Project Manager Medicaid - REMOTE

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

Summary

With direction, oversees designated projects through various stages, including requirements gathering, project design, project planning, initiation, implementation, monitoring, and completion. Responsibilities include collecting and organizing data; conducting assessment and analysis to support project objectives; developing and maintaining project plans, timelines, and status updates; monitoring progress against established milestones; coordinating with internal teams, external partners, subcontractors, and other stakeholders; facilitating meetings and follow-up activities; and preparing clear written reports, summaries, and other project deliverables.

Essential Competencies, Duties and Responsibilities

Under supervision:

• Manage assigned Medicaid, EQR, compliance, quality improvement, and technical assistance projects through established project methodologies and guidance.
• Develop, maintain, and track project workplans, timelines, task assignments, 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 project tasks in accordance with federal, state, and contractual requirements.
• Prepare drafts of reports, findings, workplan updates, presentations, meeting materials, and other project deliverables.
• 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 with team members to ensure projects remain 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 to assigned work.
• Build effective working relationships with clients, health plans, subcontractors, and internal partners through professional and responsive communication.
• Ensure assigned deliverables are accurate, complete, timely, and consistent with HSAG standards and contractual requirements.
• Contribute ideas for improving project processes, tools, workflows, and quality while supporting implementation of established best practices.
• Manage multiple assignments simultaneously, prioritize competing demands, and consistently meet established deadlines.
• Represent HSAG in a professional manner, at all times.

Education and/or Experience

• Bachelor’s degree required. Master's preferred.
• Must have project management experience developing and managing projects and timelines for multiple activities.

Other Qualifications

• Excellent oral and written communication and interpersonal skills.
• Experience in EQR activities preferred.
• Experience and knowledge of Medicaid, managed care delivery systems, and quality improvement processes and practices.
• Familiarity with Windows environment, specifically Word documents and Excel spreadsheets.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).

HSAG is an EEO Employer of Veterans protected under Section 4212.

If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M/F/Veteran/Disability

Are you passionate about improving the quality of healthcare?

Are you ready to leverage your talents to make healthcare better for everyone?

Do you want the opportunity to give back to your community?

Do you want to have fun at work?

Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!