Medicaid Enrollments Manager - RCM/Healthcare

Core Responsibilities

• Lead and manage the Medicaid Enrollment team, including training, performance management, and professional development
• Oversee daily operations for all Medicaid enrollment activities, including initial applications, revalidations, and updates
• Maintain dashboards, track KPIs, and provide regular reporting to leadership on enrollment progress, turnaround times, and issue resolution
• Collaborate with Implementation, Billing, and Account Management teams to ensure providers are fully operational post-enrollment
• Develop and refine standard operating procedures (SOPs) for consistent and efficient enrollment practices
• Serve as an escalation point for complex enrollment issues, guiding the team through problem-solving and resolution
• Partner with Product and Operations teams to identify opportunities for automation and process improvement
• Stay current with Medicaid policy changes and communicate updates to internal teams and providers

Experience And Skills

• Minimum 3 years of experience in Medicaid enrollments, credentialing, or provider onboarding (multi-state experience strongly preferred)
• Minimum 2 years of people management experience with proven leadership in a healthcare operations setting
• Strong knowledge of Medicaid regulations, revalidation processes, and compliance requirements
• Excellent organizational, problem-solving, and communication skills
• Able to manage multiple priorities in a fast-paced environment
• Proficiency with CRM systems (HubSpot preferred), databases, and MS Office Suite

Experience And Skills (continued)

• Ability to manage multiple priorities in a fast-paced environment
• Proficiency with CRM systems (HubSpot preferred), databases, and MS Office Suite
• Education and Qualifications
• Bachelor’s degree in Healthcare Administration, Business, or a related field preferred
• Relevant experience may be considered in lieu of a degree

What We Offer

• Medical, dental, and vision benefits
• 401k retirement plan
• Aflac benefits
• Paid time off
• Professional development support

Pay

$75,000-$85,000 depending on experience