Qualifications

• 3+ years of experience in Medicaid program administration, payer relations, or provider enrollment.
• Knowledge of Medicaid Waiver programs in states such as IN, TX, FL, or MN.
• Familiarity with NPI/LPI enrollment processes.
• Strong organizational and project management skills.
• Ability to interpret and summarize regulatory and legislative documents.
• Proficiency in Microsoft 365.
• Experience in senior living, long-term care, or home and community-based services (HCBS).
• Background in MCO/MCE contracting or rate negotiation.

Responsibilities

• Monitor and track Medicaid legislation, policy changes, and procedure updates across all operating states.
• Translate regulatory changes into actionable guidance for community leadership and operations teams.
• Manage the renewal of existing Medicaid contracts to ensure continuous participation and compliance.
• Establish new contracts with Managed Care Entities (MCEs) and Managed Care Organizations (MCOs).
• Research and document Medicaid Waiver program details for new states as the organization expands.
• Serve as a resource and thought partner for community leadership navigating Medicaid Waiver program requirements.
• Directly supervise billing specialist(s) and oversee Medicaid billing activities.

Benefits

• Health insurance and wellness programs.
• Paid time off and holidays.
• Ongoing professional development opportunities.
• Flexible work environment and supportive culture.
• Retirement savings plan options.