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Medicaid Jobs in Reston, VA (NOW HIRING)

CRi

Account Analyst

Chantilly, VA · On-site

$28 - $33/hr

Plans, directs, and manages Medicaid external audits; resolves audit issues and responds to inquiries from Medicaid external auditors. • Assumes responsibility for Medicaid settlement account ...

Analytica

Eligibility Staff Auditor

Washington, DC · Remote

Analytica is seeking a Medicaid Eligibility Auditor to support the State Medicaid Program Integrity Audit (SMPIA) initiative, a key federal oversight program focused on strengthening the integrity ...

Analytica

Eligibility Staff Auditor

Washington, DC · On-site +1

Analytica is seeking a Medicaid Eligibility Auditor to support the State Medicaid Program Integrity Audit (SMPIA) initiative, a key federal oversight program focused on strengthening the integrity ...

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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.

Senior Manager, Medicaid Product

Hispanic Alliance for Career Enhancement

Washington, DC • On-site

$68 - $199/hr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

A Brief Overview

Supports the Medicaid Value-Added Benefits (VAB) Team by recommending appropriate actions, strategies and/or alternatives to meet business needs related to benefit design, build and management within our Salesforce-Based Health Innovation Platform (HIP). Responsible for leading/managing business aspects of HIP such as planning, coordination, development, reporting and implementation of new and existing VABs. Act as a liaison between IT and the business segment to facilitate documenting business requirements. Ensures scope-of-work meets business objectives and that all deliverables and due dates are met. Highly collaborative process requiring relationship management across Medicaid health plans and other key functional areas.

What you will do
  • Work with product leads and governance committees to manage intake, review, and execution of product improvement and development initiatives for managed products
  • Maintain and refine the product backlog in partnership with DDAT
  • Facilitate sprint planning, backlog refinement, and retrospectives.
  • Translate customer, colleague, and business needs into clear feature initiatives that track enterprise ROI
  • Develop, track, and manage key financial and other performance indicators for improvement and optimization.
  • Build and maintain product portfolio catalog with comprehensive product information, performance data, and dashboards/reports to ensure key stakeholders have up-to-date and easily accessible product knowledge
  • Lead data analysts professionals to deliver automated solutions for exchanging information with Value Added Services vendors, track and trend issue management with HIP platform and vendor issues related to benefits
  • Leverage in-depth knowledge and understanding of products across functions and market segments in directing the development and implementation of new product initiatives, including product enhancements
  • Oversee vendor relationship management for our managed products, serving as the main point of contact for business requests regarding performance and risk issues, contract management, and as the day-to-day primary point of contact with the vendor and vendor activities
  • Collaborate with the product team, health plans, and other internal functional areas to lead vendor performance reviews and ensure necessary action plans are created and implemented
For this role you will need Minimum Requirements
  • At least 7 years of healthcare or health insurance industry experience
  • 2 years or more of Product Development, Product Management or Operations experience
  • Experience leading change management
Preferred Qualifications
  • Experience leading cross-functional project management initiatives
  • Vendor management experience
  • Experience with execution and delivery (planning, deploying, and supporting) skills
  • Demonstrated understanding of technology and how it can be applied to solve business problems/provide technical solutions
  • Excellent communication and presentation skills
Education
  • Bachelor's degree preferred/specialized training/relevant professional qualification.
Pay Range

The typical pay range for this role is: $67,900.00 - $199,144.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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