Medicaid Eligibility & Enrollment Manager

About This Role

Managing Medicaid eligibility and enrollment operations is the core of this role, which supports the management and improvement of these services. The work may involve agency processes, beneficiary communications, staff training, systems implementation, or performance improvement. This role suits professionals with experience in Medicaid eligibility, enrollment, renewals, or related beneficiary services.

Responsibilities

• Manage or support eligibility, enrollment, renewal, and redetermination initiatives
• Review workflows and identify opportunities to improve accuracy and timeliness
• Coordinate teams, vendors, and agency stakeholders
• Monitor workloads, backlogs, service levels, and operational performance
• Support implementation of policy and procedural changes
• Develop training materials, operating procedures, and beneficiary communications
• Support eligibility system improvements, testing, and implementation
• Help improve coordination between eligibility determination and health plan enrollment
• Prepare operational reports and practical recommendations

Requirements

• Experience with U.S. Medicaid eligibility, enrollment, or related program operations
• Experience managing teams, projects, workflows, or service delivery
• Understanding of eligibility and enrollment processes and their effect on beneficiaries
• Strong organizational, communication, and problem-solving skills
• Ability to use operational data to identify issues and guide improvements
• Relevant supervisory or project leadership experience is welcome, even if your previous title was not Manager

Nice to have:

• State or county eligibility operations
• Medicaid renewals, redeterminations, or integrated benefits programs
• MAGI or non-MAGI eligibility processes
• Quality assurance, staff training, or beneficiary assistance
• Eligibility systems implementation or business process improvement

Benefits

• Opportunity for full-time employment or project-based engagements

Application Process

• Submit your résumé or professional profile highlighting relevant datasets, analytical projects, and tools
• Do not include confidential client information or protected health information

About the Company

AlphaGov supports government and public-sector organizations with program management, operational improvement, policy implementation, and workforce planning.