Medicaid Eligibility Program Lead

Clear Concepts, Inc.; Jackson (MS); Presencial; USD 90.000 - 130.000; Jornada completa

Descripción de la vacante

Clear Concepts, Inc. is seeking a Medicaid Eligibility Project Manager to keep complex eligibility work on track from plan to go-live.

You will bring structure to fast-changing policy changes, align state leaders, vendors, and delivery teams, and surface risks early to resolve them, ensuring members receive coverage they qualify for. The role involves planning and managing Medicaid eligibility and enrollment projects, building integrated plans across agencies, vendors, and delivery teams, and

Formación

• 5+ years of project management experience, incl large multi-stakeholder tech/policy implementations.
• 3+ years Medicaid eligibility or public assistance program experience.
• Experience with state agencies, vendors, and federal requirements.
• Strong planning, RAID management, and reporting using MS Project, Smartsheet, Jira, or similar.
• Experience with Agile, waterfall, and hybrid delivery.
• Clear, calm communication with executives, policy experts, and technical teams.
• Bachelor's degree or equivalent experience.

Responsabilidades

• Plan and manage Medicaid eligibility and enrollment projects, including system changes, policy implementations, and operational improvements.
• Build and maintain integrated project plans, schedules, and milestones across state agency, vendor, and delivery teams.
• Manage risks, assumptions, issues, dependencies, and decisions through a disciplined RAID log, escalating early and clearly.
• Lead implementation of new federal and state requirements, including H.R. 1 provisions such as community engagement requirements and more frequent renewals, within mandated deadlines.
• Coordinate with eligibility system vendors, managed care organizations, and adjacent programs such as SNAP and MMIS.
• Facilitate status meetings, steering committees, and working sessions, and document decisions and action items.
• Prepare clear status reports and executive briefings on progress, risks, and decisions needed.
• Manage scope, change requests, and budget against contract and funding requirements, including federal funding documentation where applicable.
• Support testing, readiness, training, and go-live planning so changes land smoothly for eligibility staff and members.

Conocimientos

Project management

RAID management

Executive reporting

Stakeholder communication

Delivery methodologies

Cross-functional collaboration

Policy familiarity

Educación

Bachelor's degree or equivalent experience

Herramientas

Microsoft Project

Smartsheet

Jira

Descripción del empleo

Clear Concepts, Inc. is seeking a Medicaid Eligibility Project Manager to keep complex eligibility work on track from plan to go-live.

You will bring structure to fast-changing policy changes, align state leaders, vendors, and delivery teams, and surface risks early to resolve them, ensuring members receive coverage they qualify for. The role involves planning and managing Medicaid eligibility and enrollment projects, building integrated plans across agencies, vendors, and delivery teams, and