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Medicaid Waiver Program Jobs (NOW HIRING)

Medicaid Waiver Nurse

$63K - $75K/yr

Medicaid Waiver Nurse Starting Salary Range: $63,011 - $75,613 This position determines eligibility for the Medicaid Waiver program in compliance with Federal and State regulations. This position ...

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Medicaid Program Manager

Albany, CA · Hybrid

$85K - $93K/yr

Medicaid Program Manager Office of Aging & Long-Term Care Location: Albany, NY Schedule: Hybrid (50 ... Lead the waiver participant complaint process, ensuring timely investigation and resolution of ...

Provide support and advocacy for individuals receiving services through the Indiana Medicaid Waiver. Waiver Program Managers play a key role in supporting individuals served through Sky Point ...

$86 - $120/hr

This role serves as the organization's dedicated subject matter expert on Medicaid Waiver programs across all operating states. As Medicaid regulations, reimbursement structures, and managed care ...

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Medicaid Waiver Program information

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$21.5K

$45.7K

$63K

How much do medicaid waiver program jobs pay per year?

As of Sep 7, 2026, the average yearly pay for medicaid waiver 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 the Medicaid Waiver Program?

The Medicaid Waiver Program allows states to provide Medicaid services to people who might not otherwise be eligible for Medicaid, often offering care in home and community-based settings rather than in institutions. These waivers 'waive' certain federal requirements to give states more flexibility in how they deliver services. Commonly, waiver programs support individuals with disabilities, the elderly, or those with specific health needs, helping them live more independently. Each state has its own specific waiver programs with different eligibility requirements and services. To apply or learn more, contact your state Medicaid office.

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

To thrive as a Medicaid Waiver Program Coordinator, you need a background in social work, healthcare administration, or a related field, often supported by a relevant degree and experience with Medicaid regulations. Proficiency in case management software, Medicaid Management Information Systems (MMIS), and knowledge of federal and state program guidelines are commonly required. Strong interpersonal communication, organizational skills, and cultural sensitivity are vital soft skills in this role. These competencies ensure effective service coordination, compliance, and advocacy for program participants' needs.

What are common challenges faced by professionals working in Medicaid Waiver Program roles, and how can they be addressed?

Professionals working in Medicaid Waiver Program roles often encounter challenges such as navigating complex regulatory requirements and balancing the needs of participants with available resources. Managing detailed documentation and ensuring compliance with state and federal guidelines can be demanding. Building strong communication and collaboration with case managers, healthcare providers, and families is essential for success. Staying informed about policy changes and participating in ongoing training can help address these challenges and ensure quality support for program participants.

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

AspectMedicaid Waiver ProgramMedicaid Case Manager
CredentialsVaries by program, often requires knowledge of Medicaid policiesTypically requires certification in case management or social work
Work EnvironmentCommunity-based, providing services to eligible individualsOffice or community settings, coordinating care for clients
Employer & IndustryState Medicaid agencies, healthcare providersHealthcare organizations, Medicaid agencies
Search & Comparison IntentUnderstanding program options and servicesManaging individual Medicaid cases and care plans

The Medicaid Waiver Program offers specialized services to eligible individuals through community-based programs, while Medicaid Case Managers focus on coordinating care and assisting clients with Medicaid benefits. Both roles are essential in the Medicaid system but serve different functions within the industry.

More about Medicaid Waiver Program jobs

What cities are hiring for Medicaid Waiver Program jobs?

Cities with the most Medicaid Waiver Program job openings:

What states have the most Medicaid Waiver Program jobs?

States with the most job openings for Medicaid Waiver Program jobs include:

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

The top searched job categories for Medicaid Waiver Program jobs are:

Infographic showing various Medicaid Waiver 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.

$63K - $75K/yr

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Posted 2 days ago

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Job description

Medicaid Waiver Nurse

Starting Salary Range: $63,011 - $75,613

This position determines eligibility for the Medicaid Waiver program in compliance with Federal and State regulations. This position also provides trainings to and consultation to case managers on eligibility requirements.

Responsibilities:

  • Determine Medicaid Waiver eligibility for individuals supported by GGRC as required by the Department of Developmental Services (DDS) regulations. Review case records to assure assessed needs are supported by current case documentation and collaborate with Case Manager as needed to assure Client Development Evaluation Report (CDER) is updated and accurate and that the Consumer Choice form is received and filed to e-records.
  • Determine Medicaid Waiver eligibility for Institutional Deeming Referrals to Medi-Cal. Receive, process, and track referrals and follow up with Case Manager.
  • Perform annual recertification review for persons enrolled in the Medicaid Waiver program.
  • Perform Medicaid Waiver terminations when eligibility requirements are no longer met.
  • Distribute Medicaid Waiver documentation for data entry and filing to e-records.
  • Review and compare State and Regional Center reports to ensure accuracy of data.
  • Provide assistance during Federal and State audits and follow up on an appropriate plan of corrective action as needed.
  • Inform, educate and provide input to case management staff and others regarding Medicaid Waiver program, documentation, and any changes in Medicaid Waiver status of individuals served. Assist with the new hire orientation sessions to Medicaid Waiver and ongoing training for case management staff.
  • Establish and maintain relationships with external organizations including DDS and County Health and Human Services offices to facilitate the exchange of information between the agency and its community partners.
  • Participate in related projects, and assist with additional duties or tasks, as assigned.
  • Maintain all information related to individuals supported as confidential in compliance with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the California Lanterman Act.