Medicaid Jobs

Pfizer seeks an experienced Field Reimbursement Manager to support patient access and reimbursement for Pfizer products across the Albany/upstate NY territory through in-person HCP engagement, payer education, and claims assistance.

Provide in-person eligibility determinations and client support for ODHS programs in Baker City as an Eligibility Worker within the Oregon Eligibility Partnership.

Humana seeks an experienced Transition Coordinator to coordinate member transitions across Indiana Medicaid programs, ensuring continuity of care and appropriate community-based supports.

Humana is hiring a Care Coach to coordinate member care, address social and clinical needs, and support members in achieving optimal health while working remotely within the Waynesboro, VA region.

Humana is hiring an LSW Field Care Manager to perform in-home assessments and coordinate care for Medicare/Medicaid members across Wayne and Macomb counties.

Pavago is recruiting a detail-focused Accounts Payable Specialist to manage full-cycle AP and vendor reconciliations for a remote, US-hours client engagement.

Grow your estate-planning practice by receiving steady, pre-qualified client referrals while leveraging full administrative support and flexible engagement terms.

Senior healthcare leader needed to modernize and centralize revenue cycle operations across a multi-facility NY-focused health system, ensuring compliance and financial sustainability for rural communities.

Experienced healthcare reimbursement specialist needed to define and maintain hospital payer contracts in Experian Health's Contract Manager to ensure accurate claim valuations and patient estimates.

Lead a tech-forward solo practice at Flat Rock Dental Center as a full-time General Dentist serving PPO and Medicaid patients with strong team support and modern digital tools.

Arbital Health is hiring an Actuary Software Engineer to apply actuarial expertise and backend engineering skills (Python, Databricks, AWS) to build financial reporting features and scale a value-based care platform.

Be part of Presbyterian's payment integrity team, leading post-payment audits and recovery initiatives to reduce improper payments and improve reimbursement accuracy.

Amazing Care Home Health Services is hiring a Billing and Collections Specialist to handle claims submission, appeals, payer follow-up and payment posting for its San Antonio home health operations.

Experienced RN needed to serve as MDS Nurse/Resident Assessment Coordinator at Wood Glen Alzheimer's Community, leading MDS/RAI assessments and reimbursement compliance for residents.

Humana is hiring a Compliance (UM) Coordinator 2 to produce Medicaid UM determination notices, analyze compliance data, and maintain quality metrics in a remote role.

Serve Oregonians in the Baker City ODHS office as an Eligibility Worker, conducting in-person interviews and determining enrollment and ongoing eligibility for state benefit programs.

Lead public-sector expansion at Ocrolus as Director of Business Development, driving Medicaid adoption of AI-enabled fintech solutions across state and local government agencies.

Provide remote outpatient therapy as a licensed LMHC or LMFT for a mission-driven telehealth provider serving Medicaid, Medicare, and commercial patients, with additional pay for Spanish fluency.

Lead cluster cash collections and reconciliation efforts for Pennant’s Home Health & Hospice agencies, ensuring compliant, efficient revenue cycle operations.

Tutera Senior Living & Health Care is hiring a Revenue Data Analyst to produce, validate, and communicate revenue reporting and insights for skilled nursing and senior living operations.

Humana is seeking a field-based Care Coach in Orlando to perform home and facility visits, assess member needs, develop care plans, and coordinate services to improve health outcomes.

Tutera Senior Living & Health Care is hiring a Business Office Assistant in Carlinville to support billing, insurance claims, refunds, and resident financial records in a regulated long-term care setting.

Gainwell Technologies is hiring a remote Drug Rebate Data Entry Clerk to process and reconcile Medicaid drug rebate payments with accuracy and compliance.

Tutera Senior Living & Health Care is hiring a Business Office Manager to manage billing, resident funds, and compliance for its Derby senior living community.

Humana seeks a bilingual (English/Spanish) Telephonic Care Coach to perform comprehensive telephonic assessments, care planning, and member coaching for Illinois-based members.

