Remote Medicaid LTSS Process Improvement Specialist

Jobgether SRL; United States; Remote; USD 65,000 - 89,000; Full time

Benefits offered by this job

Fully remote US

Job summary

Jobgether SRL is partnering to fill a LTSS Process Improvement Professional position based in the United States. This remote role supports Medicaid implementation across new state markets and focuses on translating business strategies and regulatory requirements into clear, actionable documentation.

You will collaborate with senior professionals and cross-functional teams to develop scalable, compliant processes, policies, and training materials that support members and providers.

Qualifications

• Bachelor’s degree or three years of equivalent professional experience in health plan operations.
• Strong attention to detail with the ability to review complex information and produce accurate, well-organized documentation.
• Ability to research and interpret contracts, regulatory materials, operational requirements, and stakeholder input.
• Strong written and verbal communication skills, with the ability to explain information clearly to both technical and non-technical audiences.
• Strong organizational and time-management skills, including the ability to manage multiple deliverables and deadlines simultaneously.
• Ability to work effectively in a cross-functional environment and collaborate with senior professionals, subject matter experts, and business stakeholders.

Responsibilities

• Support the development and maintenance of implementation materials, including policies, procedures, program descriptions, letters, assessments, and other operational documentation.
• Review member and provider materials to identify inconsistencies, quality issues, and potential compliance gaps, helping ensure alignment with state requirements.
• Prepare documents for internal review and approval while maintaining accurate version control, file organization, and coordination with subject matter experts and reviewers.
• Support the development and review of training materials and job aids, providing content clarification and feedback to training teams.
• Document business processes, create visual workflows, and develop initial workflow drafts for review and refinement by senior team members.
• Assist with the creation and maintenance of clinical auditing tools and other operational resources used across multiple markets.
• Support the setup and documentation of shared mailboxes, fax numbers, and other communication resources required for new state implementations.
• Research contracts, regulatory requirements, internal resources, and stakeholder input to support accurate implementation materials.
• Track documentation and submission activities using project management and collaboration tools such as Smartsheet, OneNote, and SharePoint.
• Participate in meetings and working sessions, capture key decisions and action items, and follow up on assigned deliverables.
• Help interpret contractual requirements and translate them into clear summaries or draft documentation for senior review.
• Perform quality checks to ensure documentation is accurate, clear, properly formatted, and aligned with submission standards.
• Contribute to special projects and stretch assignments that strengthen operational readiness and advance process improvement initiatives.

Skills

Detail-oriented

Documentation

Verbal communication

Written communication

Cross-functional collaboration

Education

Bachelor’s degree or 3 years of equivalent health plan ops experience

Tools

Smartsheet

OneNote

SharePoint

Job description

Jobgether SRL is partnering to fill a LTSS Process Improvement Professional position based in the United States. This remote role supports Medicaid implementation across new state markets and focuses on translating business strategies and regulatory requirements into clear, actionable documentation.

You will collaborate with senior professionals and cross-functional teams to develop scalable, compliant processes, policies, and training materials that support members and providers.