100% Remote Project Manager with Medicaid Expansion

Hello,

Hope you’re doing well!!

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.

 

Experience and Skills

Required Experience:

•            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

 

Soft Skills & Delivery:

•            Technically fluent but able to communicate in business terms (and vice versa)

•            Strategic thinker who's comfortable in ambiguous, high-stakes environments

•            Collaborative leader who thrives in matrixed organizations

 

Thanks & Regards

Vinay Kumar

Senior Technical Recruiter

VISION INFOTECH INC

Phone:
Email:  
368 Main Street, st #3, Melrose MA 02176

E-Verified Company