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Medicaid Program 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 ...

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 ...

BerryDunn

Medicaid Program and Policy Project Manager

$110K - $125K/yr

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 ...

BerryDunn

Medicaid Program and Policy Project Manager

$110K - $125K/yr

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 ...

BerryDunn

Senior Medicaid Program and Policy Consultant

$100K - $130K/yr

As part of our consulting team focused on supporting state Medicaid agencies, you will work within Medicaid policy to help agencies implement new programs and administer their current program. You'll ...

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Medicaid Program information

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$21.5K

$45.7K

$63K

How much do medicaid program jobs pay per year?

As of Aug 17, 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:

What job categories do people searching Medicaid Program jobs look for?

The top searched job categories for Medicaid Program jobs are:

Medicaid Program jobs near you
Infographic showing various Medicaid Program job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $45,721 per year, or $22 per hour.

Medicaid Facilitator

Isaac School District

Phoenix, AZ • On-site

Full-time

Re-posted 22 days ago

Job description

Position Type:
Student Support Services
Date Posted:
4/28/2026
Location:
All Sites
Date Available:
ASAP
Job Summary
The Medicaid Facilitator manages and coordinates all aspects of the Medicaid program for the elementary school district. Key objectives include ensuring compliance with state and federal regulations, processing claims, and maximizing reimbursement opportunities. The Facilitator collaborates with school administrators, teachers, and healthcare providers to ensure eligible students receive appropriate services.
Key Responsibilities
1. Medicaid/AHCCS Program Management
  • 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 Medicaid regulations and guidelines.

2. Claims Processing and Billing
  • Coordinate and process billing for eligible services provided to students.
  • Verify student eligibility and maintain accurate records.
  • Prepare and submit reimbursement claims in a timely manner.
  • Track and reconcile claims to ensure accuracy and completeness.

3. Compliance and Documentation
  • Ensure proper documentation of services from healthcare professionals (e.g., speech and occupational therapists).
  • Conduct regular audits for documentation compliance.
  • Maintain detailed records of claims, payments, and adjustments.

4. Training and Support
  • Train school staff and service providers on billing procedures and compliance.
  • Act as a resource for staff regarding Medicaid-related issues.

5. Collaboration and Communication
  • Collaborate with administrators and special education teams to coordinate student support.
  • Communicate with parents/guardians regarding Medicaid eligibility and services.
  • Liaise with state Medicaid offices and external agencies.

6. Reporting and Analysis
  • Generate and analyze billing and reimbursement reports.
  • Monitor trends in claims to identify improvement opportunities.
  • Provide regular program status updates to district leadership.

7. Program Development and Improvement
  • Implement strategies to maximize reimbursement opportunities.
  • Maintain relationships with external partners and state agencies.
  • Assist in developing grant applications or funding opportunities.

Preferred Qualifications
  • Education: Bachelor's degree in health administration, education, business administration, or a related field.
  • Experience: Previous Medicaid billing or healthcare administration experience, preferably in an educational setting.
  • Knowledge: Familiarity with Medicaid regulations, billing procedures, compliance, and special education programs.
  • Skills: Strong organizational, analytical, communication, and interpersonal skills.
  • Technical: Proficiency in data management and reporting software.
  • Certification: Certification in Medicaid administration or a related field.

Work Environment
Primary work is in an office environment within the district's administrative building. Occasional travel to schools within the district may be required.
Reports to: Executive Director of Student Services & Extended Learning
Salary: Classified Salary Schedule Range: 25

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