Project Manager

Health Services Advisory Group, Inc. (HSAG)

. Conduct annual Medicaid compliance reviews and readiness reviews .

Posted 10/15/2026full-timeRemote • United StatesMid-LevelSenior💰 $77,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in Medicaid compliance reviews, project management, and quality improvement processes. Proficient in data analysis and reporting, with strong communication and organizational skills to effectively coordinate with various stakeholders.

Highest-signal resume keywords

Medicaid Managed Care ComplianceProgram Evaluation/Auditing ExperienceQuality Improvement PracticesProject ManagementExcellent Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Medicaid Compliance ReviewsData AnalysisAudit Report DevelopmentQuality ImprovementUtilization ManagementCare Management Practices

Soft Skills

Excellent Oral CommunicationExcellent Written CommunicationInterpersonal SkillsOrganizational SkillsTime-Management Skills

Tools & Technologies

Windows EnvironmentOutlookWordExcelSharePoint

Industry Keywords

EQR Technical ReportsHealth Plan ComplianceState Medicaid AgenciesCMS RulesEQRO Information Portals

About the role

Key responsibilities & impact

Conduct annual Medicaid compliance reviews and readiness reviews
Contribute to annual external quality review (EQR) technical reports
Provide day-to-day project management and support for contracted EQR activities
Develop, coordinate, and manage project work plans and timelines
Communicate with State Medicaid agencies, health plans, internal staff, project partners, clients, subcontractors, and other entities
Prepare project documentation and key deliverable support documentation
Identify opportunities to improve project processes and support quality improvement activities
Create, distribute, and receive compliance review and readiness review tools and materials
Prepare audit packets, including onsite/virtual document review packets
Coordinate health plan document submissions for desk review
Conduct onsite or virtual compliance reviews of Medicaid managed care health plans
Assist with development, collection, analysis, and reporting of data
Assist with developing audit reports and compiling team-member documents
Assist with annual EQR technical reports
Research, interpret, and apply state contract requirements, CMS rules, and state regulations
Monitor and maintain EQRO information portals, including FTP and SharePoint sites
Coordinate project tasks and communications
Maintain State, health plan, and corporate communication protocols
Coordinate and assist with EQR-related work as assigned
Monitor and support HSAG’s compliance with State EQRO contracts

Requirements

What you’ll need

Bachelor’s degree in a health-related field, or a non-healthcare related bachelor’s degree and five years of experience in Medicaid managed care compliance at a health plan or State Medicaid agency
Medicaid and/or dual-eligible (Medicaid/Medicare) managed care experience
Minimum five years of program evaluation/auditing experience in a health plan, state Medicaid agency, or other healthcare-related field
Excellent oral and written communication skills
Excellent interpersonal skills
Organizational and time-management skills
Experience and knowledge of quality improvement, utilization management, and/or care management practices
Proficient in Windows environment, specifically Outlook, Word, and Excel
Ability to work well in a remote team environment and independently
Onsite compliance reviews require travel
Ability to accommodate atypical work schedules due to time zone differences and occasional extended work hours

Benefits

Comp & perks

Salaried full-time exempt position
Remote work arrangement
Reasonable accommodations for individuals with disabilities
EEO protections for veterans, minorities, women, and individuals with disabilities