Medicaid Eligibility & Enrollment Manager

AlphaHire

. Manage or support eligibility, enrollment, renewal, and redetermination initiatives .

Posted 10/12/2026full-timeRemote • United StatesMid-LevelSenior💰 $97,000 - $128,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in U.S. Medicaid eligibility and enrollment processes, with a strong focus on operational performance, team coordination, and policy implementation. Proficient in developing training materials and improving workflows to enhance service delivery and beneficiary communication.

Highest-signal resume keywords

Medicaid EligibilityTeam ManagementOperational Performance MonitoringWorkflow ImprovementEligibility Systems Implementation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Eligibility ProcessesEnrollment ManagementData AnalysisQuality AssuranceProject Leadership

Soft Skills

Organizational SkillsCommunication SkillsProblem-Solving Skills

Industry Keywords

Beneficiary AssistanceMAGI EligibilityNon-MAGI EligibilityIntegrated Benefits ProgramsPolicy Implementation

About the role

Key responsibilities & impact

Manage or support eligibility, enrollment, renewal, and redetermination initiatives
Review workflows and identify opportunities to improve accuracy and timeliness
Coordinate teams, vendors, and agency stakeholders
Monitor workloads, backlogs, service levels, and operational performance
Support implementation of policy and procedural changes
Develop training materials, operating procedures, and beneficiary communications
Support eligibility system improvements, testing, and implementation
Improve coordination between eligibility determination and health plan enrollment
Prepare operational reports and practical recommendations
Work may involve agency processes, beneficiary communications, staff training, systems implementation, or performance improvement

Requirements

What you’ll need

Experience with U.S. Medicaid eligibility, enrollment, or related program operations
Experience managing teams, projects, workflows, or service delivery
Understanding of eligibility and enrollment processes and their effect on beneficiaries
Strong organizational, communication, and problem-solving skills
Ability to use operational data to identify issues and guide improvements
Relevant supervisory or project leadership experience welcome, even without a Manager title
Preferred: State or county eligibility operations
Preferred: Medicaid renewals, redeterminations, or integrated benefits programs
Preferred: MAGI or non-MAGI eligibility processes
Preferred: Quality assurance, staff training, or beneficiary assistance
Preferred: Eligibility systems implementation or business process improvement
Submit a résumé or professional profile highlighting relevant datasets, analytical projects, and tools
Do not include confidential client information or protected health information

Benefits

Comp & perks

Opportunity for full-time employment or project-based engagements
Responsibilities, compensation, employment arrangement, and start date discussed based on the opportunity and skills
Current and anticipated opportunities considered
Immediate placement is not guaranteed