Medicaid Eligibility Program Manager

Sun Recruiting, Inc.; Jackson (MS); On-site; USD 80,000 - 105,000; Full time

Job summary

Sun Recruiting, Inc. is assisting a boutique consulting firm in seeking a Medicaid Eligibility Project Manager to drive complex eligibility work from planning to go-live.

You will bring structure to policy changes, keep state leaders, vendors, and delivery teams aligned, and surface risks early to resolve them. Responsibilities include planning and managing Medicaid eligibility projects, building integrated plans, coordinating with vendors and CMS programs, and leading testing, readiness, and

Qualifications

• 5+ years of project management experience with multi-stakeholder technology or policy implementations.
• 3+ years in Medicaid eligibility, enrollment, or public assistance programs.
• 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.
• 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 policy implementations.
• 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.

Skills

Project management

Stakeholder management

Communication

Planning

Risk management

Education

Bachelor's degree or equivalent

Tools

Microsoft Project

Smartsheet

Jira

Job description

Sun Recruiting, Inc. is assisting a boutique consulting firm in seeking a Medicaid Eligibility Project Manager to drive complex eligibility work from planning to go-live.

You will bring structure to policy changes, keep state leaders, vendors, and delivery teams aligned, and surface risks early to resolve them. Responsibilities include planning and managing Medicaid eligibility projects, building integrated plans, coordinating with vendors and CMS programs, and leading testing, readiness, and