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Medicaid Jobs in Texas (NOW HIRING)

The Medicaid Specialist manages the full qualification process -- from initial eligibility analysis to application submission and annual renewals -- so families get the benefits they need, and our ...

The Medicaid Specialist manages the full qualification process - from initial eligibility analysis to application submission and annual renewals - so families get the benefits they need, and our ...

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Medicaid information

See Texas salary details

$14

$25

$39

How much do medicaid jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for medicaid in Texas is $25.94, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $30.48 per hour, depending on experience, location, and employer.

What is a Medicaid job?

Medicaid jobs typically refer to positions that involve administering, managing, or supporting the Medicaid program, which provides health coverage to eligible low-income individuals and families in the United States. These jobs can include case managers, eligibility specialists, policy analysts, healthcare providers, and administrative staff who work for state agencies, healthcare organizations, or managed care companies. Professionals in these roles help applicants access benefits, ensure compliance with federal and state regulations, and support the delivery of healthcare services to Medicaid recipients.

What are some common challenges faced by Medicaid case managers, and how can applicants prepare for them?

Medicaid case managers often navigate complex regulations and high caseloads, making time management and attention to detail essential skills. They regularly interact with clients who may have urgent needs or face barriers to accessing care, which can be emotionally demanding. Collaborating with healthcare providers, social workers, and government agencies is a daily part of the role, so strong communication and problem-solving abilities are critical. Applicants can prepare by familiarizing themselves with Medicaid policies in their state, developing organizational strategies, and cultivating empathy to support diverse populations effectively.

What are the key skills and qualifications needed to thrive as a Medicaid specialist, and why are they important?

To succeed as a Medicaid Specialist, you need a strong understanding of healthcare regulations, Medicaid eligibility criteria, and case management, typically supported by a degree in social work, public health, or a related field. Familiarity with Medicaid management information systems (MMIS), electronic health records (EHRs), and relevant billing or compliance software is often required. Excellent communication, problem-solving, and attention to detail are essential soft skills for effectively serving clients and navigating complex regulations. These competencies ensure accurate eligibility determinations, compliance with policies, and support for vulnerable populations accessing care.

What is the difference between Medicaid vs Medical Assistant?

AspectMedicaidMedical Assistant
CredentialsNone required; eligibility based on incomePost-secondary education, certification often required
Work EnvironmentGovernment programs, clinics, hospitalsDoctor's offices, clinics, hospitals
Employer & IndustryGovernment-funded health insurance programHealthcare providers, clinics

Medicaid is a government health insurance program for eligible individuals, while a Medical Assistant is a healthcare professional providing clinical and administrative support in medical settings. Medicaid focuses on funding and eligibility, whereas Medical Assistants deliver direct patient care and support healthcare operations.

What are the most commonly searched types of Medicaid jobs in Texas?

The most popular types of Medicaid jobs in Texas are:

What cities in Texas are hiring for Medicaid jobs?

Cities in Texas with the most Medicaid job openings:

Infographic showing various Medicaid job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 12% Part Time, 5% Contract, and 1% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $53,963 per year, or $25.9 per hour.

$65K/yr

Full-time

Re-posted 19 days ago


Key responsibilities

  • Interview clients to gather financial and medical information and determine Medicaid eligibility for long-term care nursing facility benefits and STAR+PLUS Waiver programs

  • Prepare and submit initial Medicaid applications and annual renewals to the State of Texas, and track case status while following up with HHSC and nursing facility offices

  • Gather, organize, and maintain client documentation, and communicate case updates to clients, attorneys, and team members


Job description

About the Role: When a family comes to us because their loved one needs nursing home care and they have no idea how to pay for it, you’re the person who guides them through. The Medicaid Specialist manages the full qualification process — from initial eligibility analysis to application submission and annual renewals — so families get the benefits they need, and our attorneys can focus on the legal work. This role matters enormously to clients, often at one of the hardest moments of their lives.

Compensation:

$45,000 - $65,000 yearly


Responsibilities:

What You’ll Do - Interview clients (in person and by phone) to gather financial and medical information and determine Medicaid eligibility for long-term care nursing facility benefits (MEPD) and STAR+PLUS Waiver programs - Counsel families on asset spend-down strategies, Qualified Income Trusts (Miller Trusts), Lady Bird Deeds, and Supplemental Needs Trusts as part of the qualification process - Gather and organize all required documentation; prepare and maintain client files from retention through annual renewal - Prepare and submit initial Medicaid applications and annual renewals to the State of Texas - Track case status and proactively follow up with HHSC and nursing facility business offices - Build and maintain relationships with nursing home business office staff to support referrals and ongoing case communication - Communicate case updates clearly to clients, attorneys, and other team members


Qualifications:

What You Bring - Prior experience as a Medicaid caseworker with HHSC or in a private elder law or Medicaid consulting firm — specifically with nursing home Medicaid (MEPD) and STAR+PLUS Waiver programs - Working knowledge of Medicaid eligibility rules, asset spend-down strategies, Qualified Income Trusts, and related planning tools - Strong organizational skills and attention to detail — you’re managing multiple files with real deadlines and real stakes - Comfortable gathering sensitive financial and medical information from clients who may be scared, overwhelmed, or grieving - Warm, patient, and professional — you know that how you treat people is just as important as what you know


Why Join Us? This is a role where your work directly changes outcomes for families in crisis — and you’ll see that impact every day. You’ll be part of a firm that genuinely cares about its clients and its team, led by an attorney who built the practice around the idea that people deserve to feel respected and taken care of. If you want to do meaningful work in a place where you’re valued, this is it.


About Company

Miller Law Office is an award-winning estate planning and elder law firm in Plano, Texas — named Plano’s Best Law Firm four years running (2022–2025). We help families protect what they’ve built and navigate some of life’s most complex and emotional transitions. Our team is small, tight-knit, and genuinely committed to making clients feel heard, taken care of, and never talked down to.

Please do not call the law firm regarding this posting.