Job Title: Medicaid Referrals Manager
Location: Derby, Kansas
Employment Type: Full-Time
Salary: $65,000–$70,000 range + Bonuses up to $20K+

About the Role
A growing home care organization is seeking an experienced Kansas Medicaid Referrals Manager to support referral growth and client acquisition across Kansas. This role is based in the Derby/Wichita area and focuses on building and maintaining strong referral relationships with Managed Care Organizations (MCOs) and community partners throughout the state. The ideal candidate understands Kansas Medicaid long-term services and supports (LTSS), HCBS waiver pathways, and referral development within managed care.

Key Responsibilities

Business Development
• Develop and execute strategies to increase referrals for home care and community-based services across Kansas
• Build strong relationships with key MCO partners including UnitedHealthcare Community Plan, Sunflower Health Plan, Healthy Blue Kansas, and Aetna Better Health of Kansas
• Establish and maintain partnerships with hospitals, discharge planners, social workers, Area Agencies on Aging (AAAs), and community organizations
• Expand referral channels through proactive outreach, presentations, and relationship cultivation

Market Knowledge
• Maintain strong knowledge of Kansas Medicaid, HCBS waivers, and MCO authorization processes
• Track industry updates, regulatory changes, and new opportunities within the Wichita, Derby, Topeka, and surrounding Kansas markets
• Identify trends and competitive activity to refine outreach plans

Client Engagement
• Educate members, families, and referral partners on available services and Medicaid benefits
• Support clients through the referral, authorization, and service onboarding process
• Serve as a knowledgeable resource on waiver eligibility and MCO procedures

Collaboration
• Partner with intake, scheduling, and clinical teams to ensure smooth onboarding of new clients
• Communicate proactively with internal teams regarding referral volume, client needs, and service requirements
• Address issues raised by MCOs, clients, or caregivers to maintain strong relationships

Reporting and Tracking
• Document outreach activities, referral outcomes, and client acquisition metrics
• Prepare status updates and performance reports for leadership
• Monitor trends in conversion rates, referral sources, and market growth

Qualifications

Experience
• 3–5 years of experience working with Kansas Medicaid or MCOs
• Direct experience with UnitedHealthcare, Sunflower, Healthy Blue, or Aetna strongly preferred
• Background in referral management, home care, case management, or MCO provider relations is ideal

Skills and Competencies
• Strong understanding of Kansas Medicaid LTSS and HCBS processes
• Excellent communication, relationship-building, and presentation skills
• Ability to work independently while managing a local territory and referral relationships
• Organized, proactive, and comfortable with CRM/EMR documentation

Education
• Bachelor’s degree in business, healthcare administration, social services, or related field preferred
• Equivalent experience considered

Work Arrangement
• This position is primarily field- and office-based in the Derby/Wichita area, with flexibility to work from home when appropriate based on scheduling, outreach activities, and business needs

Benefits
• Competitive salary with bonus structure
• Health, dental, and vision insurance
• Opportunities for professional development and career advancement