Medicaid Enrollments Manager - RCM/Healthcare

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