Government Program Network Engagement Specialist - Remote

Overview

The Government Program Network Engagement Specialist is responsible for managing Medicaid provider enrollment and regulatory relationships across assigned states, ensuring compliance with Medicaid requirements and enhancing provider access.

In Short

• Primary liaison to state Medicaid agencies and managed care organizations.
• Maintain expert-level knowledge of Medicaid enrollment processes.
• Manage regulatory changes and ensure provider compliance.
• Build relationships with state regulators and providers.
• Track and report Medicaid enrollment metrics.
• Collaborate with Network Recruiting and Credentialing teams.
• Proactively prevent enrollment lapses.
• Translate regulations into actionable guidance.
• Support operational excellence in government programs.
• Measure success through provider enrollment outcomes.

Requirements

• High school diploma required; Bachelor's degree preferred.
• 4+ years of experience with Medicaid or government programs.
• Strong knowledge of Medicaid regulatory processes.
• Excellent communication skills with providers and regulators.
• Advanced analytical skills and experience with data reporting.
• Strong organizational skills to manage multiple priorities.
• Familiarity with credentialing and enrollment systems.
• Experience in process improvement within healthcare operations.
• Confidence in presenting data to senior leadership.

Benefits

• Comprehensive health benefits starting day one.
• 401(k) and company-paid life insurance.
• Tuition reimbursement program.
• Minimum of 18 days of paid time off per year.
• Participation in an annual bonus plan.