Medicaid Program Manager-Hybrid to Indianapolis

Professional Management EnterprisesIndianapolis, IN
3h$45 - $55Hybrid

About The Position

BKG Enterprises is seeking a Medicaid Program Manager to assist the Medicaid Network Strategy Director in meeting the needs of the health plan and provider networking team. This provider-facing role ensures readiness and compliance with Medicaid programs and involves occasional provider relations and contracting activities to support the strategic goals of the Medicaid network.

Requirements

  • Requires a Bachelor’s degree.
  • Minimum of 3 years of experience in healthcare program management, specifically in Medicaid, or any combination of education and experience that provides an equivalent background.
  • Strong knowledge of Medicaid regulations and compliance requirements.
  • Excellent oral, written, and interpersonal communication skills.
  • Strong problem-solving, facilitation, and analytical skills.
  • Ability to manage multiple projects and deadlines effectively.
  • Experience in provider-facing roles and occasional contracting activities.

Responsibilities

  • Assist the Medicaid Network Strategy Director in implementing Medicaid network strategies.
  • Ensure readiness requirements for Medicaid programs are met.
  • Monitor and ensure compliance with Medicaid regulations and policies.
  • Serve as a primary point of contact for providers on program-related issues.
  • Facilitate the resolution of provider issues related to program compliance and readiness.
  • Conduct occasional contracting and provider relations activities as needed.
  • Coordinate with internal teams to ensure timely responses to provider inquiries.
  • Prepare and analyze reports related to program performance and compliance.
  • Support the training and education of providers on Medicaid program changes and requirements.
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