Managed Care Contracting Manager (HCBS & Home Care)

Job Description

Description:

About this Role

We are seeking a highly experienced Medicaid Managed Care Contracting Manager to lead the expansion of Medicaid payer partnerships across our national franchise network in the non-medical home care industry.

This is a fully remote, high-impact role, offering the flexibility to work from anywhere in the U.S. while partnering with teams and franchise leaders across multiple markets. You’ll have the autonomy to manage your day, influence strategy at a national level, and drive meaningful outcomes—without being tied to a single location.

This role is ideal for someone who thrives at the intersection of strategy, contracting, and execution—and who can translate complex Medicaid and HCBS waiver structures into scalable, growth-driven solutions.

You will play a key role in driving payer growth, contract execution, and referral development, while serving as a trusted expert to internal teams and franchise partners.

What You’ll Do:

Medicaid & HCBS Market Expansion

Evaluate Medicaid and HCBS waiver opportunities across multiple states

Develop market entry strategies for franchise territories

Advise partners on reimbursement, competition, and viability Provider Enrollment & Credentialing

Lead end-to-end Medicaid enrollment processes

Manage documentation, submissions, and approval tracking

Ensure compliance with state and MCO requirements MCO Contracting & Payer Strategy

Identify and target Managed Care Organizations (MCOs)

Lead outreach, negotiations, and contract execution

Guide reimbursement structures and contract terms

Track and manage contracting pipeline performance Referral & Healthcare Network Development

Build strategies to engage hospitals, discharge planners, and case managers

Align payer contracts with referral opportunities

Support franchise partners in building sustainable referral pipelines Franchise Partner Support & Training

Serve as the go-to expert on Medicaid, HCBS, and payer processes

Provide hands-on guidance during contracting and early growth stages

Develop playbooks, SOPs, and training resources

Track KPIs and communicate insights to leadership Cross-Functional Collaboration

Partner with Compliance, Payer Relations, and leadership teams

Support audits, re-credentialing, and contract renewals

Contribute to broader healthcare strategy initiativesRequirements:

What We’re Looking For

Required Experience

5+ years of experience in Medicaid managed care contracting and MCO enrollment

Deep knowledge of HCBS waiver programs and personal care services

Proven success negotiating contracts with MCOs

Strong understanding of state Medicaid structures and provider enrollment systems

Experience training or consulting stakeholders on Medicaid processes Preferred Attributes

Background in non-medical home care or personal care services

Strategic thinking with strong execution ability

Ability to simplify complex regulatory environments

Excellent communication and stakeholder management

Highly organized with the ability to manage multiple markets

Self-driven and effective in a remote environment

Employee Benefits Offered

Amada is committed to supporting the health and well-being of our employees. We offer a comprehensive benefits package, including:

100% employer-paid medical coverage on the base plan (employee only)

Dental and Vision insurance

Life and AD&D insurance

Voluntary Life and AD&D options

Short-Term and Long-Term Disability

Employee Assistance Program (EAP)

Flexible Spending Account (FSA)

Health Savings Account (HSA)

Voluntary benefits including Accident, Critical Illness, and Hospital coverage

Voluntary Pet Insurance

Why Join Us

Opportunity to shape national Medicaid growth strategy

High-impact role with visibility across leadership

Collaborative, mission-driven environment

Work with a growing network in a critical healthcare sector

Compensation details: Yearly Salary

PI3c9ef4a95310-25405-40388028

Full-time

Fully remote