Medicaid Entitlement Strategy Director

Job Summary

Leading the strategic response to federal Medicaid changes, the full-time salaried Medicaid Entitlement Strategy Director will oversee the organization's application to become a Medicaid Qualified Entity, implement training protocols, and develop systems to support eligible members across all operating states in a fully remote capacity.

Key responsibilities

• Lead the application process for Medicaid Qualified Entity status, ensuring compliance with state requirements and coordinating staff training
• Oversee the implementation of SOAR training for staff to assist members with SSDI and SSI applications and establish application pipelines through corrections partnerships
• Develop and maintain systems and workflows to help eligible members meet Medicaid requirements, including tracking compliance and facilitating community resource referrals

Required qualifications

• Bachelor's degree in social work, public health, public policy, health administration, or a related field; Master's degree preferred
• 8-10 years of experience in healthcare administration, entitlement services, or social work, with experience in SUD treatment organizations preferred
• Demonstrated experience working with state agencies, government offices, or managed care organizations
• Knowledge of Medicaid policy, eligibility criteria, and the Affordable Care Act
• Proficiency in project management tools and electronic health record platforms