Senior Medicaid Expansion Project Manager

Concord USA • Multiple Cities/States, CA

4d • Remote

About The Position

We're looking for a sharp, experienced Technical Project Manager to lead the strategic evolution of a Medicaid Expansion platform for one of our healthcare clients operating within a multi-state enterprise. This is a high-visibility engagement where you'll bridge deep Medicaid functional knowledge with strong technical leadership. You'll serve as the primary technical advisor and project leader, ensuring compliance, scalability, and operational excellence across a modern healthcare technology infrastructure.

Requirements

• 7+ years of project/program management in healthcare payer operations, with a strong focus on technical platform implementations, migrations, or modernizations
• Deep knowledge of health plan core systems (claims, enrollment, provider networks, encounters), and the differences between commercial and government (Medicaid/Medicare) platforms
• Proven experience leading complex technology migrations in regulated healthcare environments
• Familiarity with enterprise payer platforms and cloud-based, interoperable architectures
• Strong knowledge of Medicaid regulations, CMS guidelines, and government program compliance
• PMP, Agile/Scrum certification, or equivalent
• Technically fluent but able to communicate in business terms (and vice versa)
• Strategic thinker who's comfortable in ambiguous, high-stakes environments
• Collaborative leader who thrives in matrixed organizations
• Must be authorized to work legally in the US without sponsorship, now or in the future.

Nice To Haves

• Experience with Blue Cross Blue Shield plans or multi-state health plan environments
• Background in Medicaid Expansion or state-based managed care programs
• Ability to influence and advise senior leaders on technical strategy while partnering with business-oriented teams

Responsibilities

• Assess the current Medicaid Expansion solution (built on a temporary commercial platform infrastructure), provide expert recommendations on target architecture (government-compliant MMIS or equivalent modern payer platform), and execute the migration with minimal disruption to members, providers, and operations.
• Collaborate closely with business SMEs who hold strong Medicaid operations knowledge; translate requirements into technical specs, integration plans, data migration strategies, and compliance frameworks (CMS, state Medicaid rules, HIPAA, etc.).
• Once the initial platform is stabilized, support a scalable rollout plan to affiliated plans, enabling them to enter or expand government business lines efficiently.
• Full project lifecycle ownership: charter, roadmap, risk management, stakeholder communication, budgeting, and executive reporting. Agile/hybrid delivery expected.
• Evaluate third-party solutions, cloud migration options, interoperability standards, and modernization opportunities.
• Ensure all solutions meet federal and state Medicaid requirements, security standards, and audit readiness.

Benefits

• Health, Dental, and Vision Insurance: Comprehensive coverage to support your overall well-being.
• Employer Contributions to Health Savings Accounts (HSA): For employees enrolled in High Deductible Health Plans, Concord contributes toward your HSA.
• Flexible Spending Accounts (FSA): Options for healthcare and dependent care expenses, plus a Lifestyle Spending Account (LSA) for wellness and personal development.
• Disability Insurance: Short-term (up to 12 weeks) and long-term coverage, fully paid by the employer.
• Life and AD&D Insurance: Employer-provided coverage with options for additional voluntary coverage.
• Employee Assistance Program (EAP): Support for legal, financial, and personal challenges.
• 401(k) Retirement Savings: 1% employer match.
• Career Growth Opportunities: Pathways for advancement and skill development.
• Team Engagement Activities: Regular team-building events and company-sponsored activities to foster collaboration and connection.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees