Remote Medicaid Jobs

Close new Medicaid partnerships that expand Somethings’ footprint across states and populations.

This role reports to the VP of Medicaid Partnerships and is open to any candidates located in the continental US.

What we’re looking for: 3–5 years of RCM experience, including billing for commercial and Medicaid plans; experience

Possessing a strong understanding of the healthcare marketplace and the challenges payers and PBMs face across Commercial, Medicare, and Medicaid

Experience expanding solutions across Medicare Advantage, Medicaid, Commercial, or dual-eligible populations.

Skills: Working knowledge of commercial, Medicare, and Medicaid reimbursement models.

Able to cultivate a team of highly accountable APPs that avoids emotional waste and promotes shared governance Experience working with Medicaid

Has a strong understanding of Medicaid/MCOs and the barriers to healthcare access and quality among diverse, underserved populations.

At Pair Team, we’re not just delivering care—we’re building the future of a more equitable, community-rooted Medicaid system.

We’ve found deep resonance with Medicaid Managed Care Organizations and State Health Agencies and we’re scaling to quickly towards serving hundreds of thousands

Experience with Medicare, Medicaid, commercial payer, QIO, State Operations Manual, or payer-specific readmission criteria.

Experience in navigating Ohio Medicaid prescription benefits in addressing medication access issues for Medicaid and dual-eligible patients.

Guided by the communities we serve, we bring support and technology-enabled care to help primary care providers keep Medicaid patients healthy.

Hands-on experience with CAQH ProView, NPPES, PECOS, Availity, state Medicaid systems, or commercial payer portals.

We’ve found deep resonance with Medicaid Managed Care Organizations and State Health Agencies and we’re scaling to quickly towards serving hundreds of thousands