Medicaid Managed Care Contracting Manager (HCBS & Home Care) in Columbus, Ohio at Amada franchise inc

About this Role

We are seeking a highly experienced Medicaid Managed Care Contracting Manager to lead the expansion of Medicaid payer partnerships across our national franchise network in the non-medical home care industry.

This is a fully remote, high-impact role, offering the flexibility to work from anywhere in the U.S. while partnering with teams and franchise leaders across multiple markets. You’ll have the autonomy to manage your day, influence strategy at a national level, and drive meaningful outcomes—without being tied to a single location.

This role is ideal for someone who thrives at the intersection of strategy, contracting, and execution—and who can translate complex Medicaid and HCBS waiver structures into scalable, growth-driven solutions.

You will play a key role in driving payer growth, contract execution, and referral development, while serving as a trusted expert to internal teams and franchise partners.

• Evaluate Medicaid and HCBS waiver opportunities across multiple states
• Develop market entry strategies for franchise territories
• Advise partners on reimbursement, competition, and viability

• Lead end-to-end Medicaid enrollment processes
• Manage documentation, submissions, and approval tracking
• Ensure compliance with state and MCO requirements

• Identify and target Managed Care Organizations (MCOs)
• Lead outreach, negotiations, and contract execution
• Guide reimbursement structures and contract terms
• Track and manage contracting pipeline performance

• Build strategies to engage hospitals, discharge planners, and case managers
• Align payer contracts with referral opportunities
• Support franchise partners in building sustainable referral pipelines

• Serve as the go-to expert on Medicaid, HCBS, and payer processes
• Provide hands-on guidance during contracting and early growth stages
• Develop playbooks, SOPs, and training resources
• Track KPIs and communicate insights to leadership

• Partner with Compliance, Payer Relations, and leadership teams
• Support audits, re-credentialing, and contract renewals
• Contribute to broader healthcare strategy initiatives

• 5+ years of experience in Medicaid managed care contracting and MCO enrollment
• Deep knowledge of HCBS waiver programs and personal care services
• Proven success negotiating contracts with MCOs
• Strong understanding of state Medicaid structures and provider enrollment systems
• Experience training or consulting stakeholders on Medicaid processes

• Background in non-medical home care or personal care services

• Strategic thinking with strong execution ability
• Ability to simplify complex regulatory environments
• Excellent communication and stakeholder management
• Highly organized with the ability to manage multiple markets
• Self-driven and effective in a remote environment

• Opportunity to shape national Medicaid growth strategy
• High-impact role with visibility across leadership
• Collaborative, mission-driven environment
• Work with a growing network in a critical healthcare sector