[Hiring] Associate Director/Director, Medicaid Entitlement & Coverage Strategy @Groups

Role Description

The Associate Director/Director of Medicaid Entitlement & Coverage Strategy leads the organization's strategic response to federal Medicaid changes. This role will be responsible for:

• Positioning GRT to become a Medicaid Qualified Entity (QE) in all of its operating states where eligible.
• Implementing a medical frailty documentation protocol.
• Deploying SOAR (SSI/SSDI Outreach, Access, and Recovery) training across the organization.
• Building internal infrastructure to directly enroll eligible members in Medicaid and support them through redetermination.
• Evaluating and reporting program outcomes to leadership.

This is a cross-functional role that requires:

• Exceptional organizational and communication skills.
• Experience navigating state government systems.
• The ability to drive complex multi-state initiatives independently and with urgency.

While the initial focus of this role is standing up GRT's Medicaid entitlement and coverage strategy and infrastructure across all operating states, the ongoing scope and responsibilities of this position will evolve based on program needs, organizational growth, and the shifting federal and state Medicaid landscape.

Salary Range for Associate Director level: $72k-$118k.

Salary Range for Director level: $95k-$130k.

Fully Remote work (Not available to residents of: AK, AR, CA, HI, ID, MD, NE, SD, UT, WY).

Qualifications

• Demonstrated knowledge of Medicaid policy, eligibility criteria, presumptive eligibility, redeterminations, the Affordable Care Act, including the differences between expansion and non-expansion states.
• Knowledge of SSDI and SSI eligibility criteria and application processes.
• Understanding of the opioid use disorder (OUD) treatment landscape and the potential role of Medicaid in funding Substance Use Disorder (SUD)/OUD treatment services.
• Demonstrated ability to manage complex, multi-state initiatives with competing deadlines and multiple stakeholders.
• Experience working directly with state government officials and Medicaid agencies.
• Excellent written and verbal communication skills, including the ability to present complex information clearly to diverse audiences.
• Proficiency in project management tools, tracking systems, and electronic health record platforms.
• Ability to work cross-functionally across clinical, medical, operational, and administrative teams in a fast-paced, remote organization.
• Self-starter with the ability to build and lead a program from the ground up with limited direction.
• Ability to use discretion and work independently.
• Ability to understand and adhere to the Code of Conduct.

Requirements

• Bachelor's degree required in social work, public health, public policy, health administration, or a related field. Master's degree preferred.
• Minimum of 8-10 years of experience in healthcare administration, entitlement services, social work, or a related field. Experience working in or with a SUD treatment organization preferred.
• Demonstrated experience working with state agencies, government offices, or managed care organizations required.
• Access to reliable internet and telephone services, specifically 50M download and 10M upload package or higher as well as a strong WiFi signal from your remote work location.
• Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening. Depending on state-specific requirements, this may include fingerprinting, drug testing.

Benefits

• Comprehensive health benefits.
• Flexible work environment.
• Professional development opportunities.
• Supportive team culture.