Manager, Medicaid Financial Operations

Sonida Senior Living; Dallas (TX); On-site; USD 86,000 - 120,000; Full time

Benefits offered by this job

Remote work option

Job summary

Sonida Senior Living is seeking a Medicaid Policy Specialist to serve as the organization’s subject matter expert on Medicaid Waiver programs across states. You will ensure communities stay compliant with evolving regulations, manage payer relationships, and lead provider enrollment and contracting efforts.

The role can be performed remotely or from the Dallas, TX office, supporting expansion and multi-site operations in a senior living setting.

Qualifications

• 3+ years of Medicaid program administration, payer relations, or provider enrollment.
• Experience with Medicaid Waiver programs in at least one state (IN, TX, FL, MN preferred).
• Familiarity with NPI/LPI enrollment processes.
• Strong organizational and project management skills.
• Experience in multi-site healthcare or senior living settings.
• Ability to interpret and summarize regulatory documents.

Responsibilities

• Monitor Medicaid legislation and policy changes across states.
• Translate regulatory changes into actionable guidance for leadership.
• Maintain knowledge of state room and board rates and PNA amounts.
• Research and document Medicaid Waiver details for new states.
• Manage renewal of Medicaid contracts and establish new MCE/MCO contracts.
• Negotiate reimbursement rates with payers where applicable.
• Maintain contract tracking for expirations and rate changes.
• Verify NPIs and LPIs for communities; apply for new ones when needed.
• Support communities in applying to become approved Medicaid Waiver providers.
• Maintain provider enrollment records across states.
• Assist finance with data for Medicaid cost reports.
• Track estate recovery criteria and timelines; communicate developments.
• Distribute updated Medicaid reimbursement rates to stakeholders.
• Supervise billing staff and oversee Medicaid billing accuracy.
• Onboard and train billing staff on Medicaid processes.

Skills

Regulatory analysis

Project management

Communication

Cross-functional collaboration

Policy interpretation

Tools

NPI/LPI enrollment processes

Job description

Description

About Sonida Senior Living

Sonida Senior Living is one of the nation’s leading operators of independent living, assisted living and memory care communities for senior adults. The Company operates165 communities that are home to nearly12,000 residents across 35 states providing comfortable, safe, affordable communities where residents can form friendships, enjoy new experiences and receive personalized care from dedicated team members who treat them family.

Job Description:

This role serves as the organization's dedicated subject matter expert on Medicaid Waiver programs across all operating states. As Medicaid regulations, reimbursement structures, and managed care environments continue to evolve rapidly, this specialist will ensure our communities stay current, compliant, and connected to the right payer relationships. The ideal candidate brings deep knowledge of state-specific Medicaid policy anda track recordof managing providerenrollment, contracting, and regulatory compliancein a multi-site healthcare or senior living setting.

*This position can be performed either remotely or from our Dallas, TX office.

Responsibilities:

Policy &Regulatory

• IncludeMonitor and track Medicaid legislation, policy changes, and procedure updates across all operating states on an ongoing basis
• Translate regulatory changes into actionable guidance for community leadership and operations teams
• Maintain current knowledge of allowed room and board rates by state, including MA-SS income calculations and personal needs allowance (PNA) amounts
• Research and document Medicaid Waiver program details for new states as the organization expands

Contracting

• Manage the renewal of existing Medicaid contracts to ensure continuous participation and compliance
• Establish new contracts with Managed Care Entities (MCEs) and Managed Care Organizations (MCOs) as needed
• Negotiate reimbursement rates with payers(where applicable)
• Maintain a centralized contract tracking system tomonitorexpirationdates, rate changes, and renewal timelines
• Research and verify existing National Provider Identifier (NPI) and Local Provider Identifier (LPI) numbers for current communities
• Apply for new NPIs and LPIs as needed for new or expanding communities
• Support communities in applying to become approved Medicaid Waiver providers, including data gathering and application coordination
• Maintainaccurateand up-to-date provider enrollment records across all states
• Assistcommunity and finance teams with data needed for Medicaid cost reports
• Maintain working knowledge of state-specific estate recovery criteria, including applicable timelines and refund determination processes (resident vs. state)
• Track and communicate legislative developments that may affect estate recovery windows (e.g., timeline extension initiatives)
• Obtain and distribute updated Medicaid reimbursement rates to relevant stakeholdersin a timely manner

Community Partnership & Training

• Serve as a resource and thought partner for community leadership navigating Medicaid Waiver program requirements
• Identifyknowledge gaps across communities and develop tools or resources to close them
• Collaborate cross-functionally with operations, finance, and compliance teams to align on Medicaid-related processes

Team Supervision

• Directly supervisebilling specialist(s), providing day-to-day direction, support, and accountability
• Oversee the accuracy and timeliness of Medicaid billing activities, reviewing workproductand resolving escalated issues
• Coordinate closely with theBilling Specialist(s)on claims submission, payment reconciliation, and billing-related compliance requirements
• Onboard and train the Billing Specialist(s)on Medicaid program processes, payer requirements, and compliance expectations

Qualifications:

• 3+ years of experience in Medicaid program administration, payer relations, or provider enrollment
• Working knowledge of Medicaid Waiver programs in at least one state(IN, TX,FLand MN preferred)
• Familiarity with NPI/LPI enrollment processes
• Strong organizational and project management skills
• Ability to interpret and summarize regulatory and legislative documents
• Experience in senior living, long-term care, or home and community-based services (HCBS)
• Background in MCO/MCE contracting or rate negotiation
• Familiarity with Medicaid cost reporting
• Experience working in or alongside a multi-site operations environment

*The salary range for this role is $85,500 to $120,000.

Equal Opportunity Employer
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