Manager, Medicaid Operations
About The Position
The Manager, Medicaid Operations provides leadership, oversight, and strategic direction for Medicaid Managed Services engagements. This client-facing role is accountable for delivery, quality, regulatory compliance, and client relationships across complex state-specific Medicaid programs. The manager oversees daily operations and global teams, manages deliverables and issue resolution with clients, supports program growth, and promotes delivery excellence. The position contributes to sustaining and growing IQVIA’s Medicaid Managed Services business through revenue protection, client retention, operational scalability, and successful onboarding of new Medicaid engagements. The role is remote, with the employee required to reside in the country where the position is posted, and may involve travel up to 20% as needed.
Requirements
- Bachelor’s degree required.
- At least 5 years of experience in Medicaid operations or managed services.
- At least 3 years of people leadership experience.
- Demonstrated experience managing complex client engagements and cross-functional teams.
- Strong knowledge of U.S. Medicaid programs and state-specific operational requirements.
- Proven leadership, problem-solving, and decision-making skills.
- Excellent written and verbal communication skills, including the ability to engage senior client stakeholders.
- Strong project management, planning, and organizational capabilities.
- Advanced proficiency in Microsoft Excel, PowerPoint, and Word.
- Willingness to travel up to 20%, as needed for client meetings or internal planning sessions.
- To be eligible for this remote role, reside within the country where the position is posted.
Nice To Haves
- Experience overseeing global delivery models.
- Prior involvement in proposal development or client onboarding.
- Familiarity with rebate, claim, or payer-related healthcare processes.
Responsibilities
- Serve as a client-facing leader and trusted advisor for Medicaid engagements, acting as an escalation point.
- Ensure accurate and timely Medicaid outcomes in alignment with contractual commitments and regulatory requirements.
- Lead governance meetings, status reviews, and issue-resolution discussions with clients and internal stakeholders.
- Oversee Medicaid operational workflows, including work performed by global teams.
- Manage resource planning, timelines, and prioritization across Medicaid deliverables and initiatives.
- Maintain delivery quality standards and ensure adherence to internal controls, SOC1 requirements, and documented processes.
- Identify operational risks, efficiency opportunities, and process improvements across Medicaid programs.
- Define, document, and enhance business processes to support scale, quality, and consistency.
- Partner with leadership to integrate and optimize delivery models.
- Build, mentor, and retain a high-performing team through coaching, performance management, and career development.
- Foster accountability, collaboration, and clear communication across distributed teams.
- Support onboarding of new Medicaid clients and expansion of existing engagements.
- Participate in proposal development, effort estimation, and solution design for Medicaid opportunities.
- Ensure delivery stability to protect existing revenue and enable future growth.
Benefits
- Health and welfare benefits may be offered, depending on the position.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
