Top 12358 Manager medicaid Jobs

Risk Manager
Robert Half —Sunrise, FL
- $43.70 - $50.60 an hour
- Temporary
- Mid-level
- Analysis skills
- US work authorization
- Disability insurance
- Dental insurance
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6d
Manager, Regulatory Compliance
HealthEdge —Remote
- $148,000 - $156,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Continuous improvement
Home Health Billing Manager
Home Health Care, Inc. —Remote
- $48,667.94 - $58,610.86 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Continuous improvement
Quick Apply
8d
Remote Business Office Manager (BOM)
LTC Ally —Remote
- From $28 an hour
- Full-time
- Remote
- Mid-level
- Administrative experience
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
Licensing and Credentialing Manager (Telemedicine)
Beacon Talent —Remote
- $95,000 - $110,000 a year
- Full-time
- Remote
- Senior level
- Telehealth
- Commercial
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Medicaid Program and Policy Consulting Manager
BerryDunn —Remote
- $145,000 - $155,000 a year
- Full-time
- Remote
- Writing skills
- Master's degree
- Bachelor's degree
4d
Program Manager-Medicaid Nebraska (Remote)
Molina Healthcare —Nebraska
- $63,133.00 - $129,589.63 a year
- Full-time
- Remote
- Mid-level
- Continuous improvement
- 4 years
- Health insurance
Revenue Cycle Manager
Wisdom Teeth Guys —Remote
- $120,000 - $145,000 a year
- Full-time
- Remote
- Supervising experience
- Senior level
Quick Apply
8d
Program Manager - Pharmacy Supply Chain - (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $106,632 - $211,783 a year
- Full-time
- Remote
- Master's degree
- Analysis skills
- Bachelor's degree
- 401(k)
Quick Apply
Reimbursement Specialist (REMOTE)
TEXASCONNECT INC —Remote
- Full-time
- Remote
- Mid-level
- Finance
- Bachelor's degree
Strategic Program Manager, Medicaid P&L
Hawaii Medical Service Association —Honolulu, HI
- Senior level
Sr Manager, Post Pay Audit
Health Business Solutions LLC —Remote
- Remote
- 5 years
- Analysis skills
- Supervising experience
Experienced SNF Admissions & Family Liaison Professional (Sales Required) Experienced SNF Admissions
Senior Planning Community Solutions —Remote
- $75,000 - $85,000 a year
- Full-time
- Mid-level
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
8d
Product Manager
QCSS Health —Remote
- $100,000 - $110,000 a year
- Full-time
- Remote
- Background check
- HIPAA
- Product management
Quick Apply
Manager of Revenue Cycle Operations
Cardiovascular Associates of America —Remote
- Full-time
- HIPAA
- Clinic experience
- Finance
Quick Apply
Senior Enrollment Coordinator
EqualizeRCM Services —Remote
- Full-time
- Remote
- Background check
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Client Success Relationship Manager
Vheda Health, Inc. —Remote
- $120,000 - $150,000 a year
- Remote
- Bachelor of Science
- Bachelor's degree
- Continuous improvement
Credentialing Manager
Integrated Services for Behavioral Health —Remote
- $87,000 - $108,000 a year
- 3 years
- Organizational skills
- Senior level
- Disability insurance
- Health insurance
Quick Apply
Operations Manager
General Dynamics Information Technology —Remote
- $97,968 - $132,250 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid time off
- 401(k) matching
11d
Project Manager
Barrow Wise Consulting —Rockville, MD
- $90,000 - $150,000 a year
- Full-time
- Remote
- 11+ years
- Mid-level
- Bachelor's degree
- Health insurance
- 401(k)
Quick Apply

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Risk Manager

Robert Half -
Sunrise, FL

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Job Details

Temporary | Contract
$43.70 - $50.60 an hour
6 days ago

Benefits

Disability insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Investigations regulatory compliance
Data mining
Health data analysis
Finance
Caseload management
Investigative financial records analysis
Data reporting
Mid-level
Internal investigations
Data integrity and documentation
Investigative data analysis
Analysis skills
Collaborating with law enforcement agencies
Compliance documentation
Healthcare billing investigations
Insurance investigations
Interviewing
Fraud prevention policy implementation
Medicaid regulations
Medicaid
Investigative reports
Due diligence
Case referral
Investigating compliance violations
1 year
Risk & issue management
Financial compliance monitoring
Project stakeholder communication
Legal support investigation

Full Job Description

We are looking for an experienced Risk Manager to support fraud, waste, and abuse oversight for a healthcare organization in Sunrise, Florida. This Long-term Contract position focuses on protecting program integrity through investigations, compliance monitoring, data analysis, and collaboration with regulatory and enforcement partners. The role is well suited to an individual who is detail oriented and can manage sensitive cases, interpret complex requirements, and drive recovery opportunities with accuracy and professionalism.

Responsibilities:

Lead fraud, waste, and abuse oversight activities to strengthen program integrity and support healthcare risk management objectives.
Build and maintain effective working relationships with Medicaid program integrity representatives, including participation in collaborative meetings and timely responses to inquiries.
Direct investigative case management from initial referral through documentation, resolution, reporting, and recovery follow-up.
Use data mining, claims analysis, and pattern review to identify suspicious billing activity, unusual utilization trends, and new investigation opportunities.
Conduct detailed investigations involving providers, members, subcontractors, and other relevant parties while ensuring complete and well-supported case records.
Prepare clear investigative summaries, audit findings, and regulatory reports covering all stages of case development and outcomes.
Coordinate with compliance partners, public agencies, law enforcement, and oversight entities to support referrals, information requests, and enforcement actions.
Monitor adherence to state and federal fraud prevention requirements and communicate applicable obligations to internal teams and external stakeholders.
Support overpayment recovery efforts by identifying financial exposure, documenting findings, and working with appropriate parties to pursue resolution.
Perform additional risk and compliance duties as needed to meet departmental priorities and business needs.
At least 1 year of experience in risk management, fraud investigation, compliance investigations, or healthcare program integrity.
Background in healthcare fraud, anti-fraud operations, fraud analytics, or related investigative work within a regulated environment.
Knowledge of risk analysis, risk management strategies, and compliance management practices.
Ability to perform data mining and interpret claims or billing patterns to detect potential fraud, waste, or abuse.
Familiarity with state and federal regulatory requirements tied to investigations, compliance functions, and reporting obligations.
Strong due diligence, documentation, interviewing, and analytical skills with careful attention to detail.
Ability to communicate findings clearly to providers, internal stakeholders, regulatory contacts, and external partners.
Experience collaborating across compliance, audit, and investigative teams while managing multiple priorities effectively.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use and Privacy Notice .

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Refine Your Search

manager medicaid jobs

Risk Manager

Manager, Regulatory Compliance

Home Health Billing Manager

Remote Business Office Manager (BOM)

Licensing and Credentialing Manager (Telemedicine)

Medicaid Program and Policy Consulting Manager

Program Manager-Medicaid Nebraska (Remote)

Revenue Cycle Manager

Program Manager - Pharmacy Supply Chain - (Remote)

Reimbursement Specialist (REMOTE)

Strategic Program Manager, Medicaid P&L

Sr Manager, Post Pay Audit

Experienced SNF Admissions & Family Liaison Professional (Sales Required) Experienced SNF Admissions

Product Manager

Manager of Revenue Cycle Operations

Senior Enrollment Coordinator

Client Success Relationship Manager

Credentialing Manager

Operations Manager

Project Manager

I want to receive the latest job alert for manager medicaid

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