Medicaid Implementation Project Manager with Healthcare Payer
Hi Professionals, Medicaid Implementation Project Manager (Remote - EST)
Key Responsibilities
- Lead end-to-end Medicaid implementations, state onboarding, regulatory changes, and platform upgrades.
- Manage program plans across business, IT, data, vendors, and state agencies.
- Drive cutover, go-live readiness, stabilization, and compliance with CMS/state Medicaid regulations.
- Oversee claims, eligibility, enrollment, provider data, credentialing, and benefits workflows.
- Provide executive reporting on risks, timelines, dependencies, and financials.
- Manage delivery using Agile/Scrum and Waterfall methodologies.
- Track progress using JIRA, Azure DevOps, and Smartsheet.
Required Skills
- 10+ years of Project/Program Management experience.
- Strong Medicaid (Healthcare Payer) experience – Mandatory.
- Experience with large-scale implementations and state Medicaid agencies.
- Expertise in claims, eligibility, enrollment, and provider workflows.
- Strong leadership and stakeholder management skills.
Preferred
- PMP or SAFe certification.
- Experience with member/provider portals.
- Knowledge of EDI transactions (837, 835, 270/271, 278).
- Experience managing onshore/offshore teams.
"Disclaimer: E-Solutions Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. We especially invite women, minorities, veterans, and individuals with disabilities to apply. EEO/AA/M/F/Vet/Disability." Medicaid Implementation Project Manager with Healthcare Payer1Project Manager,Medicaid,Healthcare PayerN/AC2CUnited States