Medicaid Enrollments Manager - RCM/Healthcare

Medicaid Enrollments Manager - RCM/Healthcare North Miami, FL Job Details Full-time $75,000 - $85,000 a year 14 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Team management Healthcare team management Full Job Description Location Miami, FL (On-site, Monday-Friday) Who We Are At Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid, we ultimately enhance the quality of care for seniors, veterans, and underserved communities. We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence. We're on a mission to revolutionize home care and are looking for passionate individuals to help us make a lasting, positive impact. Position Snapshot As an Implementation Manager, you support new and existing customers, guiding them through each phase of the RCM onboarding process to ensure a smooth and successful transition. This position is well-suited for a problem-solver who is passionate about helping customers progress during each phase of onboarding. You will play a critical role in problem-solving, troubleshooting, and optimizing workflows, ensuring customers achieve their desired outcomes efficiently. This role is ideal for a strategic thinker and proactive problem-solver who is passionate about customer success and skilled at managing multiple projects simultaneously. You will collaborate cross-functionally to streamline processes, address challenges, and drive continuous improvement in departmental processes. This position reports to the Director of Implementation and Enrollments. Core Responsibilities Lead and manage the Medicaid Enrollment team, including training, performance management, and professional development Oversee daily operations for all Medicaid enrollment activities, including initial applications, revalidations, and updates Ensure compliance with state and federal Medicaid regulations and payer-specific requirements Maintain dashboards, track KPIs, and provide regular reporting to leadership on enrollment progress, turnaround times, and issue resolution Collaborate with Implementation, Billing, and Account Management teams to ensure providers are fully operational post-enrollment Develop and refine standard operating procedures (SOPs) for consistent and efficient enrollment practices Serve as an escalation point for complex enrollment issues, guiding the team through problem-solving and resolution Partner with Product and Operations teams to identify opportunities for automation and process improvement Stay current with Medicaid policy changes and communicate updates to internal teams and providers Other duties as assigned Experience and Skills Minimum 3 years of experience in Medicaid enrollments, credentialing, or provider onboarding (multi-state experience strongly preferred) Minimum 2 years of people management experience with proven leadership in a healthcare operations setting Strong knowledge of Medicaid regulations, revalidation processes, and compliance requirements Excellent organizational, problem-solving, and communication skills Ability to manage multiple priorities in a fast-paced environment Proficiency with CRM systems (HubSpot preferred), databases, and MS Office Suite Education and Qualifications Bachelor's degree in Healthcare Administration, Business, or a related field preferred Relevant experience may be considered in lieu of a degree What We Offer Medical, dental, and vision benefits 401k retirement plan Aflac benefits Paid time off Professional development support Compensation $75,000-$85,000 depending on experience