Medicaid Eligibility & Enrollment Operations Lead

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

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