GD Information Technology, Inc.Hiring

Medicaid Business Operations Program Director

  • Remote, worldwide
  • Lead
  • Posted 2 weeks ago
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In one line

Second-in-command role running fiscal agent operations for a state Medicaid claims program, with hybrid work and a large team of managers reporting in.

About the role

The program runs a multi-payer claims adjudication system for a state Medicaid agency, and this role keeps service levels, budgets and customer escalations on track. It stands in for the executive account director when needed and acts as the senior expert on Medicaid and Health Choice.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, worldwide
Seniority
Lead
Skills
Medicaid, Health Choice, Provider Enrollment, PMI PMP
Posted
19 Oct 2026
Last checked
2 Nov 2026

What you will do

  • Lead fiscal agent operations and cover for the executive account director when absent
  • Own budgets and financial performance for claims, prior authorization, enrollment, call center, finance, pharmacy and dental areas
  • Handle performance escalations and adapt the program through the contractual change process

What they look for

  • Master's degree or an equivalent mix of education and experience
  • Knowledge of Medicaid and Health Choice programs, ideally in North Carolina
  • Fourteen or more years in healthcare administrative management, including ten in state Medicaid
  • Over five years leading in a large organization, plus PMI PMP certification or a plan to get it

Benefits

  • 401K with company match
  • Paid vacation, holidays and education or certification support

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Questions about this job

Is this a remote job, and where can I work from?

Yes. The posting lists Medicaid Business Operations Program Director as a remote role open to candidates worldwide.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a lead role. The posting asks for: master's degree or an equivalent mix of education and experience; knowledge of Medicaid and Health Choice programs, ideally in North Carolina; fourteen or more years in healthcare administrative management, including ten in state Medicaid. Skills it names include Medicaid, Health Choice, Provider Enrollment, PMI PMP.

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