100% Remote Project Manager With Medicaid Expansion

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Hello,

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Please find the requirement below. If you find yourself comfortable with the requirement, please reply back with your updated resume or call me back at

Position :: Project Manager with Medicaid Expansion

Location:: Remote (U.S.-based). Occasional travel is required (1-2 x month).

Duration :: 6+ months(CTH)

Must Have Linkedin profile.

Job Description

What You’ll Be Doing

• Assess the current Medicaid Expansion solution (built on a temporary commercial platform infrastructure), provide expert recommendations on target architecture (government-compliant MMIS or equivalent modern payer platform), and execute the migration with minimal disruption to members, providers, and operations.
• Collaborate closely with business SMEs who hold strong Medicaid operations knowledge; translate requirements into technical specs, integration plans, data migration strategies, and compliance frameworks (CMS, state Medicaid rules, HIPAA, etc.).
• Once the initial platform is stabilized, support a scalable rollout plan to affiliated plans, enabling them to enter or expand government business lines efficiently.
• Full project lifecycle ownership: charter, roadmap, risk management, stakeholder communication, budgeting, and executive reporting. Agile/hybrid delivery expected.
• Evaluate third-party solutions, cloud migration options, interoperability standards, and modernization opportunities.
• Ensure all solutions meet federal and state Medicaid requirements, security standards, and audit readiness.
  
  

• 7+ years of project/program management in healthcare payer operations, with a strong focus on technical platform implementations, migrations, or modernizations
• Deep knowledge of health plan core systems (claims, enrollment, provider networks, encounters), and the differences between commercial and government (Medicaid/Medicare) platforms
• Proven experience leading complex technology migrations in regulated healthcare environments
• Familiarity with enterprise payer platforms and cloud-based, interoperable architectures
• Strong knowledge of Medicaid regulations, CMS guidelines, and government program compliance
• PMP, Agile/Scrum certification, or equivalent
• Experience with Blue Cross Blue Shield plans or multi-state health plan environments
• Background in Medicaid Expansion or state-based managed care programs
• Ability to influence and advise senior leaders on technical strategy while partnering with business-oriented teams
  
  

• Technically fluent but able to communicate in business terms (and vice versa)
• Strategic thinker whos comfortable in ambiguous, high-stakes environments
• Collaborative leader who thrives in matrixed organizations