Special Projects Manager – Medicaid
Special Projects Manager Medicaid | Five Towns, NY $75k-$120k
About the Role This is a high-stakes, high-visibility position for someone who knows the Medicaid application world inside and out and knows how to move cases forward when the clock is ticking and revenue is on the line. You'll serve as a specialist focused on the organization's most complex, difficult-to-close Medicaid cases across 14 facilities, stepping in where bandwidth runs thin and the cost of missing a deadline can reach $40,000 in a single month. No hand-holding, no training ramp just ownership, urgency, and results.
Key Responsibilities
Case Oversight & Management
Own and drive the most complex Medicaid-pending cases across multiple facilities to completion
Monitor application timelines, collect required documentation, and ensure monthly deadlines are met
Get hands-on when cases stall rather than relying on follow-up emails
Cross-Facility Coordination
Oversee building-level teams tracking admissions and case plans across 14 facilities
Partner with business office managers who handle routine operations, stepping in on problem cases that exceed their bandwidth
Maintain strong working knowledge of each active case and its individual challenges
Revenue Protection
Identify and prioritize cases with the highest revenue-at-risk exposure
Prevent revenue losses caused by missed Medicaid deadlines that cannot be backdated
Manage insurance authorization negotiations as part of broader case strategy
Qualifications
Seasoned experience with Medicaid application processes this role hits the ground running from day one
Strong project management skills with the ability to juggle multiple complex, moving cases simultaneously
Big-picture business thinking with an understanding of revenue loss implications
Creative problem-solver who thrives in ambiguity and adapts quickly to case-by-case challenges
Ability to work independently, prioritize high-impact cases, and take full ownership of outcomes
Interested? Send your resume to: Sapo@bhirednyc.com
06/01/2026five towns
full timehealthcare
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