Regional Medicaid Supervisor

Paragon Management SNF

Baldwin (NY)

On-site

USD 100,000 - 120,000

Full time

5 days ago
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Benefits offered by this job

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Job summary

Paragon Management SNF, LLC in New York is seeking a Regional Medicaid Supervisor to oversee Medicaid applications, renewals, and redeterminations for a portfolio of SNFs. The role requires strong knowledge of state Medicaid guidelines and effective staff leadership.

You will monitor Medicaid pending balances, ensure payer timelines, and train facility-level Medicaid Coordinators. Travel between facilities is expected to support regulatory compliance and revenue integrity.

Qualifications

  • 5+ years handling Medicaid eligibility, applications, renewals, redeterminations, and pending accounts in skilled nursing.
  • Experience reducing Medicaid pending balances and monitoring aging.
  • Strong knowledge of state/federal Medicaid rules and LTC requirements.
  • Ability to oversee Medicaid Coordinators across multiple SNFs.
  • Experience with residents, families, Medicaid caseworkers, counties/agencies, and internal billing/finance teams.
  • Ability to educate staff on policy changes and EHR/billing processes.
  • Willingness to travel regularly between facilities.

Responsibilities

  • Manage the end-to-end Medicaid application, renewal, and redetermination for residents across SNF locations.
  • Track Medicaid pending accounts and aging balances.
  • Ensure strict adherence to state Medicaid regulations, payer timelines, and corporate financial policies.
  • Serve as the primary regional liaison between the organization, resident families, and state/county Medicaid case workers to resolve delayed cases.
  • Supervise, mentor, and evaluate facility-level Medicaid Coordinators within the region.
  • Conduct ongoing training and education regarding changing Medicaid policies, and electronic record.

Job description

Paragon Management SNF, LLC is seeking a RegionalMedicaid Supervisor to join their team
Shift available:

Full-time, M-F

Robust Benefits Package:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

The Regional Medicaid Supervisor manages and optimizesMedicaid application processes, Medicaid pending financial accounts,reimbursement workflows, and manages staff across a portfolio of SkilledNursing Facilities (SNFs). This role acts as the primary regional expert onstate Medicaid guidelines, ensuring timely approvals, minimizing financialrisk, and training facility-level Medicaid Financial Coordinators.

JOB DUTIES:
  • Manage the end-to-end Medicaid application,renewal, and redetermination for residents across SNF locations.
  • Track Medicaid pending accounts and agingbalances
  • Ensure strict adherence to state Medicaidregulations, payer timelines, and corporate financial policies.
  • Serve as the primary regional liaison betweenthe organization, resident families, and state/county Medicaid case workers toresolve delayed cases.
  • Supervise, mentor, and evaluate facility-levelMedicaid Coordinators within the region
  • Conduct ongoing training and education regardingchanging Medicaid policies, and electronic record
EXPERIENCE:
  • SNFMedicaid expertise: 5+ years handling Medicaid eligibility,applications, renewals, redeterminations, and pending accounts in skillednursing.
  • Medicaidfinancial management: Experience reducing Medicaid pending balances,monitoring aging, resolving reimbursement issues.
  • Regulatoryknowledge: Strong understanding of state/federal Medicaid rules, LTCrequirements, payer timelines, and MLTC programs.
  • Multi-siteleadership: Ability to oversee and support Medicaid Coordinatorsacross multiple SNFs rather than managing only one facility.
  • Caseresolution: Experience working directly with residents/families,Medicaid caseworkers, counties/agencies, and internal billing/financeteams.
  • Training:Ability to educate facility staff on Medicaid policy changes, eligibilityrequirements, and EHR/billing processes.
  • Regionalmobility: Willingness to travel regularly between assigned facilities.
Work Location:

In person

Salary:

$100,000.00 - 120,000.00

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