ZipRecruiter

Log In

1

Medicaid Jobs in Raleigh, NC (NOW HIRING)

STI

Advanced Planning Document Writer

Raleigh, NC · On-site

The Advanced Planning Writer develops Advanced Planning Documents, Medicaid Detail Budget Tables and other documentation required for the planning, implementation, and operations activities in ...

Atash Enterprises, LLC

Senior IT Project Manager

Raleigh, NC · On-site

$127K - $127K/yr

This 100% federally funded position is critical to the technical implementation of approximately 15 complex, high-impact projects underway, supporting three major Medicaid use cases. The projects are ...

ssollc

Onsite Reviewer - NC

Raleigh, NC

Travel daily to Medicaid provider locations throughout North Carolina. * Conduct onsite reviews to verify provider operations, service delivery, and compliance requirements. * Complete North Carolina ...

previous page

Showing results 41-60

All JobsMedicaid JobsMedicaid Jobs in Raleigh, NC

Medicaid information

See Raleigh, NC salary details

$15

$27

$41

How much do medicaid jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medicaid in Raleigh, NC is $27.07, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $31.78 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 Raleigh, NC?

The most popular types of Medicaid jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medicaid jobs?

Cities near Raleigh, NC with the most Medicaid job openings:

Medicaid jobs near you
Infographic showing various Medicaid job openings in Raleigh, NC as of August 2026, with employment types broken down into 72% Full Time, 15% Part Time, and 13% Contract. Highlights an 70% In-person, 4% Hybrid, and 26% Remote job distribution, with an average salary of $56,302 per year, or $27.1 per hour.

Population Health Care Manager Medicaid

Duke University

Durham, NC • On-site

Full-time

Re-posted 23 days ago

Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

491st of 631 rated colleges and universities

Job description

Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.
The Population Health Care Manager is responsible for clinical expertise for specific complex and/or rising risk patient populations with a design to meet specific contractual and program related requirements. This role will perform disease management, assessment of disease, care plan development and facilitation, referral to appropriate levels of care, etc. The role functions as an integral part of an interdisciplinary team, ensuring excellence with transitions of care to achieve optimal clinical outcomes through a seamless model of access and care. Focus on improving the health status and care for individuals with chronic conditions with complex medical, mental health and psychosocial issues.
Work Performed
  • Coordinate and facilitate timely implementation of assessments, care plans, and appropriate interventions for identified patient population to determine patient health, social situation, physical environment, mental health, substance use, expressed trauma, economic status, and education to patients while exercising discretion and independent judgment; following established policies and procedures.
  • Provide individual treatment to address barriers and identified concerns by accessing systematically identified data from multiple sources such as patient medical records, claims, and program metric reports to target recipient(s) and provider(s) for outreach, education, and intervention.
  • Perform targeted interventions to assist patients with connection to primary care providers and other health care resources. Involve the patient and their support systems (i.e. caregiver, family, etc.) in the decision-making process.
  • Use a patient-centric, collaborative partnership approach to assist the patient with improved self-management and identifying barriers by addressing the total individual, inclusive of medical, psychosocial, behavioral, and spiritual needs.
  • Utilize proven processes to measure a patients understanding and acceptance of the proposed plan(s), his/her willingness to change, and his/her support to maintain health behavior change.
  • Apply teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness.
  • Monitor quality and effectiveness of interventions to the population by setting long term and/or short-term specific, measurable goal(s).
  • Electronically document all activity in Maestro, and other documentation systems relevant t o the position.
  • Communicate and coordinate with all provider(s) and member(s) of the care team as needed to minimize fragmented care and foster appropriate utilization of services. This will include, navigating transitions of care generally from hospital to home or community facilities.
  • Facilitate interdisciplinary communication to include specialists, PCP, RN, psychiatrist and other key providers.
  • Interface with key providers (e.g. discharge planners, social workers, physicians, psychiatrist etc.) within the hospital, primary care practices, public health and social service departments, as well as mental health agencies and other community resources to assure that patients are linked to and engaged in services.
  • Provide on-site, community, and telephonic outreach to patients, providers, and community stakeholders assisting with identification of treatment history, diagnoses and patient care components both internally and externally to ensure that services provided are sensitive to the needs of individual patients and take into account ethnic and cultural backgrounds.
  • This position may require home visits based on business rules and clinical need of identified patient population.
  • Provide feedback to TL, management, and executive leadership that will enhance negotiations with payers, improve care management, and/or address gaps in care.
  • Develop and maintain positive relationships with customers internal and external to Duke Health System.

Minimum Qualifications
Education
Bachelor's degree in a clinical field such as Nursing, Counseling, Social Work, Therapy, Allied Health, or community health related fields.
Experience
3 years of clinical experience required.
Degrees, Licensures, Certifications
Must have a current license in at least one of these areas:
Current or compact RN licensure in the state of North Carolina
Current licensure as a licensed clinical social worker by the NC Social Work Certification and Licensure Board
Current licensure as a Licensed Professional Counselor by the state of NC,
Current licensure as a Licensed Addiction Specialist by the state of North Carolina.
Requires ACM or CCM certification within 3 years of hire date.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

What Duke University employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Duke University logo

About Duke University

Sourced by ZipRecruiter

Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

View All Duke University Jobs

Apply