Medicaid Jobs

The LMSW Case Manager role at St. Joseph Medical Center supports inpatient populations by coordinating comprehensive care plans to optimize patient independence and quality of life. Key responsibilities include conducting psychosocial assessments, advocating for community resources, managing financial counseling, and facilitating legal processes such as guardianship and Medicaid applications. The position offers a collaborative environment within a multidisciplinary healthcare team, allowing professionals to apply clinical social work expertise to improve patient outcomes. This full-time, on-site opportunity in Towson, MD, requires an MSW and relevant state licensure, providing a platform for meaningful impact in patient care and family support.

The Data Conversion Lead role involves directing end-to-end Medicaid data migration efforts within the Human Services department. Key responsibilities include designing and developing complex ETL processes to transform legacy data, establishing conversion strategies that minimize operational risk, and providing technical leadership to development teams. The position requires guiding junior engineers, ensuring compliance with CMS and state regulations, and overseeing validation processes for high-volume datasets. This opportunity appeals to candidates seeking to apply their healthcare domain expertise in a mission-driven environment. The role offers the chance to work on critical system certifications and go-live activities while collaborating with cross-functional teams to support essential government services.

This consulting role involves a Medical Billing Specialist joining a mission-driven healthcare organization to optimize billing operations. The position requires five years of experience and focuses on managing complex billing processes, reviewing patient accounts for accuracy, and resolving discrepancies with insurance providers. Key responsibilities include handling Medicare and Medicaid claims, training staff on billing procedures, and ensuring compliance with federal regulations. The role is appealing for its opportunity to drive process improvements within a growing team and utilize extensive knowledge of healthcare coding and payer requirements. The position is structured as a consulting engagement.

The Registered Nurse Supervisor role oversees clinical documentation and care delivery for adult home care services within a home health agency. Key responsibilities include reviewing and completing patient assessments, developing individualized care plans, and conducting supervisory visits to ensure compliance with state and Medicaid regulations. The position requires strong clinical judgment to evaluate service delivery and provide guidance to field staff while maintaining rigorous quality assurance standards. This opportunity appeals to self-directed nurses seeking a position that values independent decision-making and professional growth in a mission-driven environment. The work arrangement involves a hybrid schedule combining office-based administrative tasks with travel to client homes across the state.

The Clinical Compliance and Operations Auditor role serves as a frontline evaluator within a national healthcare organization, ensuring centers maintain high standards of clinical and operational integrity. Key responsibilities include conducting unannounced onsite reviews and facility walk-throughs, interviewing staff to assess protocol adherence, and auditing client records against regulatory and payor requirements. The position also involves generating detailed data-driven reports to support leadership in risk forecasting and preparing local teams for external accreditation reviews. This opportunity appeals to professionals seeking to drive continuous improvement across a large-scale network while bridging rigorous compliance frameworks with compassionate care. The role requires significant travel, up to 80% of the time, to visit assigned territories and offers a strategic environment for those with advanced behavior analysis expertise.

This full-time Pharmacy Technician - Billing Specialist role is based in Pink Hill, North Carolina, within Southern Pharmacy Services, a division of the Guardian family. The position focuses on delivering customized medication management solutions for long-term care facilities. Key responsibilities include processing insurance claims, verifying patient eligibility, resolving billing disputes, and managing patient files to ensure regulatory compliance. The role also involves providing guidance on Medicare plans and performing prescription claims adjudication. The position appeals to candidates seeking a collaborative, fast-paced environment with opportunities for career growth and professional development. The work arrangement requires an on-site presence with a rotating weekend schedule and flexible hours between 8 am and 6 pm.

This full-time Self-Directed Service Coordinator role supports individuals with developmental disabilities in Sullivan and Lower Grafton counties, NH. The position involves managing a caseload of 25 to 30 individuals by facilitating person-centered planning, developing individual budgets, and ensuring regulatory compliance. Key responsibilities include conducting quarterly visits, monitoring financial statements, and collaborating with families to promote individual choice and decision-making. The role offers a hybrid work arrangement with optional remote days and requires regional travel with mileage reimbursement. The position is appealing for its mission-driven culture focused on empowering individuals to live their best lives, along with comprehensive benefits and professional growth opportunities.

The Clinical Assessment Manager role within VNS Health involves conducting comprehensive clinical, environmental, and social assessments for New York members to establish individualized plans of care. Key responsibilities include performing face-to-face and telehealth evaluations, determining appropriate service levels in compliance with state and federal regulations, and collaborating with care teams to ensure cost-effective, high-quality community-based support. This position offers the appeal of working for a historic nonprofit organization dedicated to improving lives, featuring significant opportunities for professional growth, tuition reimbursement, and internal mobility. The role requires travel across upstate and downstate counties and is open to candidates with a New York nursing license and relevant clinical experience.

