Medicaid Eligibility & Enrollment Manager

AlphaX; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

AlphaX is seeking an experienced Medicaid Eligibility & Enrollment Manager to oversee eligibility operations, enrollment processes, and related staff activities. The role involves coordinating across agencies, vendors, and stakeholders to improve accuracy, timeliness, and beneficiary experience.

Responsibilities include reviewing workflows, implementing policy changes, and developing training materials. A background in state/local agency or health plan environments is preferred, with emphasis on

Qualifications

• 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.

Responsibilities

• 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.
• Help improve coordination between eligibility determination and health plan enrollment.
• Prepare operational reports and practical recommendations.

Skills

Medicaid eligibility operations

Team leadership

Project management

Process improvement

Data-driven decision making

Stakeholder coordination

Operational performance monitoring

Job description

About Us

AlphaGov supports government and public-sector organizations with program management, operational improvement, policy implementation, and workforce planning.

We are seeking professionals with experience managing Medicaid eligibility, enrollment, renewals, or related beneficiary services.

About the Role

The Medicaid Eligibility & Enrollment Manager will support the management and improvement of eligibility and enrollment operations. Depending on the opportunity, work may involve agency processes, beneficiary communications, staff training, systems implementation, or performance improvement.

We welcome professionals from state and local agencies, health plans, enrollment organizations, government contractors, and related service providers.

Responsibilities

• 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.
• Help improve coordination between eligibility determination and health plan enrollment.
• Prepare operational reports and practical recommendations.

Relevant supervisory or project leadership experience is welcome, even if your previous title was not Manager.

Qualifications

• 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.

Preferred Experience

• State or county eligibility operations.
• Medicaid renewals, redeterminations, or integrated benefits programs.
• MAGI or non-MAGI eligibility processes.
• Quality assurance, staff training, or beneficiary assistance.
• Eligibility systems implementation or business process improvement.

Opportunity Details

We welcome candidates interested in full-time employment or project-based engagements. We are recruiting for current and anticipated opportunities; immediate placement is not guaranteed.

Responsibilities, compensation, employment arrangement, and start date will be discussed based on the opportunity and your skills.