Medicaid Claims Operations Manager

The Medicaid Claims Operations Manager oversees and optimizes day-to-day Medicaid Enterprise Systems (MES) claims processing operations, ensuring timely and accurate adjudication and resolution of healthcare claims for Medicaid beneficiaries. This role involves managing a team to maintain operational compliance, meet performance standards, and deliver high-quality service while adhering to state and federal regulations. The position serves as the primary point of contact for state customers and stakeholders, driving communication initiatives and cross-departmental operational efforts.