Medicaid Project Manager: Quality & Compliance Lead

Socket.dev; Arizona; Hybrid; USD 70,000 - 110,000; Full time

Job summary

Health Services Advisory Group (HSAG) is seeking a project manager to oversee Medicaid, EQR, compliance, and quality improvement initiatives. You will lead cross-functional teams, develop detailed workplans, and ensure alignment with contractual requirements and client expectations.

The role emphasizes strong communication, coordination with health plans and state partners, and rigorous monitoring of milestones and deliverables to maintain program quality and compliance.

Qualifications

• Bachelor’s degree required.
• Master’s degree preferred.
• PM experience developing and managing projects and timelines for multiple activities.
• Experience with Medicaid, managed care, and quality improvement processes is preferred.

Responsibilities

• Manage Medicaid, EQR, compliance, and quality improvement projects through established methodologies.
• Develop and track workplans, timelines, tasks, deliverables, and action items to ensure contractual requirements are met.
• Coordinate project activities with internal staff, subcontractors, health plans, providers, and state agency partners to support successful project execution.
• Conduct document reviews, compliance reviews, interviews, validation activities, and other tasks per federal, state, and contractual requirements.
• Prepare drafts of reports, findings, workplan updates, presentations, and meeting materials.
• Monitor project progress and identify risks, barriers, schedule concerns, and resource needs, escalating issues when appropriate.
• Facilitate routine meetings, conference calls, interviews, and project discussions, ensuring documentation of decisions and follow-up activities.
• Support corrective action plan monitoring, issue tracking, and follow-up activities related to compliance reviews and quality studies.
• Collaborate to ensure projects stay on schedule, within scope, and aligned with client expectations.
• Apply knowledge of Medicaid managed care requirements, EQR protocols, quality improvement principles, and state-specific program requirements.

Skills

Project management

Communication skills

Interpersonal skills

Attention to detail

Education

Bachelor's degree

Master's degree preferred

Tools

Word

Excel

Windows OS

Job description

Health Services Advisory Group (HSAG) is seeking a project manager to oversee Medicaid, EQR, compliance, and quality improvement initiatives. You will lead cross-functional teams, develop detailed workplans, and ensure alignment with contractual requirements and client expectations.

The role emphasizes strong communication, coordination with health plans and state partners, and rigorous monitoring of milestones and deliverables to maintain program quality and compliance.