Remote Medicaid Specialist

Naukri Mitra; United States; Remote; USD 52,000 - 64,000; Full time

Job summary

Naukri Mitra seeks a Remote Medicaid Specialist to help individuals access essential healthcare by guiding them through Medicaid applications from start to finish. You will interpret regulations, educate clients, and maintain compliant records in a fast-paced, remote environment.

With 2+ years of Medicaid experience, you will coordinate with case managers and state offices, ensuring timely, accurate processing while upholding HIPAA standards and data protection guidelines.

Qualifications

• Minimum 2 years of direct Medicaid applications, case reviews, or healthcare eligibility documentation.
• Strong understanding of Medicaid guidelines across multiple states.
• Proven track record of remote or telehealth client support and data privacy.

Responsibilities

• Guide clients through Medicaid Application cycle from eligibility screening to submission.
• Ensure all documentation aligns with federal and state Medicaid requirements.
• Serve as liaison for renewals, recertifications, and coverage updates with agencies.

Skills

Medicaid knowledge

Remote/telehealth experience

Verbal & written communication

Tools

EHR systems

Salesforce Health Cloud

Social Solutions

Zoom

Slack

Microsoft Teams

Document management software

Job description

Remote Medicaid Specialist Job Opening Join a Mission-Driven Team Making a Difference From Anywhere Are you passionate about creating access to essential healthcare services? Do you have deep knowledge of Medicaid programs and enjoy supporting individuals through complex processes? We are seeking a Remote Medicaid Specialist eager to contribute to a high-impact team from the comfort of home. In this role, you'll be critical by ensuring timely access to essential health services while building your career in an inclusive, growth-oriented environment. This is more than just a job—it's a chance to be part of a purpose-driven mission that directly supports health equity nationwide. With an annual salary of $57,922, this opportunity offers financial and professional rewards.

What You'll Do:

Meaningful Responsibilities That Matter Assist Individuals Through Medicaid Processes Guide clients through the full Medicaid application cycle, from initial eligibility screening to successful submission. Ensure all documentation aligns with federal and state Medicaid requirements. Serve as a dependable point of contact for applicants navigating renewals, recertifications, and coverage updates. Interpret and Apply Medicaid Regulations Stay informed about evolving healthcare policies that affect Medicaid eligibility and enrollment. Translate regulatory updates into actionable steps for clients and internal teams. Educate clients on available benefits and program criteria using accessible, compassionate language. Coordinate Across Departments and Agencies Work cross-functionally with case managers, healthcare providers, and government agencies to resolve discrepancies or delays. Maintain accurate records in compliance with HIPAA and data protection guidelines. Act as a knowledgeable liaison between clients and state Medicaid offices. Prioritize Efficiency and Empathy Oversee a diverse portfolio of client cases with unique support requirements using organizational tools and workflow software. Balance speed and accuracy to meet service benchmarks without sacrificing care. Identify barriers to access and advocate for solutions within organizational policy.

Tools and Technologies to Enhance Your Work

• Electronic health record systems (EHRs) for tracking client history
• Case management platforms such as Salesforce Health Cloud or Social Solutions
• Remote collaboration tools, including Zoom, Slack, and Microsoft Teams
• Document management software for uploading, reviewing, and verifying eligibility forms

Skills and Experience That Set You Up for Success

Required Qualifications

• Minimum 2 years of direct experience handling Medicaid applications, case reviews, or healthcare eligibility documentation
• Strong understanding of Medicaid guidelines across multiple states
• Proven track record of providing customer-centric support in remote or telehealth environments
• Competence in managing confidential data with care and precision
• Excellent verbal and written communication skills

Preferred Attributes

• Bilingual proficiency, especially in Spanish or other high-demand languages
• Experience working in a nonprofit, hospital, or government setting
• Background in social work, public health, or health administration
• Training or certification in Medicaid eligibility or healthcare compliance

A Supportive Remote Work Environment Designed for You

Our virtual team thrives on collaboration, transparency, and shared goals. From onboarding through professional development, we provide tools and mentorship to ensure each Medicaid Specialist succeeds. You'll be part of regular team check-ins, skills workshops, and wellness sessions that prioritize your productivity and well-being. We value professional growth just as much as performance. Whether you're aspiring to take on greater responsibility within the healthcare landscape operations or want to expand your knowledge of healthcare policy, you'll find ample opportunity for advancement.

Why This Role is Impactful and Rewarding

The Remote Medicaid Specialist supports vulnerable populations, particularly the elderly, disabled, and low-income families. Every form you process and every question you answer contributes to someone receiving critical care. If you thrive on helping others and value purpose over prestige, this job is built for you. You're not just processing data—you're unlocking doors to vital services that change lives.

What You Can Expect After Joining

• Comprehensive onboarding and training in Medicaid systems and tools
• Weekly team collaboration calls and one-on-one coaching
• Recognition programs that reward initiative and excellence
• Opportunities to participate in policy development or cross-functional projects

Ready to Take the Next Step in Your Career?

This isn't just a remote job—it's a chance to build a meaningful career from wherever you are.

Join a community that celebrates integrity, impact, and innovation.

Building a Global Workforce:

Applications are open to professionals from the United States, Canada, United Kingdom, European Union, Australia, India, and many other international regions.