 ...

You will leverage your Medicaid program, policy, and project management expertise to support a current client by leading projects within a portfolio of complex Medicaid initiatives. These initiatives ...

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 ...

You will leverage your Medicaid program, policy, and project management expertise to support a current client by leading projects within a portfolio of complex Medicaid initiatives. These initiatives ...

CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third-party liability. * Understanding of fee-for-service, managed care claim/encounter ...

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Medicaid Program information

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$45.7K

$63K

How much do medicaid program jobs pay per year?

As of Sep 8, 2026, the average yearly pay for medicaid program in the United States is $45,721.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $47,500.00 per year, depending on experience, location, and employer.

What is a Medicaid program?

A Medicaid Program is a government-funded health insurance initiative that provides medical coverage to eligible low-income individuals and families. It is jointly funded by federal and state governments and managed by each state according to federal guidelines. Medicaid covers a wide range of health services, including doctor visits, hospital stays, long-term care, and preventive care. Eligibility requirements and benefits may vary by state, but the program is designed to ensure access to essential healthcare for those who might otherwise be unable to afford it.

What are some common challenges faced by professionals working in Medicaid program roles?

Professionals working in Medicaid Program roles often encounter challenges such as navigating complex federal and state regulations, managing high caseloads, and addressing the diverse needs of program beneficiaries. Balancing compliance requirements with the goal of delivering quality care can be demanding, especially as policies and eligibility criteria frequently change. Additionally, collaboration with healthcare providers, government agencies, and community organizations is essential, requiring strong communication and problem-solving skills to coordinate services effectively.

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 policy, program administration, and a bachelor's or master's degree in public health, healthcare administration, or a related field. Familiarity with Medicaid Management Information Systems (MMIS), data analysis tools, and regulatory compliance standards is crucial. Strong leadership, problem-solving abilities, and effective communication are standout soft skills for this role. These competencies ensure programs are administered efficiently, meet regulatory requirements, and effectively serve beneficiary populations.

What is the difference between Medicaid Program vs Medicaid Case Manager?

AspectMedicaid ProgramMedicaid Case Manager
Primary RoleAdministers and manages Medicaid policies, funding, and eligibility at a program levelProvides direct support to Medicaid beneficiaries, coordinating services and eligibility
Required CredentialsTypically involves policy knowledge, healthcare administration experienceOften requires social work, healthcare, or case management certifications
Work EnvironmentGovernment offices, healthcare agenciesCommunity clinics, healthcare facilities, or client homes
Employer & Industry UsageState and federal government agenciesHealthcare providers, social service organizations

The Medicaid Program oversees the administration of Medicaid at a policy level, focusing on funding and eligibility. In contrast, a Medicaid Case Manager works directly with beneficiaries, helping them navigate services and maintain eligibility. Both roles are essential but differ in scope, responsibilities, and work environment.

How do you become a Medicaid Program specialist?

To become a Medicaid Program specialist, candidates typically need a bachelor's degree in health administration, public health, or a related field, along with experience in healthcare or Medicaid programs. Relevant skills include knowledge of healthcare policies, data analysis, and familiarity with Medicaid regulations, often supported by certifications such as Certified Medicaid Professional (CMP).

What are the job requirements for a Medicaid Program?

A Medicaid Program job typically requires knowledge of healthcare policies, Medicaid regulations, and administrative procedures. Relevant skills include data management, communication, and familiarity with healthcare software systems. Depending on the role, certifications such as a healthcare administration or social work license may be preferred, and a bachelor's degree is often required.
More about Medicaid Program jobs

What are the most commonly searched types of Medicaid Program jobs?

The most popular types of Medicaid Program jobs are:

Infographic showing various Medicaid Program job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $45,721 per year, or $22 per hour.

Medicaid Program Specialist/Office Manager

Southeast Arkansas Education Service Cooperative

Little Rock, AR โ€ข On-site

Other

Re-posted 10 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.