Medicaid Support Manager

Wellpath•Franklin, TN

About The Position

The Medicaid Support Manager leads the Medicaid Support Team and serves as the organization’s subject matter expert on Medicaid eligibility, enrollment, and hospital claims processes. This role builds and manages workflows that help field teams submit, track, and resolve Medicaid applications while partnering with operations, utilization management, and claims to ensure eligible costs are reimbursed. The Manager also monitors regulatory changes, tracks key performance metrics, and keeps leadership informed of risks, trends, and opportunities.

Requirements

Bachelor’s degree required
Knowledge of State Medicaid eligibility and enrollment guidelines
Understanding of hospital claims processing practices

Nice To Haves

MBA preferred

Responsibilities

Serve as the organization’s expert on Medicaid eligibility and enrollment
Monitor Medicaid policy and process changes and communicate impacts to leadership
Build and manage workflows that support field teams in submitting and tracking Medicaid applications
Partner with field, operations, utilization management, and claims teams to ensure eligible costs are reimbursed
Track, maintain, and share key performance metrics to measure effectiveness and outcomes