The Office Manager role at DDA Services oversees daily administrative operations within a healthcare agency, supporting staff, caregivers, and clients. Key responsibilities include managing client intake and records, supervising office staff, coordinating caregiver schedules, and ensuring compliance with state DDA regulations. The position also involves handling timesheets, maintaining employee files, and serving as a liaison between families and healthcare professionals. This opportunity appeals to organized professionals seeking a supportive environment where they can contribute to a growing team. The role offers full-time or part-time schedules with occasional flexibility for weekends or after-hours support.

This part-time Hospice Nurse Practitioner role focuses on delivering compassionate end-of-life care within a national hospice organization. The position involves performing required face-to-face physical assessments for hospice eligibility, documenting clinical findings, and collaborating with physicians and interdisciplinary teams to ensure regulatory compliance. Key responsibilities include evaluating patients in their homes or care facilities and providing clinical recommendations based on assessment results. The role is appealing due to its flexible weekday schedule, supportive team environment, and opportunities for career advancement through education support and recognition programs. The position offers a work-life balance while allowing clinicians to make a meaningful impact on patients and families during critical times.

This part-time Hospice Nurse Practitioner role focuses on delivering compassionate end-of-life care within patients' homes and residential facilities. The position involves performing required Face-to-Face physical assessments, documenting clinical findings for regulatory compliance, and collaborating with physicians and interdisciplinary teams to manage patient treatment plans. The role offers a flexible weekday schedule and a supportive culture that values work-life balance. Key appeals include opportunities for career advancement, comprehensive benefits such as 401(k) matching and tuition assistance, and the chance to serve a national organization dedicated to honoring patient dignity.

This part-time Hospice Nurse Practitioner role focuses on delivering compassionate end-of-life care within patients' homes and residential facilities. The position involves conducting essential Face-to-Face physical assessments to ensure regulatory compliance, documenting clinical findings, and collaborating with physicians and interdisciplinary teams to develop treatment plans. The role appeals to clinicians seeking a supportive environment with a flexible weekday schedule, offering opportunities for career advancement, educational support, and a strong work-life balance. As part of a national leader in hospice services, the position provides mileage reimbursement or a fleet vehicle program to facilitate travel across diverse patient settings.

This part-time Hospice Nurse Practitioner role focuses on delivering compassionate end-of-life care within patients' homes and residential facilities. The position involves performing required Face-to-Face physical assessments, documenting clinical findings, and collaborating with physicians and interdisciplinary teams to ensure regulatory compliance and quality care. The role offers a flexible weekday schedule, a supportive team environment, and opportunities for professional growth through education assistance and recognition programs. It is ideal for a dedicated clinician seeking work-life balance while making a meaningful impact on patients and families during critical times.

This field-based Sr. Manager role within Eisai's Patient Services team supports the Neurology business unit by ensuring patient access to innovative medicines in neurology and oncology. The position involves serving as the primary point of contact for healthcare professionals regarding insurance coverage, reimbursement policies, and patient support programs. Key responsibilities include triaging access issues, developing regional strategies to maintain treatment availability, and delivering training to sales teams on payer trends and billing procedures. The role appeals to candidates seeking to make a direct impact on patient care within a mission-driven pharmaceutical company. It offers the opportunity to work in a fast-paced environment with significant autonomy, requiring regular in-person engagement with healthcare providers across the Milwaukee region.

This full-time Physical Education teaching role for the 2026-2027 academic year involves designing and delivering curriculum that meets diverse student needs within a Florida school district. Key responsibilities include planning instructional programs, assessing student progress, maintaining accurate records, and supervising support personnel while ensuring compliance with state regulations and student safety protocols. The position appeals to educators seeking a collaborative environment focused on student well-being and school improvement initiatives. Candidates must hold a valid Florida teaching certificate and a bachelor's degree, with a master's degree and management experience preferred. The role is based on-site at the school facility.

This full-time inpatient social work role at Washington Hospital involves managing a caseload of patients to coordinate care and enhance quality of life. The position requires collaboration with healthcare teams to conduct psychosocial assessments, develop care plans, and advocate for community resources. Key responsibilities include facilitating access to government programs, providing counseling to families, and ensuring compliance with documentation standards. The role offers the opportunity to work within a multidisciplinary team focused on patient independence and efficient care delivery. Candidates must hold an MSW and relevant state licenses for the DC, Maryland, or Virginia regions.

This hybrid role serves as a financial advocate for patients accessing complex specialty medications for serious conditions. The position involves investigating prescription benefits, securing insurance authorizations, and coordinating copay assistance or manufacturer programs to ensure patients can afford their treatments. Key responsibilities include navigating Medicare and Medicaid regulations, resolving insurance denials, and communicating sensitive financial information to patients and healthcare teams. The role appeals to those seeking to make a direct impact on patient care within a collaborative health system, offering opportunities to support vulnerable populations while developing expertise in pharmacy benefits and revenue cycle management.

