Medicaid Implementation Project Manager

About The Role

Overview
Our client, a leading healthcare solutions organization, is seeking an experienced Medicaid Implementation Project Manager to lead complex, multi-workstream implementations across state Medicaid programs. This is a fully remote role supporting a high-visibility initiative with direct impact on healthcare access, operational efficiency, and regulatory compliance. This position is ideal for someone who has deep Medicaid operational experience (claims, appeals, grievances, provider operations, etc.) and has transitioned into implementation work, bringing both subject-matter expertise and project leadership to the table.

Position Responsibilities

• Lead full lifecycle Medicaid implementation projects, from initiation through go-live and stabilization.
• Develop and manage detailed project plans, schedules, and deliverables using MS Project or similar PPM tools.
• Partner with business and technical teams to translate Medicaid operational requirements into actionable implementation plans.
• Facilitate cross-functional meetings, status updates, risk/issue management, and stakeholder alignment.
• Ensure compliance with state Medicaid regulations, operational standards, and contractual obligations.
• Drive readiness activities including UAT, training, operational workflows, and post-implementation support.
• Maintain clear documentation, reporting, and communication across all project phases.
• Serve as a subject-matter liaison between business operations and implementation teams.

Required Skills & Experience

• 5+ years of total Project Management experience, with a strong focus on Medicaid implementations.
• Candidates must have moved from Medicaid business operations (claims, appeals, grievances, provider services, etc.) into implementation — not the reverse.
• Strong understanding of Medicaid operational workflows, state requirements, and regulatory nuances.
• Hands-on experience with project tracking tools such as MS Project, Planview, or other PPM systems.
• Proven ability to manage complex, multi-stakeholder projects with tight deadlines.
• Excellent communication, documentation, and stakeholder-management skills.

Bonus / Preferred Skills

• Experience with behavioral health implementations or behavioral health program operations.
• Experience with Planview for project portfolio management.
• Background working with MCOs, state Medicaid agencies, or healthcare technology vendors.
• PMP, CSM, or other project management certifications.

Key Responsibilities & Skills

• Medicaid Implementation Management
• Medicaid Operational Workflow Expertise
• Claims & Appeals Process Management
• Provider Services Management
• Regulatory Compliance & State Medicaid Requirements
• Stakeholder Management & Communication
• Risk & Issue Management
• UAT Planning & Execution
• Training & Change Management
• Documentation & Reporting
• Cross-Functional Leadership
• Project Lifecycle Management
• Project Tracking Tool Expertise
• Behavioral Health Program Implementation
• Technical Skills
• MS Project / Planview / PPM Tools
• Microsoft Office Suite
• Remote Collaboration Platforms

Education

• Bachelor's Degree in Health Administration, Public Health, Business Administration, Healthcare Management, Health Policy.
• Preferred: MBA, MPH, MHA.

Industry Experience

• Healthcare Services
• Medicaid Programs
• Managed Care Organizations (MCOs)
• State Government Health Agencies
• Behavioral Health Services
• Healthcare Technology Vendors