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Medicaid Jobs in Reston, VA (NOW HIRING)

Barrow Wise Consulting

Medicaid/Medicare Consultant

MD · On-site

$90K - $150K/yr

The Medicaid/Medicare Consultant will support Barrow Wise's Illinois DHS project and perform the following duties: * Serves as the Medicare/Medicaid consulting expert * Provide and manage consulting ...

Techflairs Inc

Be Seen First

Medicaid clerk

Washington, DC · On-site

* The contractor will support the Medicaid Branch of the Health Care Policy and Research Administration in its processing of Medicaid LTSS applications and renewals. This position will provide ...

New

Maximus

Lead Consultant - Medicaid

VA · On-site +1

This role requires current Medicaid Consulting experience as a project leader. Strategic Operational and Policy Support The Lead Consultant - Medicaid will provide strategic operational and policy ...

For People

Software Engineer, Medicaid

Arlington, VA · On-site

$100 - $120/hr

Your Impact Someone on Medicaid hands a prescription to a pharmacist and finds out, right there at the counter, whether it is covered and what it will cost. That answer was settled long before they ...

For People

Software Engineer, Medicaid

Arlington, VA · Remote

$100K - $120K/yr

Your Impact Someone on Medicaid hands a prescription to a pharmacist and finds out, right there at the counter, whether it is covered and what it will cost. That answer was settled long before they ...

For People

Software Engineer, Medicaid

Arlington, VA · On-site +1

$100K - $120K/yr

Your Impact Someone on Medicaid hands a prescription to a pharmacist and finds out, right there at the counter, whether it is covered and what it will cost. That answer was settled long before they ...

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Showing results 1-20

All JobsMedicaid JobsMedicaid Jobs in Reston, VA

Medicaid information

See Reston, VA salary details

$16

$28

$44

How much do medicaid jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for medicaid in Reston, VA is $28.97, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $33.99 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 Reston, VA?

The most popular types of Medicaid jobs in Reston, VA are:

What are popular job titles related to Medicaid jobs in Reston, VA?

For Medicaid jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Medicaid jobs in Reston, VA look for?

The top searched job categories for Medicaid jobs in Reston, VA are:

What cities near Reston, VA are hiring for Medicaid jobs?

Cities near Reston, VA with the most Medicaid job openings:

Medicaid jobs near you
Infographic showing various Medicaid job openings in Reston, VA as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 12% Part Time, and 4% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution, with an average salary of $60,260 per year, or $29 per hour.

Medicaid/Medicare Consultant

Barrow Wise Consulting

MD • On-site

$90K - $150K/yr

Full-time

Re-posted 6 days ago

Job description

Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today.
Responsibilities:
The Medicaid/Medicare Consultant will support Barrow Wise's Illinois DHS project and perform the following duties:
  • Serves as the Medicare/Medicaid consulting expert
  • Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities
  • Provide revenue maximization services for Medicare A, B, D, and Medicaid
  • Enhance billing and coding accuracy, claims management, eligibility verifications, regulations, and compliance with recommendations and implementation of training, new systems, processes, and automation
  • Provide and manage services to process Medicare D claims and collection as required by Federal Medicare D rules and requirements; ensure a streamlined and compliant billing and collection function, including an electronic accounts receivable system specific to pharmacy claiming
  • Review and assess the current Medicare Part A & B, Medicaid, claiming policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities
  • Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and frequency
  • Assist the State in the completion of annual Medicare cost reports by reviewing Medicare cost report schedules to ensure reports are completed appropriately and maximize Medicare and Medicaid cost reimbursement
  • Implement processes to improve billing and claiming with the transition to State staff
  • Provide recommendations as to the level and expertise necessary for individuals to conduct billing and claim to achieve optimal revenue
  • Develop and deliver training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs
  • Work as a mediator between the State and the Fiscal Intermediary NGS (National Government Services), which requires them to answer questions related to the Medicare cost reports, billings and claims
  • Assist the IDHS Office of Fiscal Services with the submission of Medicare bad debt claiming
  • Assist the IDHS Office of Fiscal Services with the submission of annual Medicare cost reports
  • Identify additional revenue maximization opportunities for IDHS
  • Develop project reports and present data to the State

An ideal candidate has the following:
  • U.S. Citizenship
  • Bachelor's degree
  • 10 years of experience with Medicare and Medicaid claims processing systems and revenue maximization services
  • Knowledge of automation in healthcare claims
  • Proficient in Project Management and Business Analysis practices, principles, and tools
  • Excellent written and verbal communication skills

Join the team at Barrow Wise Consulting, LLC, for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply.
Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed.

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