Medicaid Referrals / Outreach Manager - Home Care (Remote)

Location: Phoenix, AZ 85004
Employment Type: Full-Time
Work Model: Remote (must reside in Arizona; occasional local field meetings required)

About the Role

A rapidly growing national home care organization has recently opened a new Arizona market and is seeking a Medicaid Referrals / Outreach Manager to lead referral development across the Phoenix area. This role focuses on working with AHCCCS MCOs, building case management relationships, and expanding access to in-home care services.

The ideal candidate has direct experience working with Arizona Medicaid MCOs and understands AHCCCS referral and authorization workflows.

Key Responsibilities

• Develop referral pipelines through AHCCCS MCOs and community partners

• Build and maintain relationships with MCO case managers and care coordinators

• Educate referral sources and families on Medicaid-covered home care services

• Partner with internal teams to ensure timely service initiation

• Track outreach and referral performance metrics

• Participate in occasional local meetings with MCOs and referral partners

Required MCO & Medicaid Experience

• UnitedHealthcare Community Plan

• Banner Health Plan

• Familiarity with Mercy Care preferred (not currently in network, but future expansion anticipated)

Qualifications

• 3+ years of experience working with Arizona Medicaid (AHCCCS)

• Direct experience working with Medicaid MCOs

• Strong understanding of authorization and referral workflows

• Ability to work independently in a remote environment

• Bachelor’s degree preferred or equivalent experience