Humana seeks a bilingual Telephonic Nurse Care Manager to provide remote, culturally competent case management and health coaching to Illinois members.

Conduct bilingual eligibility interviews and determinations for ODHS benefit programs using a trauma-informed, person-centered approach in a fully remote Eligibility Worker role.

Oregon DHS is seeking Russian/English bilingual Eligibility Workers to perform trauma-informed, person-centered eligibility determinations for state benefit programs using the ONE system.

Lead state government sales for Ocrolus’ Medicaid solution, driving new public-sector client acquisition and shaping strategic engagements to modernize eligibility and verification workflows.

Lead and supervise LTSS Provider Services in Albuquerque, ensuring compliant claims processing, effective provider education, EVV oversight and strong cross-functional collaboration.

CGS is hiring a Healthcare Fraud Investigator to analyze healthcare and financial data and develop high-quality case referrals in support of government litigation in Nashville, TN.

Dungarvin seeks a Mental Health Program Manager to lead and supervise residential programs supporting individuals with complex behavioral and mental health needs in Mapleton, MN.

Dungarvin seeks an experienced Operational Manager (245D Designated Manager) in Maplewood, MN to lead residential programs, ensure regulatory compliance, manage budgets, and supervise staff to deliver person-centered supports.

Brave Health is hiring full-time LMHC/LMFT clinicians to provide remote outpatient telehealth therapy to Medicaid, Medicare, and commercial patients.

Presbyterian Healthcare Services seeks a detail-oriented Health Services Assistant in Albuquerque to manage prior authorizations, claims-related documentation, provider coordination, and data entry to support patient care and clinical operations.

Experienced estate planning attorneys are invited to take on pre-qualified clients with full administrative support and flexible, part-time scheduling to grow revenue without marketing or overhead.

Helio Health is hiring a compassionate Health Home Care Coordinator in Rochester to manage care, enroll eligible Medicaid clients, and coordinate community-based services for adults with behavioral health needs.

Serve as an Eligibility Worker for HASA, conducting face-to-face interviews, determining benefits eligibility, and processing assistance for clients living with HIV/AIDS.

C.H.E. Behavioral Health is hiring Licensed Clinical Social Workers to deliver geriatric behavioral health services across partner skilled nursing and rehabilitation facilities in the Atlanta area.

Lead and mentor a team of Waiver Services Specialists at Nebraska DHHS to oversee HCBS waiver eligibility, authorization, and quality service delivery for Nebraskans with disabilities.

Senior market access leader needed to drive Medicaid payer strategies, coverage, and contracting across Western U.S. fee-for-service Medicaid programs for a fast-growing biopharma.

Provide virtual, evidence-based mental health care as a licensed therapist for Brave Health, delivering services to diverse patient populations across multiple U.S. states.

Cogent Biosciences seeks an experienced Senior Director, Payer Accounts to lead payer account strategy and a field team focused on maximizing coverage and access for its precision therapies.

Lead and supervise BOS teams in New York City’s FIA Benefits Access Centers to manage eligibility, employment planning and case services that help clients achieve self-sufficiency.

UChicago Medicine is seeking a detail-oriented Revenue Cycle Financial Specialist to manage insurance verification, prior authorizations, and patient financial assistance within a primarily remote, hybrid work arrangement.

Youth Villages is hiring a Pre-Service Coordinator in Hattiesburg to manage referrals, conduct intake assessments, verify eligibility, and provide ongoing support and crisis response to families.

Serve as an Attorney II in DSS’s Office of Legal Affairs, providing litigation, counsel, and courtroom representation on Medicaid liens, support recovery, and agency defense across city and state proceedings.

Senior legal leader needed to direct the Supplemental Needs Trust Program at NYC Department of Social Services, combining complex legal advisory, program management, and policy development.

Provide front-line client intake and routing at HRA's Brooklyn site, assisting visitors with kiosks, application kits, document scanning and directing them to appropriate benefit services.

Provide accurate appointment confirmations and coordinate medical transportation for patients while working remotely for an expanding transportation provider.