Medicaid Eligibility Program Manager

RON SUNSHINE ASSOCIATES LLC; Jackson (MS); On-site; USD 90,000 - 120,000; Full time

Job summary

RON SUNSHINE ASSOCIATES LLC is seeking a seasoned Medicaid Eligibility Project Manager to drive complex eligibility initiatives from planning to go-live. You will align state agencies, vendors, and delivery teams, translating policy changes into actionable milestones and clear accountability.

The role requires strong planning, RAID risk management, and executive briefing skills, with 5+ years in PM and Medicaid experience across large, multi-stakeholder projects.

Qualifications

• 5+ years of project management experience including large, multi-stakeholder technology or policy implementations.
• 3+ years of Medicaid eligibility, enrollment, 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 tools.
• Experience with Agile, waterfall, and hybrid delivery approaches.
• Clear, calm communication with executives, policy experts, and technical teams.
• Bachelor's degree or equivalent experience.

Responsibilities

• Plan and manage Medicaid eligibility and enrollment projects, including system changes and operational improvements.
• Build 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.

Skills

Project management

Medicaid experience

Stakeholder management

Communication

Agile/Hybrid

Planning & reporting

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Project

Smartsheet

Jira

Job description

RON SUNSHINE ASSOCIATES LLC is seeking a seasoned Medicaid Eligibility Project Manager to drive complex eligibility initiatives from planning to go-live. You will align state agencies, vendors, and delivery teams, translating policy changes into actionable milestones and clear accountability.

The role requires strong planning, RAID risk management, and executive briefing skills, with 5+ years in PM and Medicaid experience across large, multi-stakeholder projects.