The Clinical Assessment Manager role within VNS Health involves conducting comprehensive clinical, environmental, and social assessments for members to establish individualized plans of care that ensure safety within the community. Key responsibilities include performing face-to-face and telehealth evaluations, determining appropriate service plans, coordinating with providers and families, and ensuring strict compliance with state and federal regulations. This position offers significant appeal through a mission-driven culture at a leading nonprofit organization, extensive professional growth opportunities including tuition reimbursement, and a robust benefits package featuring generous paid time off and retirement matching. The role requires travel across New York State to conduct in-home assessments and supports a collaborative environment focused on high-quality, cost-effective healthcare.

This fully remote Senior Benefit Configuration Analyst role at Sentara Health focuses on designing and validating complex benefit configurations within the QNXT platform to ensure accurate claims adjudication and regulatory compliance. The position involves translating benefit plan documentation into system requirements, building configuration logic for various plan types, and executing data validations using SQL. Key responsibilities include managing configuration packages, supporting annual updates for Medicare and Medicaid, and mentoring junior analysts. The role appeals to candidates seeking a collaborative environment with a strong mission to improve health, offering opportunities for professional growth through tuition assistance and certification reimbursement. The position supports flexible work arrangements for residents in specific states and emphasizes a culture of diversity and inclusion.

The Manager - Accounts Receivable role oversees all billing and collection operations within a fast-paced pharmaceutical organization at Merz Therapeutics. Key responsibilities include leading end-to-end AR processes such as invoicing, cash application, and dispute resolution, while ensuring strict compliance with industry regulations and pricing agreements. The position involves managing customer relationships, optimizing cash flow, and mentoring a team of analysts to drive continuous improvement. This opportunity is appealing for its inclusive, family-owned culture that prioritizes patient impact and individual growth. The role offers a collaborative environment with minimal travel requirements and the chance to contribute to a mission-driven organization.

This part-time MDS Nurse role for an LVN or LPN focuses on coordinating Minimum Data Set assessments within a skilled nursing facility. The position involves completing care area assessments and maintaining accurate clinical documentation to ensure compliance with federal and state regulations while supporting reimbursement processes. Key responsibilities include collaborating with interdisciplinary teams to develop individualized care plans, participating in quality improvement initiatives, and providing staff education on documentation standards. The role appeals to professionals seeking a position that values regulatory expertise and direct impact on resident care quality. The work arrangement is part-time and requires on-site presence at the facility, with occasional travel for audits or surveys.

This full-time onsite Physical Therapist role at American Premier Home Health in Phoenix focuses on delivering personalized rehabilitation to seniors within their own homes. Key responsibilities include conducting comprehensive patient evaluations, developing tailored treatment plans, and performing therapeutic sessions using evidence-based practices. The position requires close collaboration with interdisciplinary teams, meticulous documentation, and educating patients and families on recovery strategies. The opportunity is appealing for its chance to witness tangible patient progress in a unique home setting, work within a supportive and compassionate community, and advance clinical skills while enhancing the quality of life for clients.

This virtual role connects fully licensed Marriage and Family Therapists with a platform designed to help them launch or expand their private practices by accepting insurance. The position involves managing client care through a comprehensive digital ecosystem that includes real-time scheduling, secure messaging, and end-to-end documentation tools. Key responsibilities include maintaining compliance with state regulations, utilizing built-in EHR features for efficient practice management, and providing care to clients covered by major insurance plans including Medicare and Medicaid. The opportunity is appealing for therapists seeking to increase their client base and earnings without administrative burdens, as the platform handles credentialing and offers free continuing education. The arrangement is entirely remote, allowing professionals to work from any location while supporting a mission to make mental health care more accessible.

This Patient Care Coordinator role serves as the primary front-office contact at a Federally Qualified Health Center dedicated to underserved communities. The position involves greeting patients, verifying insurance eligibility and benefits, managing appointment scheduling, and maintaining accurate patient records within the EHR system. Key responsibilities also include collecting co-pays, handling patient inquiries, and ensuring compliance with HIPAA regulations. The role is appealing due to a comprehensive benefits package including medical, dental, vision, and a retirement plan with employer matching, alongside paid time off and holidays. The position offers opportunities for professional growth within a mission-driven environment focused on community health.

This full-time leadership role involves overseeing operational and clinical performance for multiple home health branches across the Dallas and Fort Worth markets. The position requires managing day-to-day operations, driving financial metrics, and ensuring regulatory compliance while providing guidance to Clinical Success Mentors and skilled nursing teams. Key responsibilities include budgeting, quality improvement initiatives, and fostering a culture of excellence within a fast-paced environment. The opportunity is appealing due to the chance to make a meaningful impact on patient care, access to comprehensive benefits including tuition reimbursement, and a supportive culture that invests in professional growth. The role entails regular travel between offices and is based in Texas.