Associate Director – Medicaid Entitlement & Coverage Strategy

Groups Recover Together

Director of Medicaid Entitlement & Coverage Strategy leading federal Medicaid changes and compliance at GRT. Overseeing staff training, program outcomes, and coordinating initiatives across states.

Posted 7/3/2026full-timeRemote • Alaska, California, Hawaii, Idaho, Maryland, New York, South Dakota, Utah, Wyoming • 🇺🇸 United StatesSenior💰 $72,000 - $130,000 per yearWebsite

About the role

Key responsibilities & impact

Lead GRT's application process to become a Medicaid QE in all operating states where eligible
Oversee the implementation of SOAR training for designated staff across all operating states
In partnership with GRT's medical and product leadership, develop, implement, and maintain a standardized medical frailty documentation protocol
Lead the development and implementation of systems, workflows, and member support strategies designed to help eligible members meet state Medicaid requirements
Support GRT's Government Affairs team by assisting with tracking federal and state legislation
Collaborate with the Government Affairs Team in translating policy developments into actionable operational updates
In partnership with the Product Team, design and maintain an internal tracking system to identify members at risk of losing Medicaid coverage
In partnership with the Learning and Development Team, develop and deliver training and educational resources for entitlement staff, counselors, and clinical providers on QE processes and SSDI/SSI application assistance
Develop and maintain a comprehensive evaluation framework that measures coverage retention, redetermination outcomes and reasons for Medicaid disenrollment.

Requirements

What you’ll need

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.

Benefits

Comp & perks

Fully Remote work
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Healthcare AdministrationEntitlement ServicesSocial WorkPolicy DevelopmentTraining Program DevelopmentMedicaid ComplianceDocumentation ProtocolsData EvaluationLegislation TrackingWorkflow Implementation

Soft Skills

CollaborationCommunicationLeadershipProblem-SolvingOrganizational Skills