Medicaid Eligibility & Enrollment Operations Lead

AlphaX; United States; On-site; USD 90,000 - 140,000; Full time

Job summary

AlphaGov seeks a Medicaid Eligibility & Enrollment Manager to lead and improve 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.

Qualifications

• Experience with U.S. Medicaid eligibility, enrollment, or related program operations.
• Experience leading teams, projects, workflows, or service delivery.
• Understanding of eligibility and enrollment processes and their impact 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 operations

Team leadership

Policy implementation

Data-driven improvement

Education

Bachelor's degree in healthcare administration or related field

Job description

AlphaGov seeks a Medicaid Eligibility & Enrollment Manager to lead and improve 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.