Medicaid Specialist

Greenwood Center in Warwick, RI, is seeking an experienced and highly organized Medicaid Specialist to oversee pending Medicaid applications and ensure consistent follow-up from initial application through final approval.

The ideal candidate will have 5–7+ years of Medicaid and/or Business Office Manager (BOM) experience, with a strong understanding of Medicaid eligibility, application processing, documentation requirements, and case management.

This role is ideal for a proactive, detail-oriented professional who takes ownership of their workload, tracks outstanding requirements, and ensures every pending Medicaid case receives timely and thorough follow-up.

• Oversee and manage pending Medicaid applications and cases.

• Follow up consistently on applications, outstanding documentation, and eligibility requirements.

• Monitor each case from initial application through Medicaid approval.

• Review applications and supporting documentation for accuracy and completeness.

• Identify missing information, outstanding requirements, and potential processing delays.

• Communicate with residents, families, Medicaid agencies, facility staff, and other involved parties.

• Track case statuses, deadlines, documentation requests, and follow-up activities.

• Maintain accurate and up-to-date Medicaid records and case notes.

• Proactively resolve issues that may delay Medicaid approval.

• Provide regular updates on pending cases, outstanding documentation, and next steps.

• Coordinate with business office and administrative teams to support efficient Medicaid processing.

• Ensure timely and thorough follow-up on all open cases.

• Stay current on Medicaid eligibility requirements, regulations, and application processes.

• Take ownership of the Medicaid pipeline and drive cases toward resolution.

• 5–7+ years of Medicaid and/or Business Office Manager (BOM) experience required.

• Strong knowledge of Medicaid eligibility, applications, documentation, and processing procedures.

• Experience managing pending Medicaid applications and a high-volume caseload preferred.

• Proven ability to track applications and follow up on outstanding documentation.

• Excellent organizational and time-management skills.

• Strong attention to detail and follow-through.

• Excellent written and verbal communication skills.

• Ability to work independently and take ownership of responsibilities.

• Strong problem-solving and critical-thinking skills.

• Healthcare, skilled nursing, or long-term care experience preferred.

• Competitive annual salary of $85,000–$95,000

• Full-time position

• Supportive and collaborative work environment

• Opportunity to take ownership of a critical Medicaid operation

• Professional growth and development opportunities

• Collaboration with an experienced healthcare operations team

Greenwood Center is an equal opportunity employer.