Medicaid Support Manager

Wellpath; Franklin (TN); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision benefits

Paid time off

401k

Tuition Assistance

Employee Assistance Program

Job summary

Wellpath / Correct Care Solutions is seeking a Medicaid Support Manager in Franklin, TN, to lead the Medicaid Support Team and serve as the subject matter expert on Medicaid eligibility and enrollment. This role is critical in helping underserved populations access quality care while managing workflows for Medicaid applications.

Qualified candidates should possess a Bachelor's degree with a preference for an MBA. They will track key metrics, enhance operational workflows, and communicate policy changes effectively.

Qualifications

• Bachelor's degree required; MBA preferred.
• Knowledge of State Medicaid eligibility and enrollment guidelines.
• Understanding of hospital claims processing practices.

Responsibilities

• Serve as the expert on Medicaid eligibility and enrollment.
• Monitor Medicaid policy changes and communicate impacts.
• Build and manage workflows for Medicaid applications.
• Partner with teams to ensure reimbursement of eligible costs.
• Track key performance metrics and share results.

Skills

Knowledge of State Medicaid eligibility

Hospital claims processing

Leadership

Education

Bachelor's degree

MBA (preferred)

Job description

We're on a path to better healthcare. Join us

• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities

What we support

• Caring for overlooked, underserved, and vulnerable patients
• Diversity, equity, inclusion, and belonging
• Autonomy in a warm team environment
• Growth and training

Perks and Benefits

In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:

• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service.

Why Us

Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

How you make a difference

The Medicaid Support Manager leads the Medicaid Support Team and serves as the organization’s subject matter expert on Medicaid eligibility, enrollment, and hospital claims processes. This role builds and manages workflows that help field teams submit, track, and resolve Medicaid applications while partnering with operations, utilization management, and claims to ensure eligible costs are reimbursed. The Manager also monitors regulatory changes, tracks key performance metrics, and keeps leadership informed of risks, trends, and opportunities.

Key Responsibilities

• Serve as the organization’s expert on Medicaid eligibility and enrollment
• Monitor Medicaid policy and process changes and communicate impacts to leadership
• Build and manage workflows that support field teams in submitting and tracking Medicaid applications
• Partner with field, operations, utilization management, and claims teams to ensure eligible costs are reimbursed
• Track, maintain, and share key performance metrics to measure effectiveness and outcomes

  Qualifications & Requirements

  Education

  • Bachelor’s degree required, MBA preferred.

  Experience

  • Knowledge of State Medicaid eligibility and enrollment guidelines and understanding of hospital claims processing practices.

  Licenses/Certifications

  • None required

  We are an Equal Employment Opportunity/Affirmative Action Employer

  We celebrate diversity and are committed to creating an inclusive environment for all employees.

  If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.