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Medicaid Representative Jobs (NOW HIRING)

Kaiser Permanente

ED, Medicaid Hawaii

Honolulu, HI · On-site

The Executive Director maintains relationships and represents KP with a variety of external ... Lead, manage, mentor, and develop Medicaid and D-SNP leaders and staff in Hawaii and across the KP ...

frc

$15 - $18/hr

Discuss Medicaid w/authorized representatives and/or the patient in person and/or by telephone * Contact DSS on closed Medicaid cases for the Business Office and any matters that pertain to Medicaid

Oriol Health Care

Medicaid Coordinator

Holden, MA · On-site

$26 - $32/hr

The Medicaid Coordinator works closely with facility Business Office teams, residents, families, attorneys, and third-party representatives to facilitate successful Medicaid eligibility determination ...

Oriol Health Care Inc

Medicaid Coordinator

Holden, MA · On-site

$26 - $32/hr

The Medicaid Coordinator works closely with facility Business Office teams, residents, families, attorneys, and third-party representatives to facilitate successful Medicaid eligibility determination ...

Oriol Health Care

Medicaid Coordinator

Holden, MA · On-site

$26 - $32/hr

The Medicaid Coordinator works closely with facility Business Office teams, residents, families, attorneys, and third-party representatives to facilitate successful Medicaid eligibility determination ...

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All JobsMedicaid Representative Jobs

Medicaid Representative information

See salary details

$24.5K

$44.2K

$77K

How much do medicaid representative jobs pay per year?

As of Sep 9, 2026, the average yearly pay for medicaid representative in the United States is $44,219.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

What does a Medicaid Representative do?

A Medicaid Representative assists individuals in applying for Medicaid benefits by helping them understand eligibility requirements, gather necessary documentation, and complete application forms. They often work in hospitals, clinics, or government offices to guide patients or clients through the Medicaid enrollment process. Additionally, Medicaid Representatives may follow up on applications, communicate with government agencies, and advocate on behalf of applicants to resolve issues or expedite approvals.

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

To thrive as a Medicaid Representative, you need a solid understanding of Medicaid eligibility rules, healthcare regulations, and experience in customer service, often supported by a high school diploma or associate degree. Familiarity with Medicaid management information systems (MMIS), case management software, and electronic documentation is typically required. Strong interpersonal skills, attention to detail, and problem-solving abilities help you effectively guide applicants and resolve complex issues. These competencies are crucial for ensuring accurate eligibility determinations and providing timely support to individuals seeking healthcare coverage.

What are some common challenges Medicaid Representatives face when helping clients navigate eligibility and applications?

Medicaid Representatives often encounter challenges such as complex and frequently changing regulations, incomplete client documentation, and communication barriers with applicants. They must stay up to date with state and federal guidelines and work closely with clients to gather accurate information for timely application processing. Additionally, they frequently collaborate with social workers, healthcare providers, and government agencies to resolve issues and ensure clients receive the benefits they need.

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

AspectMedicaid RepresentativeMedicaid Case Manager
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification or licensing may be preferred
Work EnvironmentOffice settings, healthcare facilities, or community outreachOffice-based, community, or healthcare settings
Employer & IndustryState agencies, healthcare providers, insurance companiesHealthcare organizations, social service agencies, Medicaid programs
Primary ResponsibilitiesAssist clients with Medicaid applications, explain benefits, and answer questionsAssess client needs, develop care plans, coordinate services, and monitor progress

While both roles involve working within Medicaid programs, Medicaid Representatives primarily focus on client communication and application assistance, whereas Medicaid Case Managers handle ongoing care coordination and case management. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

How do I become a Medicaid representative?

To become a Medicaid representative, candidates typically need a high school diploma or equivalent, strong communication skills, and knowledge of Medicaid policies. Some positions may require relevant experience in healthcare or social services, and obtaining certifications related to Medicaid or healthcare administration can improve job prospects.

What cities are hiring for Medicaid Representative jobs?

Cities with the most Medicaid Representative job openings:

What states have the most Medicaid Representative jobs?

States with the most job openings for Medicaid Representative jobs include:

What are popular job titles related to Medicaid Representative jobs?

For Medicaid Representative jobs, the most frequently searched job titles are:

Medicaid Representative jobs near you
Infographic showing various Medicaid Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.

Medicare & Medicaid Enrollment Representative (Florida Medicaid enrollment exp. req.)

Remote

#twiceasnice Recruiting
Recruiting and Staffing Services • 51 - 200 employees
Learn more about #twiceasnice Recruitingexternal

Other

Medical, Retirement, PTO

Posted 5 days ago

Job description

Medicare & Medicaid Enrollment Representative (Florida Medicaid enrollment exp. req.)
Location: Remote - must live in the United States (preferably Central or Eastern Time Zone)
Salary: $50,000 + Excellent Benefits
Benefits: Health Insurance, 401k w/ match, Paid Holidays, Paid Time Off
Job Type: Full-Time 100% Remote
Typical Hours: Monday-Friday, 40 hours/week
Start Date: ASAP
Sponsorship is not available
Medicare & Medicaid Enrollment Representative Description
Join our client's mission-driven healthcare team and help providers deliver essential care to communities in need. In this fully remote role, you will serve as the Medicare and Medicaid enrollment specialist for healthcare organizations and group practices primarily in Florida. You'll work closely with clients and internal account representatives to manage the full enrollment process, maintain compliance, and resolve issues quickly - helping patient access to care. This is a great opportunity to grow with an organization that values expertise, efficiency, and client satisfaction, with paths for upward mobility as the company continues to grow.
Medicare & Medicaid Enrollment Representative Responsibilities
• Handle Medicare and Medicaid enrollments for providers and locations across Florida
• Monitor and update provider data to maintain compliance
• Partner with account reps to deliver smooth onboarding and on-going support experience
• Provide training on Medicare, Medicaid, and related requirements
• Track progress, resolve issues, and keep clients informed
• Document all enrollment activities and communications with external and 3rd-party contacts
• Identify trends, recommend improvements, and support organizational meetings as needed
Medicare & Medicaid Enrollment Representative Qualifications
• 2+ years of Medicare & Medicaid provider enrollment experience in Florida required
• Proficiency in Excel, databases and portals (e.g. PECOS, NPPES, NPI Registry, Medicaid systems)
• Prior remote work experience required
• Strong communication and organization skills required
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About #twiceasnice Recruiting

Sourced by ZipRecruiter

#twiceasnice Recruiting is a prominent company in the recruitment and staffing industry, based in Boston, MA, US. The company's services are designed to meet all employment needs of its clients, focusing on optimal fits between employers and prospective employees. Ever since its inception, #twiceasnice Recruiting has committed to the goal of providing high quality recruitment services at a swift pace. They have garnered significant acclaim for their innovative approaches and prompt services, leading them to be recognized as a leader in their field.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Boston, MA, US

Year founded

2017

Social media

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