Medicaid Specialist

Outcome HC; Baltimore (MD); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Competitive compensation

Professional growth

Supportive team

Meaningful work

Training

Job summary

Outcome HC in Maryland seeks a dedicated Medicaid Specialist to assist individuals and families with applications, renewals, and ongoing benefits management. You will verify eligibility, collect documents, and educate clients on enrollment procedures, while maintaining accurate records and ensuring confidentiality.

The role emphasizes detailed documentation, compliance with Maryland Medicaid policies, and compassionate client service in an office-based environment.

Qualifications

• Previous experience in Medicaid enrollment, benefits administration, healthcare administration, case management, or a related field preferred.
• Familiarity with Maryland Medicaid and the Maryland Health Connection enrollment process is preferred.
• Strong communication, organizational, and problem‑solving skills.
• Proficiency in Microsoft Office and electronic recordkeeping systems.
• Ability to handle sensitive information with professionalism and confidentiality.
• Experience working with diverse populations is an advantage.

Responsibilities

• Completing and submitting Maryland Medicaid applications and renewals.
• Verify Medicaid eligibility, coverage status, and required documentation.
• Review applications for accuracy and completeness.
• Follow up on pending applications, missing documents, denials, and renewal deadlines.
• Educate clients about Medicaid benefits, eligibility requirements, and enrollment procedures.
• Communicate with clients, healthcare providers, case managers, and relevant government agencies.
• Maintain accurate client records and protect confidential information.
• Monitor application status and help resolve eligibility or coverage issues.
• Ensure compliance with applicable Maryland Medicaid policies and privacy requirements.

Skills

Medicaid enrollment

Documentation management

Customer service

Communication

Organizational skills

Tools

Microsoft Office

Electronic health records

Job description

Job Title: Medicaid Specialist Location: Maryland

Employment Type: Full-Time

Work Setting: Office-Based

About the Position

We are seeking a detail-oriented, compassionate, and organized Medicaid Specialist to assist individuals and families with Medicaid applications, eligibility verification, enrollment, renewals, and ongoing benefits management in Maryland.

The ideal candidate understands Medicaid eligibility requirements, maintains accurate documentation, and provides excellent customer service while helping clients navigate the Medicaid application process.

Key Responsibilities

• Completing and submitting Maryland Medicaid applications and renewals.

• Verify Medicaid eligibility, coverage status, and required documentation.

• Review applications for accuracy and completeness.

• Follow up on pending applications, missing documents, denials, and renewal deadlines.

• Educate clients about Medicaid benefits, eligibility requirements, and enrollment procedures.

• Communicate with clients, healthcare providers, case managers, and relevant government agencies.

• Maintain accurate client records and protect confidential information.

• Monitor application status and help resolve eligibility or coverage issues.

• Ensure compliance with applicable Maryland Medicaid policies and privacy requirements.

Qualifications

• Previous experience in Medicaid enrollment, benefits administration, healthcare administration, case management, or a related field preferred.

• Familiarity with Maryland Medicaid and the Maryland Health Connection enrollment process is preferred.

• Strong communication, organizational, and problem‑solving skills.

• Proficiency in Microsoft Office and electronic recordkeeping systems.

• Ability to handle sensitive information with professionalism and confidentiality.

• Experience working with diverse populations is an advantage.

What We Offer

• Competitive compensation.

• Opportunities for professional growth and development.

• Supportive and collaborative work environment.

• Meaningful work helping individuals and families access healthcare coverage.

• Training and resources to support success in the role.